Maternal factors associated with moderate and severe stunting in Ethiopian children: analysis of some environmental factors based on 2016 demographic health survey

Abstract

Background Stunting or chronic undernutrition is a significant public health problem in Ethiopia. In 2019, 37% of Ethiopian children under-5 were stunted. Stunting results from a complex interaction of individual, household and social (environmental) factors. Improving the mother’s overall care is the most important determinant in reducing the stunting levels in developing countries. We aimed to determine the most important maternal factors associated with stunting and quantify their effects. Methods This study used data from the nationally representative 2016 Ethiopian Demographic Health Survey (EDHS). Common maternal factors were first selected and analyzed using Pearson’s chi-square of association followed by multiple logistic regression. To quantify the effect of a unit change of a predictor variable a model for the continuous maternal factors was developed. All analyses were carried out using IBM SPSS© Version 23. Results Higher maternal educational level, better maternal autonomy, average or above maternal height and weight, having at least 4 antenatal care (ANC) clinic visits, and delivering in a health facility were significantly associated with lower severe stunting levels. Unemployed mothers were 23% less likely (p = 0.003) to have a stunted child compared with employed mothers. Mothers delivering at home had 32% higher odds of stunting (p = 0.002). We found that short mothers (< 150 cm) were 2.5 more likely to have stunted children when compared with mothers above 160 cm. Every visit to the ANC clinic reduces stunting odds by 6.8% (p < 0.0001). The odds of stunting were reduced by 7% (p = 0.028) for every grade a girl spent in school. A unit increase in Body Mass Index (BMI) reduced the odds of stunting by 4% (p = 0.014) and every centimeter increase in maternal height reduced the odds of stunting by 0.5% (p = 0.01). Conclusion Maternal education, number of antenatal care visits, and place of delivery appear to be the most important predictors of child stunting in Ethiopia.. Therefore, educating and empowering women, improving access to family planning and ANC services, and addressing maternal malnutrition are important factors that should be included in policies aiming to reduce childhood stunting in Ethiopia.

A comparative analysis of determinants of low birth weight and stunting among under five children of adolescent and non-adolescent mothers using 2015/16 Tanzania Demographic and Health Survey (TDHS)

“…Household purchasing power, sanitation and health insurance are among factors that can contribute to poor or good nutrition status among under five children [32]. Malnutrition is a condition that is associated with poverty since it comes with hunger and lack of food at the right quantity and quality [35][36][37]. Unlike the study conducted by Francois R. et [35], we found stunting is less among obese or overweight mother.…”

“…In our finding, a unit increase in Body Mass Index, stunting among under-five children of obese or overweight mothers decreased by 23%. This is absolutely higher compared to what reported by Amaha N and Woldeamanuel B [ 36 ]; a unit increase in Body Mass Index reduced the odds of U-5 stunting by 4%.…”

Impact of Home Parenting Environment on Cognitive and Psychomotor Development in Children Under 5 Years Old: A Meta-Analysis

“…According to the 2020 Global Nutrition Report on malnutrition, nearly one in every four children under 5 years old (149 million) is stunted (3). In 2021, the prevalence rates of stunting in children under 5 years old in Ecuador, Nigeria, and Ethiopia were, respectively, 23.2, 36.2, and 39% (4)(5)(6). In China, 17.07% of children of 3-5 years old had a high risk of early development deficiency in 2021 (7).…”

The Targets for Stunting Prevention Policies in Papua, Indonesia: What Mothers’ Characteristics Matter?

“…The variables analyzed were limited to those provided by the survey. The analytical results cannot explain several other variables that have been identified from previous studies to affect stunting in children under five, including antenatal care, maternal stature, maternal body mass index, wealth index, diarrhoea, anaemia, and agri-food [52][53][54][55].…”