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A multilevel analysis of individual and community effect on chronic childhood malnutrition in rural Nigeria
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Uthman, Olalekan A. (2008) A multilevel analysis of individual and community effect on chronic childhood malnutrition in rural Nigeria. Journal of Tropical Pediatrics, 55 (2). pp. 109-115. ISSN 0142-6338.
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Official URL: http://doi.org/10.1093/tropej/fmn093
Abstract
Background: Protein energy malnutrition is the second most important cause of childhood morbidity and mortality in Nigeria after infections. The purpose of this article was to develop and test a model of childhood malnutrition that includes individual-level characteristics along with contextual characteristics defined at the community level.
Design: Multilevel logistic regression analysis.
Subjects and setting: A total of 4007 children resident in 96 rural villages in Nigeria.
Main outcome: Stunting: height-for-age that is less than the international reference value by >2 standard deviations (SDs).
Main results: Independent of other factors, children born to underweight mothers were 1.32-times more likely to be stunted [adjusted odds ratio (aOR) 1.32; 95% confidence interval (CI) 1.07–1.64]. For each additional month of breastfeeding the odds of being stunted increased by 4% (aOR 1.04; 95% CI 1.03–1.06). Each SD increase in the household wealth index and maternal health-seeking behaviour index decreased the odds of being stunted by 16% (aOR 0.84; 95% CI 0.76–0.94) and 29% (aOR 0.71; 95% CI 0.60 –0.82), respectively.
Conclusion: The study has provided evidence that both individual and community characteristics are important predictors of childhood malnutrition in rural Nigeria; and that scholars trying to understand variation in childhood malnutrition should pay attention to the characteristics of both children and place of residence.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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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 > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Malnutrition, Malnutrition in children, Malnutrition in children -- Nigeria, Malnutrition in infants , Malnutrition in infants -- Nigeria, Nutrition disorders in children, Nutrition disorders in children -- Nigeria, Nutrition disorders in infants , Nutrition disorders in infants -- Nigeria | ||||
Journal or Publication Title: | Journal of Tropical Pediatrics | ||||
Publisher: | Oxford University Press | ||||
ISSN: | 0142-6338 | ||||
Official Date: | October 2008 | ||||
Dates: |
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Volume: | 55 | ||||
Number: | 2 | ||||
Page Range: | pp. 109-115 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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