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Prevalence and associated factors influencing stunting in children aged 2–5?years in the Gaza Strip-Palestine: a cross-sectional study

机译:加沙地带-巴勒斯坦2-5岁儿童发育迟缓的患病率及相关因素:一项横断面研究

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Stunting continues to be a major public health problem in developing countries. It is one of the most important risk factors for morbidity and mortality during childhood. In Palestine, it is another health problem, which adds to the catastrophic issues in the region. This study aimed to determine the prevalence of stunting and its associated factors among preschool children in the Gaza Strip. A cross-sectional study design was conducted in the Gaza Strip. A total of 357 children aged 2–5?years and their mothers aged 18–50?years were recruited. A multistage cluster sampling was used in the selection of the study participants from three geographical areas in the Gaza Strip: Jabalia refugee camp, El Remal urban area, and Al Qarara rural area. A structured questionnaire was used for face- to -face interviews with the respective child’s mother to collect sociodemographic information and feeding practice. Anthropometric measurements for children were taken to classify height-for-age (HAZ), while maternal height was measured as well. Descriptive and binary logistic regression analyses were applied to determine the prevalence and associated factors with?stunting. The total prevalence of stunting in this study was 19.6%, with the highest prevalence being (22.6%) in Jabalia refugee camp. It turns out that shorter mothers had increased the odds of stunting in preschool children in the Gaza Strip. Children born to mothers whose height was 1.55–1.60?m or 1.60?m. Moreover, parental consanguinity increased the risk of stunted children (p?=?0. 015). This study showed the prevalence of stunting was of alarming magnitude in the Gaza Strip. Our results also demonstrated that parental consanguinity and short maternal stature were associated with stunting. Culturally appropriate interventions and appropriate strategies should be implemented to discourage these types of marriages. Policy makers must also raise awareness of the importance of the prevention and control of nutritional problems to combat stunting among children in the Gaza Strip.
机译:发育迟缓仍然是发展中国家的主要公共卫生问题。它是儿童期发病和死亡的最重要危险因素之一。在巴勒斯坦,这是另一个健康问题,加剧了该地区的灾难性问题。本研究旨在确定加沙地带学龄前儿童发育迟缓的患病率及其相关因素。在加沙地带进行了横断面研究设计。总共招募了357位2至5岁的儿童和18至50岁的母亲。从加沙地带的三个地理区域(Jabalia难民营,El Remal市区和Al Qarara农村地区)选择研究参与者时,使用了多阶段整群抽样。使用结构化的问卷调查与各自孩子的母亲进行面对面的访谈,以收集社会人口统计学信息和喂养习惯。对儿童进行人体测量以分类年龄高度(HAZ),同时也测量了母亲的身高。采用描述性和二元逻辑回归分析来确定患病率和相关因素。在这项研究中,发育迟缓的总患病率为19.6%,在贾巴利亚难民营中最高(22.6%)。事实证明,在加沙地带,矮小的母亲增加了学龄前儿童发育迟缓的可能性。母亲身高为1.55-1.60?m或1.60?m的孩子。此外,父母的血缘关系增加了发育不良儿童的风险(p == 0.015)。这项研究表明,在加沙地带,发育迟缓的发生率令人震惊。我们的结果还表明,父母的血缘关系和母体矮小与发育迟缓有关。应采取文化上适当的干预措施和适当的策略,以阻止此类婚姻。决策者还必须提高对预防和控制营养问题对打击加沙地带儿童发育迟缓的重要性的认识。

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