卡拉奇一个非法居住区的五岁以下儿童营养不良:一项病例控制研究
Gati Ara1, Bina Fawad2, Shumaila Shabbir3
1Dow University of Health Sciences, Karachi, Pakistan. gati.ara@duhs.edu.pk.
BMC public health
|March 20, 2024
概括
卡拉奇的儿童营养不良与贫困,父母教育水平低,卫生条件差等有关. 专注于减少贫困,改善卫生条件和母乳养教育的干预措施对于改善儿童营养至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 营养流行病学 营养流行病学
背景情况:
- 营养不良的多因素影响包括社会经济和环境因素,贫困是一个强烈的决定因素.
- 城市贫民窟儿童的营养状况往往比农村儿童差.
- 关于卡拉奇城市贫民窟儿童营养状况的数据有限.
研究的目的:
- 为了确定与巴基斯坦卡拉奇一个城市的非法入侵者定居点的营养不良儿童相关的特征.
- 研究社会经济,环境和儿童相关因素与幼儿营养不良之间的关系.
主要方法:
- 在卡拉奇的一个非法居住区进行了一项病例控制研究,招募了5岁以下的儿童.
- 病例是根据世卫组织的生长标准定义的 (z分数<-2 SD),对照对象的z分数在-2 SD和+2 SD之间.
- 通过采访采用结构化问卷收集了社会人口统计学,经济,环境和与儿童有关的因素的数据;进行了后勤回归分析.
主要成果:
- 儿童营养不良与父亲教育水平低 (aOR 4.86),月收入低于25,000 PKR (aOR 7.13) 和使用倒坑所 (aOR 4.41) 有关.
- 不充分的纯母乳养 (<6个月,aOR 3.578) 和不适当的断奶年龄 (aOR 3.71) 也是显著的危险因素.
- 低家庭收入在参与者中普遍存在.
结论:
- 在这个社区,五岁以下儿童的营养不良与家庭收入低,父母教育,卫生条件差以及婴儿养不佳的做法有关.
- 迫切需要减少贫困的计划,负担得起的卫生解决方案,以及社区教育关于母乳养和断奶.
- 有针对性的干预措施对于改善城市贫民窟儿童营养状况至关重要.
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