Gender perceptions predict sex differences in growth patterns of indigenous Guatemalan infants and young children

Tumilowicz, Alison; Habicht, Jean‐Pierre; Pelto, Gretel H.; Pelletier, David

doi:10.3945/ajcn.114.100776

Cited by 46 publications

(46 citation statements)

References 53 publications

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“…The prevalence of stunting among Ethiopian girls 0-23 months of age has been reported to be lower than that of boys, but the difference disappears after the second year of life (Woodruff et al, 2017). Sex and gender differences in IYC feeding practices and growth are evident across very different national and cultural contexts, including Senegal (Bork & Diallo, 2017), Guatemala (Tumilowicz, Habicht, Pelto, & Pelletier, 2015) and the Philippines (Adair & Guilkey, 1997;Popkin et al, 1990). Indigenous mothers in Guatemala were found to perceive boys as hungrier and requiring earlier and more frequent complementary feeding compared with girls.…”

Section: Discussionmentioning

confidence: 99%

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Bottlenecks and predictors of coverage and adherence outcomes for a micronutrient powder program in Ethiopia

Tumilowicz

Habicht

Mbuya

et al. 2019

Maternal & Child Nutrition

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A theory‐driven evaluation was conducted to assess performance of a trial to deliver micronutrient powder (MNP) through the Ethiopian Ministry of Health. We adapted an approach to coverage assessment, originally developed to identify bottlenecks in health service delivery, to examine sequential program outcomes and their correlates using cross‐sectional survey data of caregivers of children 6–23 months (N = 1915). Separate multivariable Poisson regression models were used to estimate adjusted risk ratios of conceptually relevant determinants of coverage and adherence. Caregivers of children >11 months were more likely to have received MNP than caregivers of younger infants, yet children 12–17 months were 32% (P < 0.001) and children 18–23 months 38% (P < 0.001) less likely to have been fed MNP in the 14 days preceding the survey than children 6–11 months. Among caregivers who initiated feeding MNP, the most frequently reported reasons for discontinuing use were not obtaining additional supply (36.1%) and perceived child rejection of food with MNP (22.9%). For each additional time a caregiver met with frontline workers in the 3 months preceding the survey, they were 13% more likely to have recently fed MNP (P < 0.001). Caregivers' perception that MNP produced positive changes in children was associated with a 14% increase in the likelihood of having recently fed it (P < 0.001). These results emphasize the importance of counselling for MNP and infant and young child feeding for initial use and the importance of multiple contacts with frontline workers for continued use.

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Section: Discussionmentioning

confidence: 99%

“…We encourage future studies in Ethiopia and other contexts to explore the interactions of biological-cultural-ecological factors that produce differences between sexes in IYC feeding and growth patterns. A model for this type of research has been previously proposed (Tumilowicz et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Bottlenecks and predictors of coverage and adherence outcomes for a micronutrient powder program in Ethiopia

Tumilowicz

Habicht

Mbuya

et al. 2019

Maternal & Child Nutrition

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“…A review of complementary feeding reported that, boys have higher birth weights than girls and grow faster during infancy, resulting in greater energy needs (30). Furthermore another study on Guatemalan infants reported that women perceived male children to be hungrier and less likely to be satisfied by breastfeeding alone (31), placing them at increased risk of infections.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Nutritional Status among Children Under five age in Ethiopia: A Further Analysis of the Ethiopian Demographic and Health Survey (EDHS) 2016 Data

Amare

Ahmed

Mehari

2019

Preprint

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Child malnutrition is an underlying cause for almost half (45%) of child deaths, particularly in low socioeconomic communities of developing countries like Ethiopia. Globally, in 2018, 149 million children under five were stunted and over 49 million children were wasted. In Ethiopia, from the year 2005 to 2016, there is a decrease in stunting from 47% to 39%, but the prevalence of wasting changed little over the same time period (11% to 10%). Despite efforts made by the Ethiopian government and improvements in reducing malnutrition, the current rate of progress is not fast enough to have reached the global target by 2025.The aim of this study was to examine the determinants of nutritional status among children under five in Ethiopia. This study used data from 2016 Ethiopia Demographic and Heath Survey (EDHS) to examine determinants of nutritional status among children under five (0-59 months). This study used stunting and wasting as dependent variables for the analysis. Children's, mothers, households, and environmental characteristics were used as determinant variables. Children not alive, and other missing values were considered as missing and was not included in the analyses. Sample weights were applied in all analysis due to the two stage cluster sampling design in the EDHS datasets. Multicollinearity among independent variables were checked. Logistic regression was used to analyse the determinants of nutritional status among under five age children. Bivariate analysis was also used to analyse the association between the dependent and independent variables. The chi-square test used to see the significance of association. The level of significance for the analysis was p<0.05. Age, and sex of child, educational status and body mass index, and short stature of mothers, residence, region, wealth quintile, toilet facilities and fuel types of households' have significant association with stunting and wasting. However, mother's short stature has significant association with only stunting.The study found child, maternal, household and environmental characteristics were significantly associated with stunting and wasting among of children under five. This implies a multi-sectorial and multidimensional approach is important to address malnutrition in Ethiopia.

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“…Although boys are generally more susceptible to stunting than girls in developing countries, the mechanism for this is poorly understood (Bork & Diallo, 2017). One possible explanation is a convergence of biological factors, living conditions, and differences in maternal feeding patterns of boys due to gendered cultural perceptions (Tumilowicz, Habicht, Pelto, & Pelletier, 2015).…”

Section: Community and Societal Factorsmentioning

confidence: 99%

A review of child stunting determinants in Indonesia

Beal

Tumilowicz

Sutrisna³

et al. 2018

Maternal & Child Nutrition

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576

318

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Child stunting reduction is the first of 6 goals in the Global Nutrition Targets for 2025 and a key indicator in the second Sustainable Development Goal of Zero Hunger. The prevalence of child stunting in Indonesia has remained high over the past decade, and at the national level is approximately 37%. It is unclear whether current approaches to reduce child stunting align with the scientific evidence in Indonesia. We use the World Health Organization conceptual framework on child stunting to review the available literature and identify what has been studied and can be concluded about the determinants of child stunting in Indonesia and where data gaps remain. Consistent evidence suggests nonexclusive breastfeeding for the first 6 months, low household socio‐economic status, premature birth, short birth length, and low maternal height and education are particularly important child stunting determinants in Indonesia. Children from households with both unimproved latrines and untreated drinking water are also at increased risk. Community and societal factors—particularly, poor access to health care and living in rural areas—have been repeatedly associated with child stunting. Published studies are lacking on how education; society and culture; agriculture and food systems; and water, sanitation, and the environment contribute to child stunting. This comprehensive synthesis of the available evidence on child stunting determinants in Indonesia outlines who are the most vulnerable to stunting, which interventions have been most successful, and what new research is needed to fill knowledge gaps.

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Gender perceptions predict sex differences in growth patterns of indigenous Guatemalan infants and young children

Cited by 46 publications

References 53 publications

Bottlenecks and predictors of coverage and adherence outcomes for a micronutrient powder program in Ethiopia

Bottlenecks and predictors of coverage and adherence outcomes for a micronutrient powder program in Ethiopia

Determinants of Nutritional Status among Children Under five age in Ethiopia: A Further Analysis of the Ethiopian Demographic and Health Survey (EDHS) 2016 Data

A review of child stunting determinants in Indonesia

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