| Popis: |
BackgroundThe double burden of malnutrition is the new reality in many low- and middle-income countries. Updating and meeting the challenge of double burdens on vulnerable people is essential to ensure healthy growth. This study is to explore the individual or household factors that may be associated with coexistence of mother overweight and stunting children within the same household (MOSC) in the West African countries. Besides, we sought to examine its prevalence using data from national surveys.Methods: We used nationally representative data from the Demographic and Health Survey of 11 West African countries. Data years range from 2012 to 2014. We used logistic regression to explore the association between the occurrence of coexistence of mother overweight and stunting children within the same household and individual or household factors. Logistic regression was performed on the pooled data to allow comparison between countries ranked by gross national income. Results: The Prevalence of MOSC was higher in Benin 11.52% (95%CI, 10.61-12.43), the lowest proportion was in Togo and Guinea [4.83% (95%CI, 3.88-5.77), 4.48% (95%CI, 3.57-5.40), respectively]. Women who did not receive antenatal cares were associated with higher odds of MOSC occurrence compared to those who received more than 4 antenatal cares in all countries except Gambia, this association was significant in 7 countries among which the MOSC in Ghana was four times more likely to occur in women who did not receive antenatal care compared to more than 4 antenatal cares [odds ratio (95%CI): 4.936 (2.701-9.019)]. Children over 24 months of age were significantly associated with higher odds of MOSC occurrence compared to under 24 months in all countries except Sierra Leone [odds ratio (95%CI): 1.215 (0.867-1.703)]. Conclusions: In this study, none of the individual and household factors were strongly associated in the same way with MOSC occurrence in West African countries, they varied considerably between national databases and independent of national income per capita. However, Children's age and antenatal cares were the two covariates strongly associated with MOSC occurrence in most countries. |
