五岁以下儿童多重人体测量失败的社会生态决定因素:观察性研究的系统审查和元分析
Biniyam Sahiledengle1,2, Paul Russell Ward2, Bereket Duko2
1Department of Public Health, Madda Walabu University Goba Referral Hospital, Bale-Goba, Ethiopia.
PLOS global public health
|July 31, 2025
概括
这项研究揭示了导致五岁以下儿童营养不良的关键因素,通过系统审查确定了这些因素. 解决可修改的风险,如饮食不良,疾病和缺乏教育,对于减少多次人体测量失败至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 营养科学 营养科学
背景情况:
- 人类测量失败综合指数 (CIAF) 是儿童营养不良的综合衡量标准.
- 关于CIAF决定因素的现有证据是分散的,需要综合理解.
研究的目的:
- 系统地审查和分析五岁以下儿童中CIAF的决定因素.
- 在社会生态层面上识别和分类风险因素.
主要方法:
- 来自九个数据库的56项研究 (1029,452名儿童) 的系统审查和元分析.
- 使用社会生态模型 (人内,人际,社区) 的决定性分类.
- 随机效应元分析用于计算聚合赔率比率 (ORs).
主要成果:
- 个人内在因素:男性性别,年龄较大,腹,发烧,贫血,出生体重低,饮食多样性差.
- 人际关系/社区因素:母亲教育水平低,母亲失业,贫困,大家庭,粮食不安全,水源不完善.
- 关键的可修改风险包括饮食不足,儿童发病率,粮食不安全,母亲教育受限和缺水.
结论:
- 在个人,家庭和社区层面确定了CIAF的重大可修改风险因素.
- 强调需要多层次干预措施,以减少童年人类测量失败.
- 强调应对儿童营养不良的饮食,发病率,教育和获取水资源的重要性.
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