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Moderate and severe household food insecurity predicts stunting and severe stunting among Rwanda children aged 6–59?months residing in Gicumbi district

机译:中度和严重的家庭粮食不安全预测卢旺达6-59岁以下儿童的静音和严重震惊?居住在Gicumbi区的几个月

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Abstract Household food insecurity (HFI) plays an important role in child malnutrition in many low‐income countries. We determined the association between HFI and stunting and severe stunting among Rwandan children from the Gicumbi district, aged 6–59?months using a cross‐sectional study of 2,222 children. HFI factor was calculated by summing all seven HFI (access) frequency questions and was categorised into food security, mildly food insecurity, moderately food insecurity, and severe food insecurity. The association between stunting, severe stunting, and HFI was determined using the multiple logistic regression analyses that adjust for clustering and sampling weights. The odds of moderate and severe HFI were significantly higher among stunted children aged 6–59?months than those who were not stunted (adjusted odds ratio [AOR]?=?1.43; 95% confidence interval [CI] [1.11, 1.84] and AOR?=?1.35; 95% CI [1.08, 1.69], respectively). Children from households with moderate food insecurity were 2.47 times more likely to be severely stunted (AOR?=?2.47; 95% CI [1.77, 3.46]), and those from households with severe food insecurity were more likely to be severely stunted (AOR?=?1.82; 95% CI [1.34, 2.48]), compared with children aged 6–59?months from households with food security. Other factors included male children and children who did not attend monthly growth monitoring sessions. This study showed that moderate and severe HFI correlated with stunting and severe stunting. Interventions to improve stunting in Gicumbi children should also focus on male children, children who did not attend monthly growth monitoring sessions, and households with moderate and severe food insecurity.
机译:摘要家庭食品不安全(HFI)在许多低收入国家的儿童营养不良中起着重要作用。我们确定了卢旺达区卢旺达儿童的HFI与严重震惊的关联,使用2,222名儿童的横断面研究。通过总结所有七个HFI(访问)频率问题计算HFI因子,并被分类为食品安全,轻度粮食不安全,中等粮食不安全和严重的食物不安全。使用调整聚类和采样权重的多元逻辑回归分析来确定发育迟缓,严重衰退和HFI之间的关联。 6-59岁的儿童中度和严重的HFI的几率明显高于6-59岁以下的儿童?数月比没有干扰的人(调整的赔率比[aor]?=?1.43; 95%置信区间[CI] [1.11,1.84]和AOR?=?1.35; 95%CI [1.08,1.69]。受中度粮食不安全的家庭的儿童持续严重停滞不前2.47倍(AOR?=?2.47; 95%CI [1.77,3.46]),以及具有严重粮食不安全的家庭的人更有可能严重发育严重(AOR ?=?1.82; 95%CI [1.34,2.48]),与6-59岁的儿童从粮食安全的家庭接受比较。其他因素包括雄性儿童和儿童,没有上每月增长监测会议。该研究表明,中度和严重的HFI与静音和严重衰退相关。改善Gicumbi儿童迟缓的干预措施也应该专注于男性儿童,没有参加每月增长监测会议的儿童,以及具有中等和严重的食物不安全的家庭。

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