PDF(Pubmed)
Abstract：
Chronic malnutrition is a major public health concern that is the focus of a large body of scientific research. However, there is no synthesis of knowledge about the factors associated with this disease in West and Central Africa, where its prevalence is particularly high. We conducted a systematic search for scientific articles published between January 1st, 2000, and October 15th, 2020, that focus on chronic malnutrition in children in West and Central Africa. We queried CAIRN, PubMed, CINAHL, MEDLINE, Scopus, and Google Scholar databases for this purpose. The search process followed the recommendations of Arksey and O\'Malley. Items reported in this review follow the PRISMA-ScR guidelines. Sixty articles involving children from a total of twenty (20) countries, mainly Ghana and Nigeria, were included in the final analysis. The data used were predominantly cross-sectional and were mainly drawn from demographic and health surveys. The analysis revealed that chronic malnutrition in children is associated with sociocultural, economic, and healthcare factors related to the characteristics of children, mothers, households, and communities. The association with children\'s vulnerability to disease, maternal education, purchasing power, and autonomy need to be further investigated in West and Central Africa. Further analysis using longitudinal data is also needed to better understand the factors associated with chronic malnutrition in West and Central Africa.
摘要：
慢性营养不良是一个主要的公共卫生问题，是大量科学研究的重点。然而,在西非和中非，没有关于与这种疾病相关的因素的综合知识，它的患病率特别高。我们对1月1日之间发表的科学文章进行了系统的搜索，2000年10月15日,2020年，重点关注西非和中非儿童的慢性营养不良。我们询问了CAIRN,PubMed,CINAHL,MEDLINE,Scopus,和谷歌学者数据库用于此目的。搜索过程遵循了Arksey和O\'Malley的建议。本综述中报告的项目遵循PRISMA-ScR指南。涉及总共二十(20)个国家的儿童的60篇文章，主要是加纳和尼日利亚，包括在最终分析中。使用的数据主要是横截面数据，主要来自人口和健康调查。分析显示，儿童慢性营养不良与社会文化有关，经济,以及与儿童特征相关的医疗保健因素，母亲们,家庭,和社区。与儿童对疾病的脆弱性有关，母亲教育,购买力,在西非和中非，自治需要进一步调查。还需要使用纵向数据进行进一步分析，以更好地了解与西非和中非慢性营养不良相关的因素。
