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- Title
A case‐control study to investigate determinants of undernutrition in community‐dwelling children.
- Authors
Mardani, Raden Ahmad Dedy; Hajri, Zuhratul; Thoyibah, Zurriyatun; Yolanda, Henny; Kuo, Shu‐Yu; Shyu, Yuh‐Kae; Huang, Hui‐Chuan
- Abstract
Purpose: This study aimed to examine determinants of undernutrition among children under 2 years of age. Design and Methods: A matched case‐control study design was conducted to recruit 300 mothers comprising 100 mothers with an undernourished child (case group) and 200 mothers with a healthy child (control group). Measurements consisted of demographic characteristics of children data, mother's data, household data, mother's knowledge of child undernutrition, mother's knowledge of nutrition, complementary feeding practices, and undernutrition parameters of the children. A conditional logistic regression was used to identify determinants of undernutrition. The risk of undernutrition was estimated by odds ratios (ORs) and 95% confidence intervals (CIs). Statistical significance was defined as any p value of <.05. Results: Findings showed that mother's knowledge of undernutrition (AOR: 0.95; 95% CI: 0.91−0.98), mother's knowledge of nutrition (AOR: 0.90; 95% CI: 0.85−0.96), and mother's knowledge (AOR: 0.78; 95% CI: 0.67−0.91) and behavior of complementary feeding practices (AOR: 0.97; 95% CI: 0.94−0.99) were significant determinants of undernutrition (p <.05). Practice Implications: Mothers with high scores on knowledge of undernutrition, knowledge of nutrition, and knowledge and behaviors of complementary feeding practices would benefit the children under 2 years to reduce the risk of undernutrition. Healthcare professionals (i.e., pediatric nurses and community health nurses) should provide early assessment of knowledge related to undernutrition, nutrition, and complementary feeding practices for mothers with children under 2 years.
- Subjects
HEALTH literacy; RISK assessment; INFANTS; MALNUTRITION; HEALTH attitudes; INDEPENDENT living; STATISTICAL significance; MULTIPLE regression analysis; NUTRITIONAL requirements; MULTIVARIATE analysis; DESCRIPTIVE statistics; ODDS ratio; PSYCHOLOGY of mothers; NUTRITIONAL status; CASE-control method; NUTRITION disorders in children; STATISTICS; CONFIDENCE intervals; DATA analysis software; DISEASE risk factors; CHILDREN
- Publication
Journal for Specialists in Pediatric Nursing, 2024, Vol 29, Issue 3, p1
- ISSN
1539-0136
- Publication type
Article
- DOI
10.1111/jspn.12435