The tendency of stunting among children under five in the Northern Region of Brazil, according to the Food and Nutrition Surveillance System, 2008-2017

Corrêa, Ester Mourão; Gallo, Caroline de Cássia; Antunes, José Leopoldo Ferreira; Jaime, Patrícia Constante

doi:10.1016/j.jped.2022.07.006

Cited by 8 publications

(12 citation statements)

References 19 publications

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“…Poor maternal educational status was significantly associated with increased odds of childhood stunting. This is consistent with the findings reported in previous studies [ 3 , 12 , 18 , 28 ]. A possible explanation might be that maternal education is a reliable predictor of nutritional outcomes [ 33 , 34 ].…”

Section: Discussionsupporting

confidence: 94%

“…Although the government of Ethiopia is committed to accelerating the reduction of stunting as a key strategy for human capital development and inclusive economic development, stunting remains a serious public health issue in the country. It is higher than the prevalence reported in Northern Brazil (14.8) [ 18 ], Pakistan (21%), and China (20%) [ 19 ]. The potential reason may be due to differences in socioeconomic status among countries; China and Brazil have a higher socioeconomic status than Ethiopia [ 20 ].…”

Section: Discussionmentioning

confidence: 63%

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Levels of stunting associated factors among under-five children in Ethiopia: A multi-level ordinal logistic regression analysis

Asgedom,

Seifu,

Mare

et al. 2024

PLoS ONE

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Introduction Stunting is a major public health problem affecting more than one-third of under five year’s old children in Ethiopia. It has short and long (irreversible) consequences, including stunted growth, never reaching physical and cognitive potential, struggles in school, and increased morbidity and mortality due to infections. Though stunting is the leading cause of child mortality in Ethiopia, evidence is scarce on the prevalence and predictors of stunting among under-five years old children in Ethiopia. Therefore, this study aimed to estimate the prevalence and predictors of stunting severity among under-5 children in Ethiopia. Materials and methods This study was based on 2019 Mini-Ethiopian Demographic and Health Survey (EDHS) data. A weighted total sample of 4972 under-five years old children was included in the study. Height measurement was collected for each child. Anthropometric indicator, height-for-age was determined for children using World Health Organization growth standards (Z-scores for Height-for-Age (HAZ)) to asses stunting level. Given the ordinal nature of stunting and the hierarchical nature of EDHS data, a multilevel ordinal logistic regression model was applied. Brant test was used to check the proportional odds assumption, which was satisfied (P-value ≥0.05). Moreover, deviance was used for model comparison. For the multivariable analysis, variables with a p-value ≤0.2 in the bivariable analysis were considered. The Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was reported as associated factor to the severity levels of stunting in the multivariable multilevel proportional odds model. Results The overall prevalence of stunting among under-5 children in Ethiopia was 35.7% [95% CI: 34.4%, 37.1%]. Of these, 12.1% were severely stunted, and 24.9% were moderately stunted. Being male [AOR = 0.83, 95% CI: 0.74, 0.93], children aged 6–23 months [AOR = 2.38, 95% CI: 1.84, 3.07], ≥ 24 months [AOR = 4.15, 95% CI: 3.26, 5.28], children whose maternal age 15–24 years [AOR = 0.73, 95% CI: 0.58, 0.92], children from the poorest, poorer, middle, and richer household wealth were [AOR = 1.84, 95% CI: 1.32, 2.57], [AOR = 1.66, 95% CI: 1.20, 2.31], [AOR = 1.78, 95% CI: 1.29, 2.44], and [AOR = 1.62, 95% CI: 1.20, 2.17], children whose maternal educational status of no formal education and primary education had [AOR = 1.90, 95% CI: 1.28, 2.82], [AOR = 1.78, 95% CI: 1.22, 2.60], Tigray [AOR = 2.95, 95% CI: 1.78, 4.86], Afar [AOR = 1.85, 95% CI: 1.11, 3.10], Amhara [AOR = 1.90, 95% CI: 1.14, 3.14] and Harari [AOR = 1.97, 95% CI: 1.20, 3.25]regions, low community maternal education [AOR = 0.76, 95% CI: 0.62, 0.92] were significantly associated with stunting severity levelling. Conclusion Stunting among children under five years of old in Ethiopia remains a major public health issue. Improving access to maternal education is related to appropriate child feeding practices and health, particularly in younger and uneducated mothers. Strengthening the family’s wealth status is also recommended to reduce stunting. In addition, it is better to support strategies of preconception care for mothers during pregnancy to reduce stunting in the long term.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 63%

