PDF(Pubmed)
Abstract：
The transition from nomadism to sedentary lifestyle has introduced changes in diets and undernutrition is endemic among settled pastoral households. This study aimed to investigate the underlying factors affecting stunting, underweight, and wasting of children aged 6-59 months in Marsabit County, Kenya. A cross-sectional household survey was conducted in six wards capturing pastoral, agro-pastoral, and urban livelihood practices. Using multistage sampling method, 394 children aged 6-59 months participated with written consent from the caregivers. A pretested questionnaire and anthropometric measures were used during data collection. Population characteristics were summarized into means and proportions, while chi-square and analysis of variance were used to evaluate associations between variables. Backward logistic regressions were used to explore predictors of stunting, underweight, and wasting, respectively. The results showed that the mean Height for Age Z-score, Weight for Age Z-score, and Weight for Height Z-score were -1.51, 1.54, and 1.02, respectively. The prevalence of stunting, underweight, and wasting was 38.1%, 23.0%, and 18.5%, respectively. The age of child, source of drinking water, and waste disposal were some of the main factors influencing stunting among children. In conclusion, the prevalence of undernutrition was high compared to the World Health Organization recommended cutoffs. Water sources hygiene, and caregiver\'s income were some of the main predictors of undernutrition among children. Development agencies need to focus on the supply of potable water, access to toilet facilities, in addition to nutrition education on hygienic complementary feeding practices among pastoral caregivers.
摘要：
从游牧到久坐的生活方式的转变带来了饮食的变化，而营养不足是定居的牧区家庭中的地方性疾病。本研究旨在探讨影响发育迟缓的潜在因素，体重不足,在马萨比特县浪费6-59个月的孩子，肯尼亚。在六个捕获牧区的病房进行了横断面家庭调查，农牧,和城市生计实践。采用多级抽样方法，394名6-59个月的儿童在得到看护者书面同意的情况下参加。在数据收集过程中使用了预先测试的问卷和人体测量法。人口特征被总结为手段和比例，而卡方和方差分析用于评估变量之间的关联。后向逻辑回归用于探索发育迟缓的预测因素，体重不足,浪费,分别。结果表明，年龄Z得分的平均身高，Z年龄体重评分,身高Z评分和体重分别为-1.51、1.54和1.02。发育迟缓的患病率，体重不足,浪费是38.1%，23.0%,和18.5%，分别。孩子的年龄,饮用水源,废物处理是影响儿童发育迟缓的主要因素。总之,与世界卫生组织建议的截止值相比,营养不良的患病率较高.水源卫生,和照顾者的收入是儿童营养不良的一些主要预测因素。发展机构需要把重点放在饮用水的供应上，使用厕所设施，除了在牧区护理人员中进行关于卫生补充喂养做法的营养教育。
