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Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India

Despite India’s steady economic growth over recent the period, the burden of childhood malnutrition persists, contributing to higher neonatal and infant mortality. There is limited evidence available to contextualise mothers’ crucial role in childcare practices and health status in the Indian contex...

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Autores principales: Paul, Pintu, Saha, Ria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9094570/
https://www.ncbi.nlm.nih.gov/pubmed/35544582
http://dx.doi.org/10.1371/journal.pone.0268126
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author Paul, Pintu
Saha, Ria
author_facet Paul, Pintu
Saha, Ria
author_sort Paul, Pintu
collection PubMed
description Despite India’s steady economic growth over recent the period, the burden of childhood malnutrition persists, contributing to higher neonatal and infant mortality. There is limited evidence available to contextualise mothers’ crucial role in childcare practices and health status in the Indian context. This study attempts to assess the association between maternal autonomy and the nutritional status of children under five. We used samples of 38,685 mother-child pairs from the fourth round of the National Family Health Survey (NFHS-4), conducted in 2015–16. We considered three widely used indicators of child nutrition as outcome variables: stunting, wasting, and underweight. Maternal autonomy (measured from three dimensions: household decision-making, freedom of physical movement, and access to economic resources/control over assets) was the key predictor variable, and various child demographics, maternal, and household characteristics were considered control variables. Stepwise binary logistic regression models were performed to examine the association. Of study participants, 38%, 21%, and 35% of children were stunted, wasted, and underweight, respectively. Our results (models 1 to 4) indicate that mothers with greater autonomy were significantly associated with lower odds of malnourished children. After controlling for all potential confounding variables (in model 5), maternal autonomy had a statistically insignificant association with children’s stunting (Odds ratio [OR]: 0.93; 95% confidence interval [CI]: 0.87, 1.00) and wasting (OR: 0.92; 95% CI: 0.85, 1.00). However, a significant relationship (though marginally) was retained with underweight (OR: 0.94; 95% CI: 0.88, 0.99). In addition, socio-demographic characteristics such as child age, birth order, maternal education, maternal BMI, place of residence and household wealth quintile were found to be strong predictors of child nutritional status. Future policies should not only inform women’s empowerment programmes but also emphasise effective interventions toward improving female educational attainment and nutritional status of women, as well as addressing socioeconomic inequalities in order to combat the persistent burden of childhood malnutrition in India.
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spelling pubmed-90945702022-05-12 Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India Paul, Pintu Saha, Ria PLoS One Research Article Despite India’s steady economic growth over recent the period, the burden of childhood malnutrition persists, contributing to higher neonatal and infant mortality. There is limited evidence available to contextualise mothers’ crucial role in childcare practices and health status in the Indian context. This study attempts to assess the association between maternal autonomy and the nutritional status of children under five. We used samples of 38,685 mother-child pairs from the fourth round of the National Family Health Survey (NFHS-4), conducted in 2015–16. We considered three widely used indicators of child nutrition as outcome variables: stunting, wasting, and underweight. Maternal autonomy (measured from three dimensions: household decision-making, freedom of physical movement, and access to economic resources/control over assets) was the key predictor variable, and various child demographics, maternal, and household characteristics were considered control variables. Stepwise binary logistic regression models were performed to examine the association. Of study participants, 38%, 21%, and 35% of children were stunted, wasted, and underweight, respectively. Our results (models 1 to 4) indicate that mothers with greater autonomy were significantly associated with lower odds of malnourished children. After controlling for all potential confounding variables (in model 5), maternal autonomy had a statistically insignificant association with children’s stunting (Odds ratio [OR]: 0.93; 95% confidence interval [CI]: 0.87, 1.00) and wasting (OR: 0.92; 95% CI: 0.85, 1.00). However, a significant relationship (though marginally) was retained with underweight (OR: 0.94; 95% CI: 0.88, 0.99). In addition, socio-demographic characteristics such as child age, birth order, maternal education, maternal BMI, place of residence and household wealth quintile were found to be strong predictors of child nutritional status. Future policies should not only inform women’s empowerment programmes but also emphasise effective interventions toward improving female educational attainment and nutritional status of women, as well as addressing socioeconomic inequalities in order to combat the persistent burden of childhood malnutrition in India. Public Library of Science 2022-05-11 /pmc/articles/PMC9094570/ /pubmed/35544582 http://dx.doi.org/10.1371/journal.pone.0268126 Text en © 2022 Paul, Saha 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
Paul, Pintu
Saha, Ria
Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India
title Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India
title_full Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India
title_fullStr Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India
title_full_unstemmed Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India
title_short Is maternal autonomy associated with child nutritional status? Evidence from a cross-sectional study in India
title_sort is maternal autonomy associated with child nutritional status? evidence from a cross-sectional study in india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9094570/
https://www.ncbi.nlm.nih.gov/pubmed/35544582
http://dx.doi.org/10.1371/journal.pone.0268126
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