Population policy, family size and child malnutrition in Vietnam – Testing the trade-off between child quantity and quality from a child nutrition perspective

Chen, Qihui

doi:10.1016/j.ehb.2021.100983

Cited by 8 publications

(6 citation statements)

References 52 publications

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“…Larger household sizes mean there are more mouths to feed and so children may receive lower quantities of food, resulting in inadequate energy and nutrient consumption. This was supported by the ndings from Young Lives (53), as the authors reported that having one additional child was associated with a signi cant decline in the rst child's HAZ and WAZ by 0.57 SD and 0.49 SD, respectively. In addition, preschool attendance was found to be negatively associated with underweight and stunted children aged 2-15 years (52), which is likely due to the high-quality diets (three meals a day) provided in the preschools, which accounted for about 60-70% of the calorie requirement needed for children per day (52).…”

Section: Determinants Of Childhood Underweight Stunting and Wastingmentioning

confidence: 69%

“…Previous study showed that improved sanitation can reduce exposure to diarrhoeal diseases (50), which can, in turn, reduce the risk of undernutrition (112). Household size was found to be positively associated with undernutrition in three studies (11,18,53). Larger household sizes mean there are more mouths to feed and so children may receive lower quantities of food, resulting in inadequate energy and nutrient consumption.…”

Section: Determinants Of Childhood Underweight Stunting and Wastingmentioning

confidence: 97%

“…The studies examined the determinants of undernutrition (41%, n = 14) (11,18,20,(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55), overnutrition (24%, n = 10) (24, 25, 39, 56-62), undernutrition and overnutrition (18%, n = 6) (44, 63-67), MNDs (9%, n = 3) (26, 68, 69), all three types of malnutrition (6%, n = 2) (9, 70), and undernutrition and MNDs (3%, n = 1) (71).…”

Section: Study's Characteristicsmentioning

confidence: 99%

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Prevalence, determinants, intervention strategies and current gaps in addressing childhood malnutrition in Vietnam: a systematic review

Mondon,

Tan,

Chan

et al. 2023

Preprint

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Background Childhood malnutrition in all forms is a major public health issue worldwide. This review aimed to systematically examine the prevalence and determinants, and identify the potential interventions and current gap in addressing malnutrition including undernutrition, overnutrition and micronutrient deficiencies (MNDs) in Vietnamese children aged 0–18 years old. Methods Embase, Scopus, PubMed, and Web of Science were systematically searched through June 2022 to identify relevant articles published within the past 25 years. Study selection and data extraction were performed by one reviewer and checked for accuracy by the other two reviewers in accordance with PRISMA guideline. Risk of publication bias was assessed using American Dietetic Association Quality Criteria Checklist. Results 81 studies that met the inclusion criteria were included. Undernutrition have been decreased over time but still 22.4%, 5.2% and 12.2% of children under 5 were stunted, wasted and underweight, respectively. Prevalence of MNDs varied by age, regions or socio-economic groups, with 11.4–89.9%, 11–90%, 23–87%, 11–58% and 8–20% of Vietnamese children were anaemic and iron, zinc, vitamin D and retinol deficient, respectively. Overweight and obesity is now on the rise (7.4–22%). The key determinants of undernutrition/MNDs included living in rural areas, children with low birth weight, and poor socio-economic status, whereas living in urban and affluent areas, having an inactive lifestyle and being a boy were associated with increased risk of overweight or obesity. Nutrition specific intervention studies including supplementation and food fortification consistently showed improvements in anthropometric indices and micronutrient biomarkers, and national nutrition sensitive programmes also provided nutritional benefits on child’s growth and eating behaviours, but lack of data on childhood overweight. Conclusion Stunting is still prevalent at 20% in Vietnamese children (< 5years) despite a significant reduction over the decade. MNDs remain to be a serious problem, whilst overweight and obesity are rapidly rising requiring attention and intervention. This finding highlights the needs for double duty actions to simultaneously and effectively address different forms of childhood malnutrition in Vietnam. However, evidence on the potential intervention strategies, especially on MNDs and overnutrition are still limited to inform policy decision, thus future researches are warranted.

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Section: Determinants Of Childhood Underweight Stunting and Wastingmentioning

confidence: 69%

Section: Determinants Of Childhood Underweight Stunting and Wastingmentioning

confidence: 97%

Section: Study's Characteristicsmentioning

confidence: 99%

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Prevalence, determinants, intervention strategies and current gaps in addressing childhood malnutrition in Vietnam: a systematic review

Mondon,

Tan,

Chan

et al. 2023

Preprint

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“…Child nutrition is one of the most serious health problems in Vietnam [22]- [24]. In the 2000s, malnutrition was common, especially in rural, and remote and isolated areas [25].…”

Section: Literature Reviewmentioning

confidence: 99%

Child health and maternal health knowledge: evidence from Vietnam

Nguyen

2022

IJPHS

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The care and protection of children are vital because children are the future of the country. Their health links to the development of adult human capital and the national economy. Informal maternal education is the major driver of child health but has never been formalized. This paper investigates the effects of maternal health knowledge on child health using a survey of 200 households in Ho Chi Minh City, Vietnam. The theory of household production has been applied to create a child health model. Anthropometric indicators of weight-for-age and height-for-age are set as the proxies for child health. The models are regressed separately for the weight-for-age and height-for-age Z-scores of children under five. The research results showed that the number of years of maternal schooling does have a positive impact on child anthropometric outcomes but its effects are crowded out by maternal health gained from the mother’s access to health information through pubic media and genetic inheritance, but these are inferior to environmental factors such as housing, sanitation, and health knowledge. The findings confirm that Vietnam can improve the status of child care and protection can be improved even under the constraints of limited access to maternal formal education).

