Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study
| Autor: | Randhir V Dhobale, Reshma S Patil, Prakash Prabhakarrao Doke, Sonali Palkar, Sanjay Lalwani, Jayashree Sachin Gothankar, Sujata Murarkar, Sanjay R. Quraishi, Girish B. Dhumale, Nandini Malshe, Vivek Baliram Waghachavare, Kirti Rasote, Prasad Pore |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Rural Population Urban Population Under-five children India Mothers Child Nutrition Disorders Risk Factors Poverty Areas Environmental health Prevalence medicine Humans Rural area Urban slum Wasting Under-five business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Infant Undernutrition lcsh:RA1-1270 medicine.disease Child mortality Birth order Malnutrition Cross-Sectional Studies Socioeconomic Factors Child Preschool Female Underweight medicine.symptom business Breast feeding Research Article |
| Zdroj: | BMC Public Health, Vol 20, Iss 1, Pp 1-9 (2020) BMC Public Health |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-020-09642-0 |
| Popis: | BackgroundUndernutrition among under five children in India is a major public health problem. Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas. Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.MethodsA community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas.ResultsThe mean age of the children was 2.38 years (±SD 1.36) and mean age of mothers was 24.25 years (± SD 6.37). Overall prevalence of stunting among children under five was 45.9%, wasting was 17.1 and 35.4% children were underweight. Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area. In the rural areas exclusive breast feeding (p p = 0.001) were associated with wasting, children with birth order 2 or less than 2 were associated with stunting and exclusive breast feeding (p p p p p ConclusionsFactors like sex of the child, birth order,exclusive breast feeding,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.Trial registrationTrial registration number:CTRI/2017/12/010881; Registration date:14/12/2017. Retrospectively registered. |
| Databáze: | OpenAIRE |
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