作者: Dickson A. Amugsi , Zacharie T. Dimbuene , Elizabeth W. Kimani-Murage
DOI: 10.1101/19006759
关键词: Positive deviance 、 Demography 、 Overweight 、 Odds 、 Breastfeeding 、 Cross-sectional study 、 Psychological intervention 、 Odds ratio 、 Medicine 、 Poverty
摘要: Objectives: To examine the sociodemographic correlates associated with better linear growth among children under 5 years living in poor households Design: Cross-sectional Setting: Ghana, Kenya, Democratic Republic of Congo (DRC), Nigeria and Mozambique Participants: Singleton aged 0 to 59 months, born mothers 15 49 years. Information on was obtained through face-to-face interviews mothers. Primary outcome measure: Child height-for-age Z-scores (HAZ), categorised into HAZ≥-2 standard deviations (SD) (better growth/not stunted) HAZ≤-2 SD (stunted/poor growth). Results: A unit change maternal education increased odds DRC [adjusted ratio (aOR)= 1.03, 95% CI=1.01,1.07)], Ghana (aOR=1.06, CI=1.01,1.11), Kenya (aOR=1.03, CI= 1.01, 1.05) (aOR=1.08, 95%=1.06,1.10). Maternal antenatal attendance at least four visits positively child (aOR=1.32, CI=1.05, 1.67) (aOR=1.67, CI=1.19, 2.33). The association did not reach statistical significance remaining three countries. In Mozambique DRC, breastfeeding significantly likelihood when only socio-demographic were included models, but disappeared after inclusion level covariates. Nigeria, normal weight (aOR=1.24, CI=1.08, 1.43) households, so overweight (aOR=1.51, 1.24, 1.83). all countries except biological factors such as sex age reduced growth. Conclusions: this analysis have potential promote households. Interventions aimed promoting poverty should target enhancing these factors. Keywords: growth, sub-Saharan Africa, positive deviance, cross sectional survey