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Growth status of children in North West Syria: A comparison of three rural livelihood groups

机译:叙利亚西北部儿童的成长状况:三个农村生计群体的比较

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Undernutrition, a multifactorial phenomenon, has severe consequences. A study was conducted in Syria to compare nutritional differences in children from three rural livelihood groups: a "barley-livestock" group in the southeast (Khanasser), and an "olive/fruit tree" group and an "irrigation" group in the northwest of Aleppo province (Afrin). An anthropometric assessment was conducted on 541 rural children from 207 rural households and 199 urban children (2-10 years) from a middle income urban group. Comparisons were made with the 1978 NCHS/WHO (National Center for Health Statistics/World Health Organization) international growth reference (WHO, 1995) and a -2 SD Z-score was used as a cut-off. Prevalence rates and mean Z-scores were calculated and independent sample t-tests used to compare totals and age-group disaggregated children (both boys and girls). Total stunting prevalence was highest in the barley-livestock group (23%) and lowest in the irrigation group (12.5%). Girls in the barley-livestock group displayed the highest rates of stunting (28.3%), followed by the boys (22%) and the girls (21.08%) in the olive/fruit tree group. The prevalence of underweight children was highest in the barley-livestock and olive/fruit tree livelihood groups (14.29% and 13.25%, respectively). Wasting rates were very low. The rates of stunting and underweight were higher in the barley-livestock and olive/fruit tree groups, as compared with the country-level estimates of 20.8 percent and 12.9 percent respectively, in children under five. A comparison of rates and mean scores indicates that, amongst rural groups, there was considerable variation: the barley-livestock and olive/fruit tree group, belonging to drier and poorer areas, exhibited higher rates and lower mean scores.
机译:营养不良是一种多因素现象,会带来严重后果。在叙利亚进行了一项研究,比较了三个农村生计群体的儿童的营养差异:东南部(Khanasser)的一个“大麦-牲畜”组,西北部一个“橄榄/果树”的组和一个“灌溉”组阿勒颇省(非洲)的地图。对来自207个农村家庭的541名农村儿童和来自中等收入城市群体的199个城市儿童(2-10岁)进行了人体测量评估。与1978年NCHS / WHO(国家卫生统计中心/世界卫生组织)国际增长参考值(WHO,1995年)进行了比较,并使用了-2 SD Z值作为标准。计算患病率和平均Z分数,并使用独立样本t检验比较总数和按年龄组分类的儿童(男孩和女孩)。大麦-牲畜组的总发育迟缓率最高(23%),而灌溉组最低(12.5%)。大麦牲畜组的女孩发育迟缓率最高(28.3%),其次是橄榄/果树组的男孩(22%)和女孩(21.08%)。大麦牲畜和橄榄/果树生计组中体重不足儿童的患病率最高(分别为14.29%和13.25%)。浪费率非常低。大麦牲畜和橄榄/果树组的发育迟缓和体重不足比率更高,而五岁以下儿童的国家一级估计分别为20.8%和12.9%。比率和平均得分的比较表明,在农村组中,差异很大:大麦牲畜和橄榄/果树组属于较干燥和较贫困的地区,它们的比率较高且平均得分较低。

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