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“…In general, a small family size provides a greater opportunity for each family member to enjoy a better life, both socially and economically. This situation has to do with distribution within the family (Chen, 2021;Chen, Zhao, Chou, & Liem, 2021;Coley et al, 2021). Some tribes in Indonesia are accustomed to large family sizes.…”

Section: Introductionmentioning

confidence: 99%

The Factors Correlate to Family Size in Indonesia

Laksono¹,

Wulandari

2021

aspirasi

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Some tribes in Indonesia have a big family culture. The study aimed to analyze factors that correlate to family size in Indonesia. The study employed secondary data from the 2017 Indonesia’s Demographic and Health Survey. The samples used were 34,353 childbearing age couples. The variables analyzed included type of residence, wealth, marital, cohabitation duration, complete child gender, contraceptive, age of husband-wife, education of husband-wife, and occupation of husband-wife. Final test by binary logistic regression. The results show that couples in urban areas are less likely to have a family size ≤ 4 than couples who live in rural areas. The better the wealth status, the higher the possibility to have a family size ≤ 4. The longer the cohabitation period, the lower the possibility of having a family size ≤ 4. Couples who already have complete child gender were 0.148 times more likely to have a family size < 4 than couples with incomplete child gender. The contraceptives use has a probability of 0.727 times more than those not using it to have a family size ≤ 4. The husband with primary education was 1.242 times more likely than the husband with no education to have a family size ≤ 4. The study found that a wife’s age correlated to family size. Couples with employed wives were 1.273 times more likely than those not employed to have a family size ≤ 4. The study concluded that eight variables correlated to family size among childbearing age couples in Indonesia: residence, wealth, cohabitation duration, complete child gender, contraceptive use, husband’s education, wife’s age, and wife’s employment. AbstrakBeberapa suku di Indonesia memiliki budaya keluarga besar yang sangat kuat. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berkorelasi dengan ukuran keluarga di Indonesia. Studi memanfaatkan data sekunder dari Survei Demografi dan Kesehatan Indonesia tahun 2017. Sampel yang digunakan adalah 34.353 pasangan usia subur. Variabel yang dianalisis meliputi jenis tempat tinggal, kekayaan, perkawinan, lama kohabitasi, kelengkapan jenis kelamin anak, kontrasepsi, umur suami-istri, pendidikan suami-istri, dan pekerjaan suami-istri. Pengujian akhir dengan regresi logistik biner. Hasilnya menunjukkan pasangan di daerah perkotaan lebih kecil kemungkinannya untuk memiliki ukuran keluarga ≤ 4 dibandingkan pasangan yang tinggal di daerah pedesaan. Semakin baik status kekayaannya maka semakin tinggi kemungkinan memiliki ukuran keluarga ≤ 4. Semakin lama kohabitasi maka semakin kecil kemungkinan memiliki ukuran keluarga ≤ 4. Pasangan yang sudah memiliki jenis kelamin anak lengkap kemungkinannya 0,148 kali dibandingkan dengan yang tidak lengkap untuk memiliki ukuran keluarga ≤ 4. Pemakaian alat kontrasepsi memiliki probabilitas 0,727 kali lipat dibandingkan dengan yang tidak menggunakannya untuk memiliki ukuran keluarga ≤ 4. Suami yang berpendidikan dasar 1,242 kali lebih mungkin untuk memiliki ukuran keluarga ≤ 4 dibanding keluarga dengan suami tidak berpendidikan. Usia istri menjadi faktor penentu ukuran keluarga. Pasangan dengan istri yang bekerja 1,273 kali lebih mungkin dibandingkan mereka yang tidak bekerja untuk memiliki ukuran keluarga ≤ 4. Hasil penelitian menyimpulkan bahwa delapan variabel merupakan faktor-faktor yang memengaruhi ukuran keluarga pada pasangan usia subur di Indonesia. Delapan faktor tersebut adalah jenis tempat tinggal, status kekayaan, lama kohabitasi, jenis kelamin anak lengkap, penggunaan kontrasepsi, pendidikan suami, usia istri, dan status pekerjaan istri.

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Population policy, family size and child malnutrition in Vietnam – Testing the trade-off between child quantity and quality from a child nutrition perspective

Cited by 8 publications

References 52 publications

Prevalence, determinants, intervention strategies and current gaps in addressing childhood malnutrition in Vietnam: a systematic review

Prevalence, determinants, intervention strategies and current gaps in addressing childhood malnutrition in Vietnam: a systematic review

Child health and maternal health knowledge: evidence from Vietnam

The Factors Correlate to Family Size in Indonesia

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