孟加拉国儿童功能困难相关因素的城乡差异:一个横截面研究
Mst Farjana Yesmin1, Mohammad Rocky Khan Chowdhury1,2,3, Farzana Akhter Bornee4
1Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
Frontiers in public health
|November 29, 2023
概括
孟加拉国约有3.3%的幼儿经历功能困难,城市地区的比例略高. 关键的因素包括母亲的困难,营养不良和缺乏教育,突出了针对性干预的必要性.
科学领域:
- 儿童健康 儿童健康
- 公共卫生 公共卫生
- 发育儿科 发育儿科
背景情况:
- 早期儿童功能障碍是全球公共卫生问题,影响儿童的生活质量和社会生产力.
- 在孟加拉国,儿童功能障碍带来了重大的社会和经济挑战,需要进行本地化研究.
研究的目的:
- 确定与孟加拉国儿童功能困难相关的因素.
- 在不同的城市和农村环境中分析这些因素.
主要方法:
- 利用来自2019年多指标集群调查 (MICS) 的全国代表性跨部门调查数据.
- 采用了奇平方测试和多变量逻辑回归来确定显著的关联.
主要成果:
- 功能障碍影响城市儿童 (2-4岁) 的3.3%,农村儿童的2.5%.
- 这两个领域的共同风险因素包括母亲的功能困难和儿童营养不良.
- 城市特有的因素:母亲缺乏正规教育和婴儿死亡. 农村特有的因素:缺乏大众媒体的访问,急性呼吸道感染 (ARI),女性性别,营养不良和较差的社会经济地位.
结论:
- 在孟加拉国,每35名2至4岁的儿童中约有1人患有功能障碍,在城市环境中患病率更高.
- 解决城市童年困难需要综合战略,包括医疗保健,教育和社区支持.
- 在儿童健康方面实现城乡平等,需要解决经济发展,医疗保健和教育方面的差异,重点关注女孩.
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