Prevalence and determinants of stunting and anaemia in children aged 6–23 months
A multilevel analysis from rural Ethiopia
Bibliographic Data
| ID | 15536296 |
|---|---|
| Authors | Habtamu Guja (0000-0002-2179-3076, Addis Ababa University, corresponding author), Mariana Belgiu (0000-0002-2147-1894, University of Twente), Kaleab Baye (0000-0001-7298-1096, Addis Ababa University), Alfred Stein (0000-0002-9456-1233, University of Twente) |
| Year | 2024 |
| Volume | 21 |
| Issue | 1 |
| Pages | e13736-e13736 |
| Publication date | 2024-10-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.13736 |
| PMID | 39377551 |
| OpenAlex | W4403214434 |
| Language | EN |
| References cited | 104 |
Low- and middle-income countries shoulder the greatest burden of stunting and anaemia in children. This calls for prompt and effective intervention measures, while the contributing factors are not fully understood. This study evaluates determinants spanning from individual-, household- and community levels including agroecology and antinutrients as unique sets of predictors. Primary data were collected from 660 rural households representing the midland (ML), highland, and upper highland (UHL) agroecological zones from northern Ethiopia. The study relates several predictors to stunting and anaemia in children aged 6-23 months. We found 49.1% and 49.7% of children were stunted and anaemic, respectively. Children living in the ML are approximately twice more likely to be stunted adjusted odds ratio (AOR: 1.869; 95% CI: 1.147-3.043) than in the UHL. The risk of stunting increases by 16.3% and 41.9% for every unit increase in phytate-to-zinc and phytate-to-iron molar ratios, respectively. A 10% increase in mean aggregated crop yield was observed to reduce the likelihood of stunting occurrence by 13.6%. Households lacking non-farm income-generating opportunities, travel longer time to access the marketplace and poor health service utilisation were associated with increased risk of stunting. Low diversity of child's diet, age of the child (18-23 months) and mothers at a younger age are significantly associated with stunting. Risk of anaemia in children is high amongst households with unimproved water, sanitation, and hygiene practices, younger age (6-11 months) and mostly occurs amongst boys. Children in the ML had a 55% reduced risk of being anaemic (AOR: 0.446; 95% CI: 0.273-0.728) as compared to the UHL. Therefore, the influence of these factors should be considered to tailor strategies for reducing undernutrition in children of 6-23 months in rural Ethiopia. Interventions should go beyond the administrative boundaries into targeting agroecological variation
Agriculture · Dietary diversity · Environmental health · Food security · Geography · Hygiene · Odds ratio · Sanitation · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Poverty, Education, and Child Welfare · Pediatrics
Analysis of Ordinal Categorical Data
Understanding Bland Altman analysis
Methodology series module 3
WHO Child Growth Standards based on length/height, weight and age
Collinearity diagnostics of binary logistic regression model
Production diversity and dietary diversity in smallholder farm households
Logistic Regression
Long‐term consequences of stunting in early life
Collinearity
Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide: Version 3
Hierarchical Linear Models
Maternal and child undernutrition
If They Grow It, Will They Eat and Grow? Evidence from Zambia on Agricultural Diversity and Child Undernutrition
Agricultural and empowerment pathways from land ownership to women's nutrition in India
Spatial farming systems diversity and micronutrient intakes of rural children in Ethiopia
Patterns in child stunting by age
Maternal diets matter for children's dietary quality
Zinc deficiency associated with anaemia among young children in rural Guatemala
Associations between livestock ownership and lower odds of anaemia among children 6–59 months old are not mediated by animal‐source food consumption in Ghana
Child-Owned Poultry Intervention Effects on Hemoglobin, Anemia, Concurrent Anemia and Stunting, and Morbidity Status of Young Children in Southern Ethiopia
Climate change, crop production and child under nutrition in Ethiopia; a longitudinal panel study
Bayesian geostatistical modelling of stunting in Rwanda
Health effects of cow’s milk consumption in infants up to 3 years of age
Prevalence thresholds for wasting, overweight and stunting in children under 5 years
Nutrient intakes from complementary foods consumed by young children (aged 12–23 months) from North Wollo, northern Ethiopia
Can off farm employment affect the privatization of social safety net? The case of self-employed farm households
Growth in milk consumption and reductions in child stunting
Agricultural production diversity, dietary diversity and nutritional status
Stunted from the start
| Citation velocity | historical |
|---|---|
| Highly cited | No |