Concurrent wasting and stunting among under‐five children in the context of Ethiopia

A generalised mixed‐effects modelling

Bibliographic Data

ID15536616
AuthorsBiniyam Sahiledengle (0000-0002-1114-4849, Madda Walabu University, corresponding author), Kingsley E Agho (0000-0003-4111-3207, Translational Research Institute), Pammla Petrucka (0000-0003-3174-3328, University of Saskatchewan), Abera Kumie (0000-0002-6249-1322, Addis Ababa University), Girma Beressa (0000-0001-5677-3692, Madda Walabu University), Daniel Atlaw (0000-0002-2968-4958, Madda Walabu University), Yohannes Tekalegn (0000-0001-6628-8180, Madda Walabu University), Demisu Zenbaba (0000-0002-7733-7627, Madda Walabu University), Fikreab Desta (0000-0002-9706-3942, Madda Walabu University), Lillian Mwanri (0000-0002-5792-7785, Torrens University Australia)
Year2023
Volume19
Issue2
Pagese13483-e13483
Publication date2023-02-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.13483
PMID36757269
OpenAlexW4319656027
LanguageEN
Citations received3
References cited50

Concurrent wasting and stunting (WaSt) is a condition where both wasting and stunting exist in a child at the same time. This study aimed to assess the prevalence of WaSt and to identify potential associated factors in Ethiopia. A total of 33,650 children aged between 0 and 59 months were included in the analysis from the four waves of the Ethiopian Demographic and Health Survey. A mixed-effects logistic regression model was used to identify the determinants of WaSt. The prevalence of WaSt was found to be 4.7% (95% confidence interval [CI]: (4.5-4.9)), with respectively 2.5% (95% CI: 2.1-3.1) and 4.9% (95% CI: 4.7-5.2) among children in urban and rural settings. Children: (i) in the age group 12-23 months (adjusted odds ratio [AOR]: 4.16, 95% CI: (3.20-5.42)) and 24-59 months (AOR: 3.08, 95% CI: (2.28-4.17)); (ii) who were perceived by their mothers to be smaller than normal at birth (AOR: 1.98, 95% CI: (1.57-2.50)); (iii) had diarrhoea (AOR: 1.38, 95% CI: (1.11-1.71)); and (iv) fever in the past 2 weeks (AOR: 1.38, 95% CI: (1.10-1.71)) reported higher odds of WaSt. Being a female child (AOR: 0.57, 95% CI: (0.48-0.69)), having received measles vaccination (AOR: 0.71, 95% CI: (0.55-0.89)), having a mother with a normal body mass index (18.5-24.9 kg/m 2 ) (AOR: 0.57, 95% CI: (0.48-0.68)), having a wealthier household (AOR: 0.67, 95% CI: (0.50-0.90)), and living in rural setting (AOR: 0.49, 95% CI: (0.32-0.74)) were associated with reduced odds of WaSt. The prevalence of WaSt was high, with approximately 1 in 20 Ethiopian children suffering from the condition and needing a prompt response to minimize the poor health and developmental outcomes. Children perceived by their mother to be smaller than normal at birth, older children, and babies with diarrhoea and fever had higher odds of WaSt

Body mass index · Confidence interval · Context (archaeology · Logistic regression · Measles · Odds ratio · Vaccination · Wasting · Child Nutrition and Water Access · Demography · Energy and Environment Impacts · Medicine · Poverty, Education, and Child Welfare · Internal Medicine · Pediatrics

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