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Socioeconomic and Demographic Factors Are Associated with Worldwide Patterns of Stunting and Wasting of Children1,2

Socioeconomic and Demographic Factors Are Associated with Worldwide Patterns of Stunting and Wasting of Children1,2,Edward A. Frongillo,Mercedes de On

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Socioeconomic and Demographic Factors Are Associated with Worldwide Patterns of Stunting and Wasting of Children1,2   (Citations: 36)
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We estimated the variability among nations in the prevalence of stunting and wasting, evaluated which national factors are associated with stunting and wasting and examined the relationship of stunting with wasting. The World Health Organization Global Database on Child Growth, a comprehensive conceptual model and a database of national factors were used with variance components and regression analyses. There was substantial variability among nations and among provinces within nations. Most national variability for stunting (76%) and wasting (66%) was explained by national factors and geographic region. Higher energy availability, female literacy and gross product were the most important factors associated with lower prevalence of stunting. The association of health expenditures and stunting differed by region. Higher immunization rate and, for Asia only, energy availability were the most important factors associated with lower prevalence of wasting. Regional differences in the relationship between stunting and wasting were accounted for by national factors. Some factors associated with stunting and wasting differ at the national level. Child malnutrition within a household is greatly influenced by issues at national and provincial levels, and intervention should be considered at all three levels. J. Nutr. 127: 2302-2309, 1997
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    • ...Educating girls also has a functional importance in terms of benefits for the next generation, as the socioeconomic status, actions, and choices of moreeducated mothers during pregnancy and child rearing can have a large impact on children’s nutritional status, well-being, and survival (Frongillo et al. 1997, Pelletier 1998, Webb and Block 2004)...

    Jane E. Miller, et al. "Mother’s Education and Children’s Nutritional Status: New Evidence fr...

    • ...government health expenditures (Frongillo, de Onis, and Hanson, 1997); and poor hygiene,...

    Priya Bhagowalia, et al. The Distribution Of Child Nutritional Status Across Countries And Over...

    • ...Past research has linked childhood nutrition to education and nutritional status of mothers, employment of fathers, feeding practices, including breastfeeding, water supply and sanitation, access to healthcare, prevalence of parasitic and infectious diseases, health-seeking behaviour, race/ethnicity, rural residence, and social network and family support (3,18-24)...

    Rathavuth Hong, et al. Effect of Wealth Inequality on Chronic Undernutrition in Cambodian Chi...

    • ...Although both poor nutrition and repeated infections have been shown to lead to poor growth (Waterlow, 1994; Frongillo et al. 1997), the present data on acutephase proteins do not suggest that recent infection and/or inflammation is a major influence on growth in stunted children...

    Nicole Idohou-Dossou, et al. Nutritional status of preschool Senegalese children: long-term effects...

    • ...Although the framework has been used previously for predicting wasting at the population level (18, 19), to our knowledge this is the first time that an attempt has been made to use variables to represent each of the three levels of the conceptual framework...
    • ...Wasting prevalence was initially regressed on prevalence of stunting, since an association had previously been found in some regions of the world, though not in others (18, 20)...
    • ...Novel aspects of the conceptual framework The present study differed from earlier studies (18, 19), in that each level of the conceptual framework was modelled by morbidity, mortality, and socioeconomic variables and the validity of the model was empirically tested...

    Isabel D. Fernandez, et al. Prevalence of nutritional wasting in populations: building explanatory...

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