Levels of stunting associated factors among under-five children in Ethiopia: A multi-level ordinal logistic regression analysis

Asgedom,

Seifu,

Mare

et al. 2024

PLoS ONE

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“…Based on the average value of these variables, it was found that the locations were in cluster 1 with a high level of vulnerability, cluster 2 with a moderate level of vulnerability, and cluster 3 with a low level of vulnerability. Stunting must be considered seriously because it will affect the growth and development of toddlers (Antunes et al, 2022;Cahyono et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Stunting is a chronic nutritional problem that occurs in toddlers, which is defined based on height for an age that is less than negative two standard deviations (<-2SD) or a toddler's height is shorter than it should be (Antunes et al, 2022;Cahyono et al, 2016). A toddler is said to be stunted if the value of the ratio between height and the standard value of a toddler is below normal than it should be (Wulandari & Kurniawan, 2019).…”

Section: Introductionmentioning

confidence: 99%

Implementation of Fuzzy C-Means in Clustering Stunting Prone Areas

Christyanti

Sulaiman

Utomo

et al. 2022

IJNSE

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Stunting is a chronic nutritional problem that occurs in toddlers, defined based on height for age (TB/U) which is less than two negative standard deviations or a toddler's height is shorter than it should be. Stunting is a chronic nutritional problem in toddlers, characterized by a shorter height than the height of children his age. Bulungan Regency is one of 160 urban regencies in Indonesia that is intervened to focus on reducing stunting. Based on these problems, this study aims to determine the cluster of stunting vulnerabilities in Bulungan Regency. The method used is Fuzzy C-Means (FCM). The results of this study are that the area in cluster 1 has a high level of vulnerability because it has the lowest level of adequacy of posyandu (active) and high incidence of LBW in infants, cluster 2 has a moderate level of vulnerability because it has an adequate level of puskesmas, adequacy of posyandu (active), the adequacy of doctors, the adequacy of nutritionists, the adequacy of midwives, the percentage of moderate LBW, and cluster 3 have a low level of vulnerability because they have a low average percentage of LBW and a high level of adequacy of posyandu (active) in the area.

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“…This value means that households that have strong food security have the potential (opportunity) to reduce the risk and prevent stunting in toddlers by 67.9%. Household food security becomes a core determinant in line with the basic theory of stunting as failure to thrive in toddlers during 1000 FDL due to long-term chronic malnutrition and malnutrition [44][45][46][47]. Then, this definition is translated as household performance in providing adequate nutritional intake as the minimum calorie threshold of 2000 kcal per capita per day [48].…”

Section: Determinant Of Stuntingmentioning

confidence: 99%

Is the household food security the nucleus determinant for the prevalence of stunting in Purworejo Regency?

Wijaya,

Susanto,

Satriyandari

et al. 2023

E3S Web of Conf.

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This study aims to analyze household food security as the core determinant of stunting and Purworejo Regency of Central Java Province as a case study. Methodologically, this study used multiple binary regression models. This study analyzed 250 samples selected randomly tiered (multi-stage random sampling). The equation used is stunting as a dependent variable and an independent variable (dummy) in the form of household food security and control variables (parental marriage age, use of contraceptives, gestation, parity, early breastfeeding initiation, exclusive breastfeeding, pollution status, and distance of health facilities). As a result, household food security is proven to be a core determinant of stunting in Purworejo District. Household food security has a significant effect on the -0.679 (α 0.001) coefficient on stunting. This means that houses that have food security have the opportunity to reduce the risk and prevent stunting by 67.9% than those that do not. As a control variable, the use of contraceptives, parity, early initiation of breastfeeding, and exclusive breastfeeding had a significant negative effect on stunting while pollution status had a significant positive effect. This model has been able to explain the research phenomenon by 58.2% (adjusted R-square 0.582).

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The tendency of stunting among children under five in the Northern Region of Brazil, according to the Food and Nutrition Surveillance System, 2008-2017

Cited by 8 publications

References 19 publications

Levels of stunting associated factors among under-five children in Ethiopia: A multi-level ordinal logistic regression analysis

Levels of stunting associated factors among under-five children in Ethiopia: A multi-level ordinal logistic regression analysis

Implementation of Fuzzy C-Means in Clustering Stunting Prone Areas

Is the household food security the nucleus determinant for the prevalence of stunting in Purworejo Regency?

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