PDF(Pubmed)
Abstract：
BACKGROUND: The state of a child\'s nutrition is a critical indicator of their overall health and wellbeing. Public health still faces challenges from undernutrition, especially in developing nations across the globe. In Rwanda, around 33% of children aged under five years suffer from chronic undernutrition. Many factors, such as poverty, illiteracy, poor WASH practices, improper child feeding practices, and insufficient healthcare, are the leading causes of undernutrition. The study aims to assess infant and young child feeding practices, WASH, food security, and their association with the nutritional status of children under five years in Rwanda\'s Western and Southern provinces.
METHODS: A community-based cross-sectional study design was applied to study factors affecting the nutritional status of children under five years in 439 households in the Karongi, Nyabihu, and Nyamagabe districts of Rwanda. The study assessed anemia, stunting, underweight, and wasting indicators, and collected data was analyzed using SPSS version 25.
RESULTS: The study findings indicate that among the children surveyed, 29.2% (128) were identified as stunted, 5.9% (26) were underweight, 2.3% (10) suffered from wasting, and 20.9% (31) had anemia. Factors associated with these conditions included larger household size [AOR = 2.108; 95% CI (1.016-4.371)], positively associated with stunting. Additionally, children from households where the head was above 60 years old were more likely to exhibit stunting [AOR = 4.809; 95% CI (1.513, 15.283)]. Furthermore, a high household dietary diversity score was positively linked to being underweight [AOR = 6.061; 95% CI (1.535,23.942)].
CONCLUSIONS: Household characteristics like size, dietary diversity, and the age of the household head affect children\'s nutritional status. Improving these conditions would enhance children\'s nutritional status.
METHODS: A community-based cross-sectional study design was applied to study factors affecting the nutritional status of children under five years in 439 households in the Karongi, Nyabihu, and Nyamagabe districts of Rwanda. The study assessed anemia, stunting, underweight, and wasting indicators, and collected data was analyzed using SPSS version 25.
RESULTS: The study findings indicate that among the children surveyed, 29.2% (128) were identified as stunted, 5.9% (26) were underweight, 2.3% (10) suffered from wasting, and 20.9% (31) had anemia. Factors associated with these conditions included larger household size [AOR = 2.108; 95% CI (1.016-4.371)], positively associated with stunting. Additionally, children from households where the head was above 60 years old were more likely to exhibit stunting [AOR = 4.809; 95% CI (1.513, 15.283)]. Furthermore, a high household dietary diversity score was positively linked to being underweight [AOR = 6.061; 95% CI (1.535,23.942)].
CONCLUSIONS: Household characteristics like size, dietary diversity, and the age of the household head affect children\'s nutritional status. Improving these conditions would enhance children\'s nutritional status.
摘要：
背景：儿童的营养状况是其整体健康和福祉的关键指标。公共卫生仍然面临营养不良的挑战，尤其是在全球的发展中国家。在卢旺达,约33%的五岁以下儿童患有慢性营养不良。许多因素,比如贫穷,文盲,糟糕的WASH做法，不当的儿童喂养做法，医疗保健不足，是营养不良的主要原因。这项研究旨在评估婴儿和幼儿的喂养方式，WASH,粮食安全,以及他们与卢旺达西部和南部省份五岁以下儿童营养状况的关系。
方法：采用基于社区的横断面研究设计，研究了影响Karongi439个家庭五岁以下儿童营养状况的因素，Nyabihu,和卢旺达尼亚马加贝地区。这项研究评估了贫血，发育迟缓,体重不足,浪费指标，并使用SPSS25版对收集的数据进行分析。
结果：研究结果表明，在接受调查的儿童中，29.2%(128)被确定为发育不良，5.9%(26)体重不足，2.3%(10)患有消瘦症，20.9%(31)有贫血。与这些情况相关的因素包括较大的家庭规模[AOR=2.108；95%CI(1.016-4.371)]，与发育迟缓呈正相关。此外,来自户主60岁以上家庭的儿童更有可能表现出发育迟缓[AOR=4.809;95%CI(1.513,15.283)].此外，家庭饮食多样性评分高与体重过轻呈正相关[AOR=6.061;95%CI(1.535,23.942)].
结论：家庭特征，如大小，饮食多样性，户主的年龄影响儿童的营养状况。改善这些条件将提高儿童的营养状况。
方法：采用基于社区的横断面研究设计，研究了影响Karongi439个家庭五岁以下儿童营养状况的因素，Nyabihu,和卢旺达尼亚马加贝地区。这项研究评估了贫血，发育迟缓,体重不足,浪费指标，并使用SPSS25版对收集的数据进行分析。
结果：研究结果表明，在接受调查的儿童中，29.2%(128)被确定为发育不良，5.9%(26)体重不足，2.3%(10)患有消瘦症，20.9%(31)有贫血。与这些情况相关的因素包括较大的家庭规模[AOR=2.108；95%CI(1.016-4.371)]，与发育迟缓呈正相关。此外,来自户主60岁以上家庭的儿童更有可能表现出发育迟缓[AOR=4.809;95%CI(1.513,15.283)].此外，家庭饮食多样性评分高与体重过轻呈正相关[AOR=6.061;95%CI(1.535,23.942)].
结论：家庭特征，如大小，饮食多样性，户主的年龄影响儿童的营养状况。改善这些条件将提高儿童的营养状况。
