六个月以下的巴基斯坦婴儿的身高与体重年龄增长图表:来自使用多指标集群调查数据的新型病例选择方法
Muhammad Aasim1,2, Sohail Chand3
1NHRC, NIH (HRI) Research Centre, Shaikh Zayed Medical Complex, Lahore, Pakistan. aasim.phrc@gmail.com.
BMC medical research methodology
|December 8, 2023
概括
这项研究使用新案例选择方法和多指标集群调查数据开发了0-6个月龄的巴基斯坦儿童的本土生长图表. 与世卫组织标准相比,新图表显示了较低的轨迹,为儿童健康监测提供了至关重要的工具.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 随着世卫组织的多中心生长研究,对本地生长图的需求日益增长,特别是对于婴儿.
- 巴基斯坦缺乏两岁以下儿童的本土生长图表,特别是纯母乳养的婴儿 (0-6个月).
- 低收入国家的数据采集挑战需要像多指标集群调查 (MICS) 这样的高效方法.
研究的目的:
- 提出使用"新案例选择方法"生成选择变量的方法.
- 选择并将适当的统计模型与MICS数据相匹配,以开发标准增长图表.
- 为0-6个月龄的巴基斯坦儿童创建本土生长图表.
主要方法:
- 利用了巴基斯坦多指标集群调查 (MICS-6) 的数据.
- 应用了"新案例选择方法",从MICS-6中选择了3,655名0-6个月的儿童.
- 采用gamlss包 (RefCurv_0.4.2) 与Box-Cox功率指数 (BCPE) 系列,并为模型拟合处罚分线 (ps),使用贝叶斯信息标准 (BIC) 和阿卡伊克信息标准 (AIC) 进行优化.
主要成果:
- 在数据清理后,选择了3540名儿童的体重与年龄 (W/A) 和3515名儿童的身高与年龄 (H/A) 图表.
- 带有处罚斜线 (ps) 的BCPE家族为所有四个W/A和H/A曲线 (男性/女性) 提供了最合适的匹配.
- 巴基斯坦的土著拟合标准曲线与世卫组织标准相比显示出较低的轨迹.
结论:
- 该研究使用新案例选择方法和MICS数据成功开发了巴基斯坦婴儿的本土生长图表.
- 该方法为在低收入和中等收入国家创建量身定制的增长图表提供了一种可行的方法.
- 由此产生的图表为决策者和临床医生提供了有价值的工具,等待进一步验证.
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