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Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey

Stunting among children under five years of age is a serious public health problem globally, with life-long consequences to health, well-being, and productivity. Stunted growth has complex and multifactorial causes, reflecting the interaction of a broad range of conditions that determine child healt...

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Autor principal: Correa, Paulo Renato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021435/
https://www.ncbi.nlm.nih.gov/pubmed/36962819
http://dx.doi.org/10.1371/journal.pgph.0000983
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author Correa, Paulo Renato
author_facet Correa, Paulo Renato
author_sort Correa, Paulo Renato
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description Stunting among children under five years of age is a serious public health problem globally, with life-long consequences to health, well-being, and productivity. Stunted growth has complex and multifactorial causes, reflecting the interaction of a broad range of conditions that determine child health. The Angola 2015–2016 Demographic and Health Survey (DHS) collected nationally representative anthropometry for 6,359 children 0 to 59 months of age in Angola, and ascertained exposure to a wide range of child, parental, socio-economic, and geographic variables. This study used a cross-sectional design to identify exposures associated with stunting among children 0 to 59 months of age in Angola, while considering the multifactorial and multi-level causes of stunting. Main outcome was prevalence of stunting, defined as proportion of children with height-for-age Z-score (HAZ) two or more standard deviations below the median. Prevalence of stunting was associated with individual, household, and area-level exposure variables, including child age and sex, birth order, birthweight, diarrhea, maternal and paternal age and education, source of water, sanitary system, and province. In conclusion, prevalence of stunting in Angola is associated with several factors previously described in the literature. Stunting is associated with exposures at the distal, intermediate, and proximal levels, in line with the framework on the causes of childhood malnutrition. This study identifies opportunities for interventions at multiple levels to decrease prevalence of stunting among children in Angola. Main limitations of this study are the potential for survival bias and residual confounding.
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spelling pubmed-100214352023-03-17 Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey Correa, Paulo Renato PLOS Glob Public Health Research Article Stunting among children under five years of age is a serious public health problem globally, with life-long consequences to health, well-being, and productivity. Stunted growth has complex and multifactorial causes, reflecting the interaction of a broad range of conditions that determine child health. The Angola 2015–2016 Demographic and Health Survey (DHS) collected nationally representative anthropometry for 6,359 children 0 to 59 months of age in Angola, and ascertained exposure to a wide range of child, parental, socio-economic, and geographic variables. This study used a cross-sectional design to identify exposures associated with stunting among children 0 to 59 months of age in Angola, while considering the multifactorial and multi-level causes of stunting. Main outcome was prevalence of stunting, defined as proportion of children with height-for-age Z-score (HAZ) two or more standard deviations below the median. Prevalence of stunting was associated with individual, household, and area-level exposure variables, including child age and sex, birth order, birthweight, diarrhea, maternal and paternal age and education, source of water, sanitary system, and province. In conclusion, prevalence of stunting in Angola is associated with several factors previously described in the literature. Stunting is associated with exposures at the distal, intermediate, and proximal levels, in line with the framework on the causes of childhood malnutrition. This study identifies opportunities for interventions at multiple levels to decrease prevalence of stunting among children in Angola. Main limitations of this study are the potential for survival bias and residual confounding. Public Library of Science 2022-12-12 /pmc/articles/PMC10021435/ /pubmed/36962819 http://dx.doi.org/10.1371/journal.pgph.0000983 Text en © 2022 Paulo Renato Correa https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Correa, Paulo Renato
Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey
title Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey
title_full Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey
title_fullStr Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey
title_full_unstemmed Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey
title_short Factors associated with stunting among children 0 to 59 months of age in Angola: A cross-sectional study using the 2015–2016 Demographic and Health Survey
title_sort factors associated with stunting among children 0 to 59 months of age in angola: a cross-sectional study using the 2015–2016 demographic and health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021435/
https://www.ncbi.nlm.nih.gov/pubmed/36962819
http://dx.doi.org/10.1371/journal.pgph.0000983
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