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Regional Water Availability and WASH Indicators as Predictors of Malnutrition in Under-5 Children: Analysis of the National Family Health Survey, India (2015–16)
Journal of Tropical Pediatrics ( IF 2 ) Pub Date : 2022-04-13 , DOI: 10.1093/tropej/fmac030
Milan Das 1 , Madhur Verma 2 , Soumya Swaroop Sahoo 2 , Madhu Gupta 3
Affiliation  

Background Water, sanitation and hygiene (WASH) practices determine child nutrition in resource-constrained countries and are influenced by regional water availability. We assessed any relationship between malnutrition and WASH practices among under-5 children in India’s areas as per water availability. Methods We did a secondary data analysis of the National Family Health Survey-IV. Stunting, wasting and being underweight were the significant outcomes. Regional water availability, households’ source of water, sanitation and disposal of the child stool were the major independent variables. We report the prevalence estimates, bivariate associations and adjusted odds ratio to predict the child’s malnutrition per regional water availability after using appropriate sampling weight. Results Of the 186 875 children, 41%, 20% and 36% were stunted, wasted and underweight. Only 26% of children had access to improved drinking water sources, whereas 50.0% were defecating in open. Around 65% of children’s stools were disposed of in unhygienic ways. Undernutrition depicted a significant association with independent variables. There were higher chances of stunting with a decrease in regional water availability, unimproved sanitation and unhygienic ways of stool disposal. Wasting was intensified by all these factors, except the safe disposal of stools. Conclusions WASH indicators exert a protective effect on undernutrition.

中文翻译:

区域水资源可用性和 WASH 指标作为 5 岁以下儿童营养不良的预测指标:印度全国家庭健康调查分析(2015-16 年)

背景 水、环境卫生和个人卫生 (WASH) 实践决定了资源有限国家的儿童营养,并受到区域水资源可用性的影响。我们根据水的供应情况评估了印度地区 5 岁以下儿童的营养不良与 WASH 做法之间的任何关系。方法 我们对全国家庭健康调查-IV 进行了二次数据分析。发育迟缓、消瘦和体重不足是显着的结果。地区可用水量、家庭水源、环境卫生和儿童粪便处理是主要的自变量。我们报告了患病率估计值、双变量关联和调整后的优势比,以在使用适当的抽样权重后预测每个地区可用水量的儿童营养不良情况。结果 186 875 名儿童中,41%、20% 和 36% 发育迟缓,浪费和体重不足。只有 26% 的儿童能够获得改善的饮用水源,而 50.0% 的儿童在露天排便。大约 65% 的儿童粪便以不卫生的方式处理。营养不足描述了与自变量的显着关联。随着区域可用水量减少、卫生设施未改善和粪便处理方式不卫生,发育迟缓的可能性更高。除了安全处理粪便外,所有这些因素都加剧了消瘦。结论 WASH指标对营养不良具有保护作用。随着区域可用水量减少、卫生设施未改善和粪便处理方式不卫生,发育迟缓的可能性更高。除了安全处理粪便外,所有这些因素都加剧了消瘦。结论 WASH指标对营养不良具有保护作用。随着区域可用水量减少、卫生设施未改善和粪便处理方式不卫生,发育迟缓的可能性更高。除了安全处理粪便外,所有这些因素都加剧了消瘦。结论 WASH指标对营养不良具有保护作用。
更新日期:2022-04-13
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