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Do dietary practices and household environmental quality mediate socioeconomic inequalities in child undernutrition risk in West Africa?
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Dwomoh, Duah, Sewor, Christian, Annim, Samuel K., Stranges, Saverio, Kandala, Ngianga-Bakwin and Amegah, A. Kofi (2023) Do dietary practices and household environmental quality mediate socioeconomic inequalities in child undernutrition risk in West Africa? Public Health Nutrition, 26 (5). pp. 1022-1033. doi:10.1017/S1368980022002269 ISSN 1368-9800.
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Official URL: https://doi.org/10.1017/S1368980022002269
Abstract
We investigated the relationship between socioeconomic status and child undernutrition in West Africa (WA), and further examined the mediating role of dietary practices (measured as Minimum Dietary Diversity [MDD], Minimum Meal Frequency [MMF], and Minimum acceptable diet [MAD]) and household environmental quality (HEQ) in the observed relationship. Thirteen countries were included in the study. We leveraged the most recent Demographic and Health Surveys datasets ranging from 2010 to 2019. Poisson regression model with robust standard errors was used to estimate prevalence ratios and their corresponding 95% CIs. Structural Equation Modelling was used to conduct the mediation analysis. West Africa. 132,448 under-five children born within five years preceding the survey were included. Overall, 32.5%, 8.2%, 20.1% and 71.7% of WA children were stunted, wasted, underweight and anaemic, respectively. Prevalence of undernutrition decreased with increasing maternal education and household wealth (Trend p-values < 0.001). Secondary or higher maternal education and residence in rich households were associated with statistically significant decrease in the prevalence of stunting, wasting, underweight and anaemia among children in WA. MAD was found to mediate the association of low maternal education and poor household wealth with childhood stunting and underweight by 35.9% to 44.5%. MDD, MMF and HEQ did not mediate the observed relationship. The study findings enables an evaluation and improvement of existing intervention strategies through a socioeconomic lens to help address the high burden of child undernutrition in WA and other developing regions.
| Item Type: | Journal Article | ||||||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | ||||||||
| Journal or Publication Title: | Public Health Nutrition | ||||||||
| Publisher: | Cambridge University Press | ||||||||
| ISSN: | 1368-9800 | ||||||||
| Official Date: | May 2023 | ||||||||
| Dates: |
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| Volume: | 26 | ||||||||
| Number: | 5 | ||||||||
| Page Range: | pp. 1022-1033 | ||||||||
| DOI: | 10.1017/S1368980022002269 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Copyright Holders: | © The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society | ||||||||
| Date of first compliant deposit: | 6 December 2022 | ||||||||
| Date of first compliant Open Access: | 6 December 2022 |
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