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Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana

Childhood anaemia and stunting are major public health concerns in Ghana. Using the 2014 Ghana Demographic and Health Survey, we evaluated whether childhood anaemia (Haemoglobin concentration < 110 g/L) and stunting (height-for-age z score < −2) co-occur beyond what is expected in Ghana, and e...

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Autores principales: Christian, Aaron Kobina, Agula, Caesar, Jayson-Quashigah, Philip-Neri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649523/
https://www.ncbi.nlm.nih.gov/pubmed/33204808
http://dx.doi.org/10.1016/j.ssmph.2020.100683
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author Christian, Aaron Kobina
Agula, Caesar
Jayson-Quashigah, Philip-Neri
author_facet Christian, Aaron Kobina
Agula, Caesar
Jayson-Quashigah, Philip-Neri
author_sort Christian, Aaron Kobina
collection PubMed
description Childhood anaemia and stunting are major public health concerns in Ghana. Using the 2014 Ghana Demographic and Health Survey, we evaluated whether childhood anaemia (Haemoglobin concentration < 110 g/L) and stunting (height-for-age z score < −2) co-occur beyond what is expected in Ghana, and employed spatial analysis techniques to determine if their co-occurrence is spatially correlated. There was no statistically significant difference between the observed and expected frequency of co-occurrence. Among 24–35 month and 36–59-month-old children, belonging to a high wealth household compared to low wealth household was associated with lower odds of the co-occurrence of childhood anaemia and stunting (OR, 95% CI: 0.3[0.1, 0.8] and 0.2[0.1, 0.5], respectively). Children aged 6–23 months with caregivers who had formerly been in union compared to their counterparts with caregivers who have never been in union had higher odds of co-occurrence of anaemia and stunting (5.1, [1.1, 24.3]). Overall, households with high wealth and having a mother with secondary or more education were associated with lower odds of the co-occurrence of childhood anaemia and stunting (OR, 95% CI: 0.4[0.2, 0.8] and 0.5[0.3, 0.9], respectively). There was substantial spatial clustering of co-occurrence, particularly in the northern region of the country. Interventions purposed to improve linear growth and anaemia must identify the specific factors or context which contribute to childhood anaemia and stunting.
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spelling pubmed-76495232020-11-16 Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana Christian, Aaron Kobina Agula, Caesar Jayson-Quashigah, Philip-Neri SSM Popul Health Article Childhood anaemia and stunting are major public health concerns in Ghana. Using the 2014 Ghana Demographic and Health Survey, we evaluated whether childhood anaemia (Haemoglobin concentration < 110 g/L) and stunting (height-for-age z score < −2) co-occur beyond what is expected in Ghana, and employed spatial analysis techniques to determine if their co-occurrence is spatially correlated. There was no statistically significant difference between the observed and expected frequency of co-occurrence. Among 24–35 month and 36–59-month-old children, belonging to a high wealth household compared to low wealth household was associated with lower odds of the co-occurrence of childhood anaemia and stunting (OR, 95% CI: 0.3[0.1, 0.8] and 0.2[0.1, 0.5], respectively). Children aged 6–23 months with caregivers who had formerly been in union compared to their counterparts with caregivers who have never been in union had higher odds of co-occurrence of anaemia and stunting (5.1, [1.1, 24.3]). Overall, households with high wealth and having a mother with secondary or more education were associated with lower odds of the co-occurrence of childhood anaemia and stunting (OR, 95% CI: 0.4[0.2, 0.8] and 0.5[0.3, 0.9], respectively). There was substantial spatial clustering of co-occurrence, particularly in the northern region of the country. Interventions purposed to improve linear growth and anaemia must identify the specific factors or context which contribute to childhood anaemia and stunting. Elsevier 2020-10-22 /pmc/articles/PMC7649523/ /pubmed/33204808 http://dx.doi.org/10.1016/j.ssmph.2020.100683 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Christian, Aaron Kobina
Agula, Caesar
Jayson-Quashigah, Philip-Neri
Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana
title Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana
title_full Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana
title_fullStr Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana
title_full_unstemmed Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana
title_short Correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in Ghana
title_sort correlates and spatial distribution of the co-occurrence of childhood anaemia and stunting in ghana
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7649523/
https://www.ncbi.nlm.nih.gov/pubmed/33204808
http://dx.doi.org/10.1016/j.ssmph.2020.100683
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