用全国代表性样本数据,分解印度五岁以下儿童中发育迟缓的社会群体差异
Mriganka Dolui1, Sanjit Sarkar2
1Department of Geography, Central University of Karnataka, Karnataka, 585311, India. mriganka.dolui@gmail.com.
Scientific reports
|November 8, 2024
概括
由于社会经济因素,儿童发育迟缓率在 অনুসূচিত জাতি- অনুসূচিত部落 (SC-ST) 群体显著更高. 家庭财富,母亲教育和BMI是这种不平等的关键驱动因素,需要有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 健康的社会经济决定因素
- 儿童营养 儿童营养
背景情况:
- 儿童发育迟缓是慢性营养不良的标志,不成比例地影响社会和经济贫困人口.
- 在不同社会阶层中,缩患病率存在显著差异,特别是在 অনুসূচিত জাতি- অনুসূচিত部落 (SC-ST) 和非SC-ST群体之间.
研究的目的:
- 调查和量化SC-ST和非SC-ST社会群体之间的童年衰退患病率的不平等.
- 确定导致这种不平等的关键社会经济和人口因素.
主要方法:
- 利用了来自国家家庭健康调查的0-59个月龄的193886名儿童的数据.
- 采用描述性统计,多变量后勤回归和Fairlie分解模型来分析流行率,决定因素和不平等.
主要成果:
- 与非SC-ST儿童 (33.27%) 相比,SC-ST儿童 (39.60%) 发育迟缓的发病率更高.
- 儿童年龄 (15-30个月),男性性别,较低的母亲BMI,没有母亲的教育,最贫穷的财富指数和不卫生的卫生习惯等因素与衰老风险增加有关.
- 费利分解模型表明,68.9%的群体间衰老不平等是由包含的变量解释的,其中家庭财富 (41.3%),母亲教育 (12.86%) 和母亲BMI (11.02%) 是最重要的贡献者.
结论:
- 显著的社会经济不平等导致SC-ST儿童的发育迟缓率更高.
- 针对经济赋权,孕产妇教育和改善卫生条件的有针对性的干预措施对于减少衰老差异至关重要.
- 针对家庭经济状况和母亲健康的政策对于改善儿童健康结果和实现平等至关重要.
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