儿童发育迟缓仍然是孟加拉国主要的公共卫生问题。为了加快发育迟缓的减少速度,在孩子生命的前23个月,当大部分成长发生时,需要特别关注。因此,本研究探讨了个人-,孟加拉国2岁以下儿童发育迟缓的产妇和家庭水平因素。
数据是通过2015年10月至2016年1月进行的全国性横断面调查收集的。采用两阶段整群随机抽样程序选择了11428户家庭。在第一阶段,选择了210个枚举区域(EA),其概率与EA大小成正比(来自农村地区的180EA,来自城市贫民窟的30个EA)。在第二阶段,通过系统随机抽样,从每个EA中平均抽取54户家庭。
孟加拉国的农村地区和城市贫民窟。参与者共有6539名0-23个月的儿童。
总的来说,29·9%的儿童发育迟缓。在对修改后的泊松回归模型中的所有潜在混杂因素进行调整后,孩子的性别,出生体重(个体水平),母亲教育,第一次怀孕的年龄,营养(产妇水平),行政区划,居住地,社会经济地位,粮食安全状况,获得卫生厕所和厕所卫生条件(家庭水平)与发育迟缓显著相关。
该研究确定了孟加拉国幼儿发育迟缓的一些潜在可解决的多层次风险因素,应通过综合的多成分干预措施加以解决。
Childhood stunting remains a major public health concern in Bangladesh. To accelerate the reduction rate of stunting, special focus is required during the first 23 months of a child\'s life when the bulk of growth takes place. Therefore the present study explored individual-, maternal- and household-level factors associated with stunting among children under 2 years of age in Bangladesh.
Data were collected through a nationwide cross-sectional survey conducted between October 2015 and January 2016. A two-stage cluster random sampling procedure was applied to select 11 428 households. In the first stage, 210 enumerations areas (EA) were selected with probability proportional to EA size (180 EA from rural areas, thirty EA from urban slums). In the second stage, an average of fifty-four households were selected from each EA through systematic random sampling.
Rural areas and urban slums of Bangladesh.ParticipantsA total of 6539 children aged 0-23 months.
Overall, 29·9 % of the children were stunted. After adjusting for all potential confounders in the modified Poisson regression model, child\'s gender, birth weight (individual level), maternal education, age at first pregnancy, nutrition (maternal level), administrative division, place of residence, socio-economic status, food security status, access to sanitary latrine and toilet hygiene condition (household level) were significantly associated with stunting.
The study identified a number of potentially addressable multilevel risk factors for stunting among young children in Bangladesh that should be addressed through comprehensive multicomponent interventions.