关键词: Ethiopia children discharge outpatient wasting

来  源:   DOI:10.3389/fnut.2024.1353086   PDF(Pubmed)

Abstract:
UNASSIGNED: Globally, five million children under the age of five died in 2021. Asia and African countries contributed to 69% and 27.2% of wasting, respectively. In Ethiopia, out of 901 (10.1%) under-five children, 632 (8.1%) were found to be moderately wasted, and 269 (3.0%) were severely wasted. The purpose of this study was to assess the prevalence of wasting and its associated factors among children between the ages of 6 and 59 months in Habro Woreda, Oromia, Eastern Ethiopia.
UNASSIGNED: A community-based cross-sectional study was conducted in Habro Woreda from 25 August to 20 September 2020. In total, 306 participants were included in this study through a systematic sampling technique. Data were collected using a pretested structured questionnaire through a face-to-face interview, entered into EpiData version 3.1, and analyzed using SPSS version 25. Predictors were assessed using a multivariate logistic regression analysis model and reported using an adjusted odds ratio (AOR) with a 95% confidence interval (CI). Statistical significance was set at p < 0.05.
UNASSIGNED: Overall, the prevalence of wasting among children aged 6-59 months in the Habro district was 28%, with a 95% confidence interval [26.5, 32.2%]. Factors such as mothers illiterate [AOR = 3.4; 95% CI: 1.14-10.47], households without latrines [AOR = 2.91; 95% CI: 1.33-6.37], food-insecure households [AOR = 4.11; 95% CI: 1.87-9], households that did not receive home visits [AOR = 4.2; 95% CI: 1.92-9.15], did not eat a variety of food [AOR = 7.44; 95% CI: 2.58-21.45], sick children after discharge from the program [AOR = 6.55; 95% CI: 2.85-15.02], readmitted children [AOR = 3.98; 95% CI: 1.43-15.07], and wasting 3.42 [AOR = 3.42; 95% CI: 1.24-9.45] were factors statistically associated with outcome variables.
UNASSIGNED: This study noted that the prevalence of wasting among children aged 6-59 months following discharge from the Outpatient Therapeutic Program remains high. Educational status of the mother, availability of a latrine, separate kitchen in the household, household food insecurity, household dietary diversity, home visit, and admission type were significantly associated with wasting of children after discharge from the outpatient therapeutic program. Therefore, efforts that target these factors should be maximized to reduce the occurrence of wasting among children aged 6-59 months after discharge from the outpatient therapeutic program.
摘要:
全球,2021年有500万五岁以下儿童死亡。亚洲和非洲国家贡献了69%和27.2%的浪费,分别。在埃塞俄比亚,在901名(10.1%)五岁以下儿童中,632(8.1%)被发现是中等浪费,269人(3.0%)严重浪费。这项研究的目的是评估HabroWoreda的6至59个月儿童中消瘦的患病率及其相关因素,奥罗米亚,埃塞俄比亚东部。
于2020年8月25日至9月20日在HabroWoreda进行了一项基于社区的横断面研究。总的来说,通过系统抽样技术将306名参与者纳入本研究。通过面对面访谈,使用预先测试的结构化问卷收集数据,进入EpiData版本3.1,并使用SPSS版本25进行分析。使用多变量逻辑回归分析模型评估预测因子,并使用具有95%置信区间(CI)的校正比值比(AOR)进行报告。统计学显著性设定为p<0.05。
总的来说,哈布罗地区6-59个月儿童的消瘦患病率为28%,95%的置信区间[26.5,32.2%]。母亲不识字等因素[AOR=3.4;95%CI:1.14-10.47],没有厕所的家庭[AOR=2.91;95%CI:1.33-6.37],粮食不安全家庭[AOR=4.11;95%CI:1.87-9],未接受家访的家庭[AOR=4.2;95%CI:1.92-9.15],不吃各种食物[AOR=7.44;95%CI:2.58-21.45],出院后的患病儿童[AOR=6.55;95%CI:2.85-15.02],再入院儿童[AOR=3.98;95%CI:1.43-15.07],和消瘦3.42[AOR=3.42;95%CI:1.24-9.45]是与结果变量统计学相关的因素。
这项研究指出,6-59个月儿童从门诊治疗方案出院后消瘦的患病率仍然很高。母亲的教育状况,厕所的可用性,在家里单独的厨房,家庭粮食不安全,家庭饮食多样性,家访,和入院类型与门诊治疗方案出院后儿童消瘦显著相关.因此,针对这些因素的努力应最大限度地减少门诊治疗计划出院后6-59个月儿童的消瘦发生率.
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