Socio-economic inequality in anthropometric failure among children aged under 5 years in India: evidence from the Comprehensive National Nutrition Survey 2016–18
Autor: | Praween Kumar Agarwal, Sowmya Ramesh, Robert Johnston, Sana Ashraf, Nizamuddin Khan, Akash Porwal, Rajib Acharya, Avina Sarna |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Male
0301 basic medicine medicine.medical_specialty CNNS India Lower risk Child Nutrition Disorders Odds 03 medical and health sciences 0302 clinical medicine Child undernutrition Environmental health Prevalence medicine Humans 030212 general & internal medicine Health policy 030109 nutrition & dietetics Anthropometry business.industry Research Health Policy Public health CIAF Infant Newborn Public Health Environmental and Occupational Health Health services research Infant Health Status Disparities Nutrition Surveys medicine.disease Malnutrition Socioeconomic Factors Inequality Child Preschool Female Underweight medicine.symptom Public aspects of medicine RA1-1270 business |
Zdroj: | International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-10 (2021) International Journal for Equity in Health |
ISSN: | 1475-9276 |
Popis: | Background Conventional indicators used to access the nutritional status of children tend to underestimate the overall undernutrition in the presence of multiple anthropometric failures. Further, factors contributing to the rich-poor gap in the composite index of anthropometric failure (CIAF) have not been explored. This study aims to estimate the prevalence of CIAF and quantify the contribution of factors that explain the rich-poor gap in CIAF. Methods The present study used data of 38,060 children under the age of five years and their biological mothers, drawn from the nationally representative Comprehensive National Nutrition Survey of children and adolescents aged 0–19 years in India. The CIAF outcome variable in this study provide an overall prevalence of undernutrition, with six mutually exclusive anthropometric measurements of height-for-age, height-for-weight, and weight-for-age, calculated using the World Health Organization (WHO) Multicenter Growth Reference Study. Multivariate regression and decomposition analysis were used to examine the association between covariates with CIAF and to estimate the contribution of different covariates in the existing rich-poor gap. Results An overall CIAF prevalence of 48.2% among children aged aged under 5 years of age was found in this study. 6.0% children had all three forms of anthropometric failures. The odds of CIAF were more likely among children belonging to poorest households (AOR: 2.41, 95% CI: 2.12–2.75) and those residing in urban area (AOR: 1.06, 95% CI 1.00–1.11). Children of underweight mothers and those with high parity were at higher risk of CIAF (AOR: 1.51, 95% CI: 1.42–1.61) and (AOR: 1.15, 95% CI: 1.08–1.22), respectively. Children of mother exposed to mass media were at lower risk of CIAF (AOR: 0.87, 95% CI: 0.81–0.93). Conclusion This study estimated a composite index to assess the overall anthropometric failure, which also provides a broader understanding of the extent and pattern of undernutrition among children. Findings show that maternal covariates contribute the most to the rich-poor gap. As well, the findings suggest that intervention programs with a targeted approach are crucial to reach the most vulnerable groups and to reduce the overall burden of undernutrition. |
Databáze: | OpenAIRE |
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