Socio-economic inequalities in children’s nutritional status in Democratic Republic of the Congo in 2017–2018
An analysis of data from a nationally representative survey
Bibliographic Data
| ID | 15096844 |
|---|---|
| Authors | Xinran Qi (0000-0002-1348-5444, Capital Medical University), Yifan Zhu (0000-0002-8195-5559), Yu Wang (0009-0005-4222-2626, Ocean University of China), Qiwei He (0000-0003-1410-3839, Tsinghua University), Jiayi Hee (The University of Queensland), Wei Chen (0000-0002-9419-148X, Johns Hopkins University), Rie Takesue (0000-0002-5442-0161, United Nations Children's Fund), Kun Tang (0000-0001-7382-9344, Tsinghua University, corresponding author) |
| Year | 2021 |
| Volume | 25 |
| Issue | 2 |
| Pages | 1-12 |
| Publication date | 2021-10-07 |
| 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/s1368980021004249 |
| PMID | 34615568 |
| OpenAlex | W3203336710 |
| Language | EN |
| Citations received | 1 |
| References cited | 35 |
Objective: The Democratic Republic of the Congo (DRC) has one of the highest levels of child undernutrition globally; however, little information exists on the underlying socio-economic inequalities resulting in undernutrition. This study aims to examine the differences in the nutritional statuses of children across different wealth quintiles and explores the association between malnutrition in children and related factors. Design: We utilised the 2018 Multiple Indicator Cluster Survey data. We estimated the prevalence of malnutrition across all twenty-six provinces. The study used the WHO 2006 child growth standards to measure stunting, underweight and wasting. We employed a mixed-effect linear model to analyse the association between nutritional status and healthcare accessibility, domestic sanitation, and socio-demographic factors. Setting: Twenty-six provinces in the DRC. Participants: 21 477 children under 5 years of age and 21 828 women of childbearing age in the DRC. Results: The national prevalence of underweight, stunting and wasting was found to be 23·33 %, 42·05 % and 5·66 %, respectively. Household wealth and mother’s education level were significantly positively associated with the nutritional statuses of children. Among households in the lowest wealth quintile, residence in urban areas was a protective factor against undernutrition. Conclusion: The findings of this study indicate considerable socio-economic inequalities in the nutritional statuses of children under 5 years of age in the DRC, highlighting the need for nutrition promotion as part of maternal and child healthcare. Interventions and policies should include improving nutrition education for less-educated mothers, in particular, in the central provinces of the DRC
Democracy · Health promotion · Inequality · Malnutrition · Promotion (chess · Psychological intervention · Social inequality · Child Nutrition and Water Access · Global Maternal and Child Health · Poverty, Education, and Child Welfare
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| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |