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埃塞俄比亚五岁以下儿童的综合人类学失败的决定因素:多层混合效应负二项回归建模的应用
Biniyam Sahiledengle1, Lillian Mwanri2
1Department of Public Health, Madda Walabu University Goba Referral Hospital, Bale-Goba, Ethiopia.
PLOS global public health
|June 4, 2024
概括
埃塞俄比亚五岁以下儿童多种形式的营养不良,通过综合人体测量失败指数 (CIAF) 和综合严重人体测量失败指数 (CISAF) 来衡量,与男性性别,年龄较大群体和较差的家庭条件有关.
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:
- 营养不良是儿童死亡和发病的主要原因之一.
- 常规的营养不良标志物 (发育迟缓,衰减,体重不足) 不足以捕捉多个人体测量失败.
- 人类测量失败综合指数 (CIAF) 和严重人类测量失败综合指数 (CISAF) 是为了弥补这一差距而开发的.
研究的目的:
- 在0-59个月的埃塞俄比亚儿童中识别与CIAF和CISAF相关的因素.
- 为针对多种形式的儿童营养不良提供有针对性的干预措施提供证据.
主要方法:
- 利用了2019年埃塞俄比亚小型人口和健康调查的数据.
- 包括5259名年龄在0-59个月的儿童的加权样本.
- 采用多层混合效应负二项式回归来分析CIAF和CISAF的决定因素.
主要成果:
- 男孩,年龄较大的年龄组 (12-59个月),多个五岁以下儿童的家庭,较贫穷的家庭和土地板与较高的CIAF有关.
- 男孩,年龄较大的年龄组 (6-59个月),多个五岁以下儿童的家庭和较贫穷的家庭与较高的CISAF有关.
- 6-59个月的儿童,男性,以及来自多个孩子的家庭或贫穷环境的儿童更有可能经历多次人体测量失败.
结论:
- 埃塞俄比亚儿童多次人体测量失败与特定的人口,社会经济和环境因素有关.
- 干预措施应解决这些已识别的风险因素,以有效打击多种形式的营养不良.
- CIAF和CISAF是评估和监测幼儿多重人体测量失败的有价值的工具.
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