在北方邦的儿童营养不良和发病率:结构方程建模和地理空间分析的应用
Anuj Singh1, Abhay Kumar Tiwari2, Mayank Singh3
1Department of Sciences (Mathematics), Indian Institute of Information Technology (IIIT) Ranchi, Jharkhand, 835217, India. anujsingh11185@gmail.com.
Maternal and child health journal
|January 9, 2026
概括
印度北方邦的儿童营养不良与母亲的因素,社会经济地位和获得医疗保健有关. 针对性干预对于改善高负担地区儿童营养和健康状况至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 流行病学 流行病学
背景情况:
- 儿童营养不良,包括发育迟缓,衰减和体重不足,是低收入和中等收入国家的关键公共卫生问题.
- 印度的北方邦 (UP) 呈现了全球儿童营养不良率最高的地区之一.
- 了解儿童营养不良的多方面的决定因素对于有效的公共卫生战略至关重要.
研究的目的:
- 调查北方邦儿童营养不良的关键决定因素 (发育迟缓,衰减,体重不足).
- 检查儿童营养不良和儿童发病率之间的关联.
- 确定在北邦的营养不良的空间模式和高负担地区.
主要方法:
- 利用了来自北方邦国家家庭健康调查 (NFHS-5) 的数据,其中包括59,232名5岁以下的儿童.
- 采用单变量,双变量分析,一般化结构方程建模 (GSEM) 对于个人级别的决定因素.
- 应用空间分析,包括莫兰的I统计和LISA集群地图,用于地区层面的模式.
主要成果:
- 母亲的身高,教育程度,种姓,财富指数,孩子的年龄,以及分娩/居住地点是衰老,衰减和体重不足的重要预测因素.
- 儿童营养不良与儿童发病率有显著的积极关联 (β=0.032).
- 空间分析确定了不同的地理集群和营养不良的热点在北方普拉德什各个地区.
结论:
- 综合性,地理目标干预措施是必要的,以解决北方邦的儿童营养不良问题.
- 干预措施应侧重于改善孕产妇健康,社会经济地位,获得医疗保健和环境条件.
- 解决不平等问题是改善该地区儿童营养和健康状况的关键.
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