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Analysis of Determinants of Stunting and Identifications of Stunting Risk Profiles Among Under 2-Year-Old Children in Ethiopia. A Latent Class Analysis.

作者信息

Fikrie Anteneh, Adula Berhanu, Beka Jitu, Hailu Dejene, Kitabo Cheru Atsmegiorgis, Spigt Mark

机构信息

School of Public Health, Institute of Health, Bule Hora University, Bule Hora, Ethiopia.

School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.

出版信息

Health Serv Res Manag Epidemiol. 2024 Aug 16;11:23333928241271921. doi: 10.1177/23333928241271921. eCollection 2024 Jan-Dec.


DOI:10.1177/23333928241271921
PMID:39156911
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329923/
Abstract

BACKGROUND: Childhood stunting has a long-term impact on cognitive development and overall well-being. Understanding varying stunting profiles is crucial for targeted interventions and effective policy-making. Therefore, our study aimed to identify the determinants and stunting risk profiles among 2-year-old children in Ethiopia. METHODS AND MATERIALS: A cross-sectional study was conducted on 395 mother-child pairs attending selected public health centers for growth monitoring and promotion under 5 outpatient departments and immunization services. The data were collected by face-to-face interviews, with the anthropometric data collected using the procedure stipulated by the World Health Organization. The data were entered using Epi Data version 4.6 and exported to STATA 16 and Jamovi version 2.3.28 for analysis. Bayesian logistic regression analysis was conducted to identify potential factors of stunting. Likewise, lifecycle assessment analysis (LCA) was used to examine the heterogeneity of the magnitude of stunting. RESULTS: The overall prevalence of stunting in children under 24 months was 47.34% (95% confidence interval (CI): 42.44-52.29%). The LCA identified 3 distinct risk profiles. The first profile is , which is labeled as low-risk, comprised 23.8% of the children, and had the lowest prevalence of stunting (23.4%). This group characterized as having a lower risk to stunting. The second profile is , which is identified as high-risk, comprised 47.1%, and had a high prevalence of stunting (66.7%), indicating a higher susceptibility to stunting compared to Class 1. The third profile is , which is categorized as mixed-risk and had a moderate stunting prevalence of 35.7%, indicating a complex interplay of factors contributing to stunting. CONCLUSION: Our study identified 3 distinct risk profiles for stunting in young children. A substantial amount (almost half) is in the high-risk category, where stunting is far more common. The identification of stunting profiles necessitates considering heterogeneity in risk factors in interventions. Healthcare practitioners should screen, provide nutrition counseling, and promote breastfeeding. Policymakers should strengthen social safety nets and support primary education.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fdb/11329923/3c2921cb40ed/10.1177_23333928241271921-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fdb/11329923/3c2921cb40ed/10.1177_23333928241271921-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fdb/11329923/3c2921cb40ed/10.1177_23333928241271921-fig1.jpg

相似文献

[1]
Analysis of Determinants of Stunting and Identifications of Stunting Risk Profiles Among Under 2-Year-Old Children in Ethiopia. A Latent Class Analysis.

Health Serv Res Manag Epidemiol. 2024-8-16

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
Under nutrition and associated factors among adolescent girls attending school in the  rural and urban districts of Debark, Northwest Ethiopia: A community-based comparative cross-sectional study.

PLoS One. 2021

本文引用的文献

[1]
Geospatial and environmental determinants of stunting, wasting, and underweight: Empirical evidence from rural South and Southeast Asia.

Nutrition. 2024-4

[2]
Pooled prevalence and its determinants of stunting among children during their critical period in Ethiopia: A systematic review and meta-analysis.

PLoS One. 2023

[3]
Stunting disparities and its associated factors among preschool children of employed and unemployed mothers in Gondar City: a comparative community-based cross-sectional study.

Front Nutr. 2023-9-6

[4]
Association of Stunting with Socio-Demographic Factors and Feeding Practices among Children under Two Years in Informal Settlements in Gauteng, South Africa.

Children (Basel). 2023-7-25

[5]
Part II: A step-by-step guide to latent class analysis.

J Clin Epidemiol. 2023-7

[6]
Effects of nutritional interventions during pregnancy on birth, child health and development outcomes: A systematic review of evidence from low- and middle-income countries.

Campbell Syst Rev. 2021-6-21

[7]
Dietary Diversity, Household Food Insecurity and Stunting among Children Aged 12 to 59 Months in N'Djamena-Chad.

Nutrients. 2023-1-21

[8]
Associations between Maternal Education and Child Nutrition and Oral Health in an Indigenous Population in Ecuador.

Int J Environ Res Public Health. 2022-12-28

[9]
Prevalence and factors associated with stunting among children aged 6-59 months in Kabale district, Uganda.

BMC Nutr. 2022-8-15

[10]
Evaluation of anthropometric indices and their relationship with maternal nutritional literacy and selected socio-economic and demographic variables among children under 5 years old.

Ital J Pediatr. 2022-7-30

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