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超越WASH:在多个国家背景下测试家庭用水不安全和儿童营养结果之间的额外联系

Neetu Choudhary¹, Alexandra Brewis¹, Roseanne C Schuster¹

¹School of Human Evolution and Social Change, Arizona State University, Tempe.

Ecology of food and nutrition

|June 18, 2024

概括

家庭用水不安全会通过饮食多样性和卫生条件对儿童营养产生负面影响. 解决水资源获取问题对于改善全球儿童健康状况至关重要.

科学领域:

公共卫生公共卫生
环境健康环境健康
营养科学营养科学

背景情况:

儿童营养不良仍然是一个重大的全球健康挑战.
家庭用水的不安全性越来越被认为是健康的关键决定因素.
现有的研究往往忽视了将水资源获取与儿童营养状况联系起来的复杂途径.

研究的目的:

确定和量化连接家庭用水不安全 (HWI) 与儿童营养指标的途径.
检查儿童饮食多样性的调解作用和卫生设施在这些途径的影响.
开发一个全面的模型,解释HWI对儿童成长和健康的多方面的影响.

主要方法:

利用来自18个国家的全国代表性调查数据.
构建了一个隐藏的家庭水不安全评分 (HWI).
使用结构方程建模 (SEM) 来分析直接和间接路径.

主要成果:

HWI直接和间接地影响了孩子的HAZ分数 (高度对年龄Z分数) 和血红蛋白水平.
儿童养做法和卫生条件被确定为重要的调解者.
饮食多样性在HWI和营养结果之间的关系中发挥了关键的调解作用.

结论:

家庭用水不安全是儿童营养不良的重要,多方面的风险因素.
干预措施必须考虑获得水,卫生和儿童养的做法,以实现有效的儿童营养计划.
更广泛地了解HWI,包括间接影响,对于改善全球儿童健康至关重要.

关键词:

贫血贫血是一种疾病.饮食的多样性饮食的多样性家庭用水不安全营养营养营养营养发育不良发育不良缩发育不良

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