| Autor: |
Garenne M; Institut de Recherche pour le Développement (IRD), UMI Résiliences, Bondy, France.; MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; Senior Fellow, FERDI, Université d'Auvergne, Clermont-Ferrand, France., Thurstans S; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK., Briend A; School of Medicine, Centre for Child Health Research, Tampere University, Tampere, Finland.; Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark., Dolan C; Nutrition for Development (N4D), London, UK., Khara T; Emergency Nutrition Network, Oxford, UK., Myatt M; Brixton Health, Llwyngwril, Gwynedd, Wales, UK., Seal A; Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street, Institute for Child Health, London, UK., Wells JC; Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street, Institute for Child Health, London, UK. |
| Abstrakt: |
The study investigates sex differences in the prevalence of undernutrition in sub-Saharan Africa. Undernutrition was defined by Z -scores using the CDC-2000 growth charts. Some 128 Demographic and Health Surveys (DHS) were analysed, totalling 700,114 children under-five. The results revealed a higher susceptibility of boys to undernutrition. Male-to-female ratios of prevalence averaged 1.18 for stunting (height-for-age Z -score <-2.0); 1.01 for wasting (weight-for-height Z -score <-2.0); 1.05 for underweight (weight-for-age Z -score <-2.0); and 1.29 for concurrent wasting and stunting (weight-for-height and height-for-age Z -scores <-2.0). Sex ratios of prevalence varied with age for stunting and concurrent wasting and stunting, with higher values for children age 0-23 months and lower values for children age 24-59 months. Sex ratios of prevalence tended to increase with declining level of mortality for stunting, underweight and concurrent wasting and stunting, but remained stable for wasting. Comparisons were made with other anthropometric reference sets (NCHS-1977 and WHO-), and the results were found to differ somewhat from those obtained with CDC-2000. Possible rationales for these patterns are discussed. |
