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Malnutrition and its associated factors: a cross-sectional study with children under 2 years in a suburban area in Angola

机译:营养不良及其相关因素:在安哥拉郊区2年下的儿童横断面研究

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The prevalence of child malnutrition in Angola is still very high, and little is known about its associated factors. The aim of this study was to identify these factors in children under 2?years in a suburban area of the country's capital city. We used data from a cross-sectional population-based study conducted in 2010. The outcomes studied were stunting and underweight. Multivariable analysis was conducted; prevalence ratios were estimated by Poisson regression with robust variance using a hierarchical model. Of the children studied (N?=?749), 232 [32.0% (95% CI: 28.7-35.5%)] were stunted and 109 [15.1% (95% CI: 12.6-17.9%)] were underweight. In multivariable analysis, occurrence of diarrhea (PR 1.39 [95% CI: 1.07-1.87]) and the death of other children in the household (PR 1.52 [95% CI: 1.01-2,29]) were associated with stunting and underweight, respectively. In the model composed only of distal and intermediate factors, the primary caregiver not being the mother increased the prevalence of stunting by 42% (PR 1.42 [95% CI: 1.10-1.84], and a mother's working outside the house while not being self-employed was associated with its reduced prevalence (PR 0.55 [95% CI: 0.34-0.89]). In the intermediate model, each additional month of delay in the onset of prenatal care increased the relative prevalence of underweight by 20% (PR 1.20 [95% CI: 1.03-1.40]). Despite the high prevalence rates of stunting and underweight, relatively few risk factors were identified for these conditions, suggesting that collective exposures are likely to play a major role in causing malnutrition in Angola. The individual factors identified can be useful for the development of strategies to deal with this public health problem.
机译:安哥拉儿童营养不良的流行仍然很高,并且对其相关因素知之甚少。本研究的目的是识别2岁以下儿童的这些因素在该国首都的郊区。我们使用2010年进行的基于横断面群体的数据的数据。研究的结果令人衰退和体重不足。进行多变量分析;通过使用分级模型的泊松回归估算患病率比率估计。学习的儿童(n?=Δ749),232 [32.0%(95%ci:28.7-35.5%)是否有发育,并且109 [15.1%(95%CI:12.6-17.9%)]体重不足。在多变量分析中,腹泻的发生(PR 1.39 [95%CI:1.07-1.87])和家庭中其他儿童的死亡(PR 1.52 [95%CI:1.01-2,29])与衰退和体重不足有关, 分别。在仅由远端和中间因素组成的模型中,原代护理人员不是母亲的患病率增加了42%(PR 1.42 [95%CI:1.10-1.84],而母亲在房子外面工作而不是自我 - 雇用的患病率降低有关(PR 0.55 [95%CI:0.34-0.89])。在中间模型中,产前护理开始的每一个延迟延迟增加了20%的体重相对普及率(PR 1.20 [95%ci:1.03-1.40])。尽管患有高度衰退和体重不足的普及率很高,但鉴定了这些条件的危险因素相对较少,这表明集体暴露可能在造成安哥拉营养不良时发挥重要作用。个人确定的因素可用于制定处理这一公共卫生问题的策略。

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