巴基斯坦的社会部门驱动因素和衰老减少:一个地方性的分析
Anushka Ataullahjan1, Emily C Keats1, Muhammad Atif Habib2
1Centre for Global Child Health, Hospital for Sick Children, Toronto, Canada.
The American journal of clinical nutrition
|April 9, 2025
概括
巴基斯坦儿童发育迟缓的减少在全国范围内缓慢,但在Khyber Pakhtunkhwa和Punjab发生了显著的进展. 社会经济地位的改善和有针对性的支持计划推动了这些积极的变化.
科学领域:
- 营养科学 营养科学
- 公共卫生 公共卫生
- 社会经济学 社会经济学
背景情况:
- 在巴基斯坦,儿童发育迟缓仍然是一个重要的营养挑战,地区差异显著.
- 虽然经济增长已经发生,但缩率的减少一直很缓慢,特别是在辛德和巴鲁吉斯坦与开伯尔巴赫图肯瓦和旁遮普北部相比.
研究的目的:
- 识别和分析推动和阻碍2011年至2018年间儿童衰退患病率变化的关键因素.
- 了解巴基斯坦各地衰老减缓的次国家差异.
主要方法:
- 采用混合方法方法,将定量分析 (Oaxaca-Blinder分解,多变量等级建模) 与定性研究相结合.
- 利用了2011年和2018年代表性家庭营养调查的数据.
- 研究结果通过文献审查和政策分析进行了三角分析.
主要成果:
- 全国发育迟缓的流行率从2011年的42.3%略有下降,到2018年的40.2%.
- 在Khyber Pakhtunkhwa和北部和南部Punjab观察到显著的衰老减少,高度对年龄z-score的0.49标准偏差增长.
- 主要驱动因素包括改善社会经济地位,扩大针对女性的收入支持计划的覆盖范围,以及对健康和营养计划的投资. 贫困和高粮食价格被认为是障碍.
结论:
- 尽管全国进展缓慢,但Khyber Pakhtunkhwa和Punjab等特定地区已经实现了大幅度减少儿童发育迟缓.
- 建议继续投资于赋予女性权力的社会计划,并加强母婴健康和营养服务.
- 加强现有的健康和营养计划的覆盖范围和质量对于持续的进步至关重要.
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