Risk factors associated with the coexistence of stunting, underweight, and wasting in children under 5 from 31 sub-Saharan African countries
Rattachement africain : Ghana, au, de. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: This study investigated the risk factors associated with the coexistence of stunting, underweight, and wasting among children under age 5 in sub-Saharan Africa (SSA). DESIGN: Data of 127, 487 under-5 children from 31 countries in SSA were pooled from the Demographic and Health Surveys collected between 2010 and 2019. We examined the risk of coexistence of stunting, underweight, and wasting using multinomial logistic regression models. The results were presented using relative risk ratios (RRR) with corresponding confidence intervals (CIs). SETTING: Thirty-one sub-Saharan African countries. PARTICIPANTS: Children under age 5. OUTCOME MEASURES: The outcome variables were three child anthropometrics: stunting (height-for-age z-scores); underweight (weight-for-age z-scores) and wasting (weight-for-height z-scores). RESULTS: The prevalence of coexistence of stunting, underweight, and wasting varied across countries, with the highest (12.14%) and lowest (0.58%) prevalences of coexistence of stunting, underweight and wasting in Benin and Gambia respectively. The risk of coexistence of the three indicators of undernutrition was higher among children aged 1 year (RRR=3.714; 95% CI 3.319 to 4.156) compared with those aged 0. The risk of coexistence of the three dimensions was lower among female children (RRR=0.468 95% CI 0.420 to 0.51), but higher for those with small size at birth (RRR=3.818; CI 3.383 to 4.308), those whose mothers had no education (RRR=3.291; 95% CI 1.961 to 5.522), not working (RRR=1.195; 95% CI 1.086 to 1.314), had no antenatal visits during pregnancy (RRR=1.364; 95% CI 1.20 to 1.541), children delivered at home (RRR=1.372; CI 1.232 to 1.529), those from poor households (RRR=1.408; 95% CI 1.235 to 1.605), those whose mothers had no access to media (RRR=1.255; 95% CI 1.144 to 1.377) and living in households with an unimproved toilet facility (RRR=1.158; 95% CI 1.032 to 1.300). CONCLUSIONS: Findings suggest the urgent need for consideration of the coexistence of stunting, wasting and underweight among under-5 children in policy design and programming of interventions to eradicate child malnutrition in SSA. In the short-term, national-level policies and interventions need to be well tailored considering the compositional characteristics.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Risk factors associated with the coexistence of stunting, underweight, and wasting in children under 5 from 31 sub-Saharan African countries
- Date Crossref
- 01/12/2021
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Cape Coast Africa Centre of Excellence in Coastal Resilience University of Cape Coast, Ghana (code pays fourni par la source)Université ou école supérieure
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Takoradi Technical University Centre for Gender and Advocacy Takoradi Technical University, Ghana (code pays fourni par la source)Université ou école supérieure
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James Cook University pays non établi dans la noticeUniversité ou école supérieure
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Bielefeld University pays non établi dans la noticeUniversité ou école supérieure
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University of Health and Allied Sciences Ghana (code pays fourni par la source)Université ou école supérieure
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Nurses' Training College Ghana (code pays fourni par la source)Université ou école supérieure
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Kwame Nkrumah University of Science and Technology Department of Health Promotion Kumasi, Ghana (code pays fourni par la source)Université ou école supérieure
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University of Technology Sydney pays non établi dans la noticeUniversité ou école supérieure
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School of Biological Sciences Department of Fisheries and Aquatic Sciences University of Cape Coast, Ghana (pays nommé en fin d’affiliation)Université ou école supérieure
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Emperiks Research Tamale, Ghana (pays nommé en fin d’affiliation)Institution
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College of Public Health pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Psychology and Sports Science Neurocognition and Action-Biomechanics-Research Group pays non établi dans la noticeUniversité ou école supérieure
Africa Centre of Excellence in Coastal Resilience — University of Cape Coast (University of Cape Coast, Ghana), Centre for Gender and Advocacy — Takoradi Technical University (Takoradi Technical University, Ghana) et James Cook University, avec 9 autres affiliations. Pays d’affiliation : Ghana.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.