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Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia.
Ecology of Food and Nutrition ( IF 1.8 ) Pub Date : 2019-07-04 , DOI: 10.1080/03670244.2019.1636793
Amare Tariku , Aysheshim Kassahun Belew 1 , Kedir Abdela Gonete 1 , Melkamu Tamir Hunegnaw 1 , Esmael Ali Muhammad 1 , Getu Debalkie Demissie 2 , Gashaw Andargie Biks 3 , Tadesse Awoke 4 , Kassahun Alemu Gelaye 4 , Ejigu Gebeye Zeleke 4 , Zegeye Abebe 1 , Azeb Atnafu Gete 1 , Melkie Edris Yesuf 1 , Solomon Mekonnen Abebe 1 , Yigzaw Kebede Gete 4 , Abebaw Addis Gelagay 5 , Abel Fekadu 4 , Kindie Fentahun Muchie 4 , Molla Mesele Wassie 1
Affiliation  

Under nutrition among adolescents is a major public health problem in Ethiopia and its causes are under investigated. Therefore, this study aimed to assess the prevalence of stunting and its determinants among adolescent girls in Dabat district. A total of 1556 adolescent girls were included in the study. The WHO’s Anthro-plus software was used to generate the height for age z-scores. Variables having a p-value<0.2 in the simple logistic regression were entered into multiple logistic regression and a p-value < 0.05 were considered statistically significant. About 47.4%(95%CI; 45.0, 49.6%) of adolescent girls were stunted. Being in the early (AOR = 0.027, 95%CI: 0.08, 0.09) and middle age (AOR = 0.21, 95%CI: 0.06, 0.71) were less likely to be stunted compared with the late adolescent. The odds of stunting were found to be higher among adolescent of rural area (AOR = 1.45; 95%CI: 1.01, 2.10) and from household food in-secured (AOR = 1.33; 95%CI: 1.02, 1.73)families. Higher numbers of adolescent girls are stunted in Dabat district, suggesting severe public health importance of the problem. Age, residence and food security were associated with adolescent stunting. Thus, improving food security strategies targeting rural and food insecure households is recommended.

Abbreviations: AOR= Adjusted Odd Ratio,CI= Confidence Interval, COR= Crude Odd Ratio, ENSSPI=Establishing Nutrition Surveillance System and Piloting Interventions HAZ=Height for Age, HDSS=Health and Demographic Surveillance System, HFSS=Household Food Security Status, INDEPTH=International Network of Demographic Evaluation of Population and Their Health, IQR=Inter Quartile Range, NNP=National Nutrition Program, NSHFP=National School Health and Feeding Program, SPSS=Statically Package for Social Science, WHO= World Health Organization.



中文翻译:

青春期女孩的发育迟缓及其决定因素:埃塞俄比亚西北部营养监测项目的发现。

青少年营养不足是埃塞俄比亚的主要公共卫生问题,其原因正在调查中。因此,本研究旨在评估达巴特地区少女的发育迟缓患病率及其决定因素。该研究总共包括1556名少女。世卫组织的Anthro-plus软件用于生成年龄z得分的身高。具有变量p在简单逻辑回归值<0.2被输入到多个逻辑回归和一个p值<0.05被认为具有统计学意义。约47.4%(95%CI; 45.0,49.6%)的少女发育不良。与青春期晚期相比,处于早期(AOR = 0.027,95%CI:0.08,0.09)和中年(AOR = 0.21,95%CI:0.06,0.71)的儿童发育迟缓的可能性较小。发现农村地区青少年(AOR = 1.45; 95%CI:1.01,2.10)和有保障的家庭食品(AOR = 1.33; 95%CI:1.02,1.73)家庭的发育迟缓几率更高。达巴特地区发育不良的青春期女孩数量更多,表明该问题对公共卫生的严重意义。年龄,居住和粮食安全与青春期发育迟缓有关。因此,建议改进针对农村和粮食不安全家庭的粮食安全战略。

缩写: AOR =调整后的奇数比,CI =置信区间,COR =原油奇数比,ENSSPI =建立营养监测系统和试点干预措施HAZ =年龄高度,HDSS =健康和人口监测系统,HFSS =家庭食品安全状况,INDEPTH =人口及其健康人口统计国际评估网络,IQR =四分位间距,NNP =国家营养计划,NSHFP =国家学校卫生和饮食计划,SPSS =社会科学统计软件包,WHO =世界卫生组织。

更新日期:2019-07-04
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