Do dietary practices and household environmental quality mediate socio-economic inequalities in child undernutrition risk in West Africa
Bibliographic Data
| ID | 15094229 |
|---|---|
| Authors | Duah Dwomoh (0000-0002-2726-9929, University of Ghana), Christian Sewor (0000-0003-1155-4730, University of Cape Coast), Samuel Kobina Annim (0000-0002-3449-0912, University of Cape Coast), Saverio Stranges (0000-0001-5226-8373, Luxembourg Institute of Health), Ngianga-Bakwin Kandala (0000-0001-7920-0627), Ngianga II Kandala (0000-0002-6251-8062, University of the Witwatersrand), Adeladza Kofi Amegah (0000-0001-5868-6402, University of Cape Coast, corresponding author) |
| Year | 2023 |
| Volume | 26 |
| Issue | 5 |
| Pages | 1022-1033 |
| Publication date | 2023-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980022002269 |
| PMID | 36259140 |
| OpenAlex | W4306769536 |
| Language | EN |
| Citations received | 3 |
| References cited | 39 |
Objective: We investigated the relationship between socio-economic status and child undernutrition in West Africa (WA), and further examined the mediating role of dietary practices (measured as minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD)) and household environmental quality (HEQ) in the observed relationship. Design: Thirteen countries were included in the study. We leveraged the most recent Demographic and Health Surveys datasets ranging from 2010 to 2019. Poisson regression model with robust standard errors was used to estimate prevalence ratios and their corresponding 95 % CI. Structural equation modelling was used to conduct the mediation analysis. Setting: West Africa. Participants: 132 448 under-five children born within 5 years preceding the survey were included. Results: Overall, 32·5 %, 8·2 %, 20·1 % and 71·7 % of WA children were stunted, wasted, underweight and anaemic, respectively. Prevalence of undernutrition decreased with increasing maternal education and household wealth (Trend P -values Conclusions: The study findings enables an evaluation and improvement of existing intervention strategies through a socio-economic lens to help address the high burden of child undernutrition in WA and other developing regions
Environmental health · Geography · Malnutrition · Mediation · Obesity · Overweight · Poisson regression · Population · Residence · Socioeconomic status · Underweight · Wasting · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Obesity, Physical Activity, Diet
Introduction to Statistical Mediation Analysis
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Determinants of undernutrition prevalence in children aged 0–59 months in sub-Saharan Africa between 2000 and 2015. A report from the World Bank database
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| Unique citing works | 3 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2024 - 2025 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |