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首页> 外文期刊>Global Health Action >Nutrition-specific and sensitive drivers of poor child nutrition in Kilte Awlaelo-Health and Demographic Surveillance Site, Tigray, Northern Ethiopia: implications for public health nutrition in resource-poor settings
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Nutrition-specific and sensitive drivers of poor child nutrition in Kilte Awlaelo-Health and Demographic Surveillance Site, Tigray, Northern Ethiopia: implications for public health nutrition in resource-poor settings

机译：埃塞俄比亚北部提格里的基尔特·阿瓦洛埃洛健康与人口监测站点的儿童营养不良的特定营养和敏感驱动因素：资源贫乏地区对公共卫生营养的影响

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ABSTRACT Background : Child undernutrition is a prevalent health problem and poses various short and long-term consequences. Objective : This study seeks to investigate the burden of child undernutrition and its drivers in Kilte Awlaelo-Health and Demographic Surveillance Site, Tigray, northern Ethiopia. Methods : In 2015, cross-sectional data were collected from 1,525 children aged 6–23?months. Maternal and child nutritional status was assessed using the mid upper arm circumference. Child’s dietary diversity score was calculated using 24-hours dietary recall method. Log-binomial regression and partial proportional odds model were fitted to examine the drivers of poor child nutrition and child dietary diversity (CDD), respectively. Results : The burden of undernutrition and inadequate CDD was 13.7% (95% CI: 12.1–15.5%) and 81.3% (95%CI: 79.2–83.1%), respectively. Maternal undernutrition (adjusted prevalence ratio, adjPR?=?1.47; 95%CI: 1.14–1.89), low CDD (adjPR?=?1.90; 95%CI: 1.22–2.97), and morbidity (adjPR?=?1.83; 95%CI: 1.15–2.92) were the nutrition-specific drivers of child undernutrition. The nutrition-sensitive drivers were poverty (compared to the poorest, adjPR poor?=?0.65 [95%CI:0.45–0.93], adjPR medium?=?0.64 [95%CI: 0.44–0.93], adjPR wealthy?=?0.46 [95%CI: 0.30–0.70], and adjPR wealthiest?=?0.53 [95%CI: 0.34–0.82]), larger family size (adjPR?=?1.10; 95%CI: 1.02–1.18), household head’s employment insecurity (adjPR?=?2.10; 95%CI: 1.43–3.09), and residing in highlands (adjPR?=?1.93; 95%CI: 1.36–2.75). The data show that higher CDD was positively associated with wealth (OR wealthy?=?3.06 [95%CI: 1.88–4.99], OR wealthiest?=?2.57 [95%CI: 1.53–4.31]), but it was inversely associated with lack of diverse food crops production in highlands (OR?=?0.23; 95%CI: 0.10–0.57]). Conclusions : Our findings suggest that the burden of poor child nutrition is very high in the study area. Multi-sectoral collaboration and cross-disciplinary interventions between agriculture, nutrition and health sectors are recommended to address child undernutrition in resource poor and food insecure rural communities of similar settings.
机译：摘要背景：儿童营养不良是一个普遍存在的健康问题，并造成各种短期和长期后果。目的：本研究旨在调查埃塞俄比亚北部提格里（Kigte Awlaelo）健康和人口监测站点儿童营养不良的负担及其驱动因素。方法：2015年，收集了1,525名6-23月龄儿童的横断面数据。使用上臂中段围评估母婴营养状况。儿童的饮食多样性分数是使用24小时饮食回想法计算得出的。采用对数二项式回归和部分比例优势模型来分别检验儿童营养不良和儿童饮食多样性（CDD）的驱动因素。结果：营养不良和CDD不足的负担分别为13.7％（95％CI：12.1–15.5％）和81.3％（95％CI：79.2–83.1％）。孕产妇营养不良（患病率调整后，adjPR≤1.47; 95％CI：1.14-1.89），CDD低（adjPR≤1.90; 95％CI：1.22-2.97）和发病率（adjPR≤1.83; 95） ％CI：1.15-2.92）是儿童营养不良的特定营养因素。对营养敏感的驱动因素是贫困（与最贫穷的adjPR贫困者相比，=？0.65 [95％CI：0.45-0.93]，adjPR中等程度？=？0.64 [95％CI：0.44-0.93]，adjPR富有吗？=？ 0.46 [95％CI：0.30–0.70]和adjPR最富裕？=？0.53 [95％CI：0.34–0.82]），较大的家庭规模（adjPR？=？1.10; 95％CI：1.02-1.18），户主就业不安全感（adjPR？=？2.10; 95％CI：1.43-3.09）和居住在高地（adjPR？=？1.93; 95％CI：1.36-2.75）。数据显示，较高的CDD与财富呈正相关（OR富裕？=？3.06 [95％CI：1.88–4.99]，OR最富裕？=？2.57 [95％CI：1.53-4.31]），但呈负相关。高地缺乏多样化的粮食作物生产（OR？=？0.23; 95％CI：0.10-0.57]）。结论：我们的研究结果表明，研究区域儿童营养不良的负担非常高。建议在农业，营养和卫生部门之间开展多部门合作和跨学科干预，以解决资源匮乏和类似环境中粮食不安全的农村社区的儿童营养不良问题。

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