Birth Order and Child Nutritional Status: Evidence from the Philippines

1988 ◽  
Vol 36 (2) ◽  
pp. 341-354 ◽  
Author(s):  
Susan Horton
2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Thirupathi Reddy Mokalla ◽  
Vishnu Vardhana Rao Mendu

In the majority of low- and middle-income counties, child health-care dissimilarities are further aggravated by nutritional status (i.e., stunting, underweight, and wasting). In India, child malnutrition is the most important contributor to disease burden. The present study uses data from the 4th round of the National Family Health Survey (NFHS-4), conducted in 2015-2016. We considered anthropometric indicators of unit-level data of 2, 48, and 174 children aged 0-59 months. This study examines the socio-economic inequality in nutritional status and their determinants among under-5 year children. The factors considered in the analysis were categorized as child age in months, mother’s educational status, mother’s nutritional-status, type of caste, wealth index, birth order, and size of a child at birth. In this study, multivariate logistic regression and concentration index (CI) have been employed to explore the effect of various factors on the child’s nutritional status. The binary logistic analysis has demonstrated a significant association between child nutritional status and mother’s education, mother’s nutritional status, type of caste, wealth index, birth order, and size of a child at birth. The results show that the CI for stunting, underweight, and wasting were −0.14, −0.16, and −0.08. Therefore, these factors were significantly high in poorer households. Our study suggests that the nutrition-specific programs to encourage nutritional adequacy, diversity, reduces the nutritional burden, and growth of child’s in India. 


2016 ◽  
Vol 32 (2) ◽  
Author(s):  
Mosfequr Rahman ◽  

Abstract This paper examines the net effect of birth order on child nutritional status in Bangladesh using data from the Bangladesh Demographic Health Survey, 2011 (BDHS). Analyses were restricted to 4,120 surviving, lastborn singleton children who were younger than 36 months at the time of the survey. Logistic regression was used to assess the association between birth order and child nutritional status. Results indicate 38.1% children are stunted and 8.2% children are fifth or higher order birth. Order of birth is one of the significant predictors of child being stunted. Third order, fourth order, and fifth or higher order children are 24%, 30%, and 72%, respectively, more likely to be stunted after adjusting for all other variables. Besides birth order, results also indicate that child age, size at birth, birth intention, maternal education, maternal body mass index, wealth index, place of residence and mass media access exert strong influences over child malnutrition. Reducing birth rates which limit number of births and birth order as well may reduce child malnutrition in Bangladesh.


2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Meron Girma ◽  
Eskindir Loha ◽  
Alemtsehay Bogale ◽  
Barbara J Stoecker

2015 ◽  
Vol 3 (2) ◽  
pp. 158
Author(s):  
Anasyia Nurwitasari ◽  
Chatarina Umbul Wahyuni

Tuberculosis remains one of diseases with highest mortality among other. Indonesia had categorized in one of high burden countries since 2013. WHO estimated the annual global burden of childhood tuberculosis in 2012 was approximately530.000 cases and that up to 74.000 children died that year. The last three years tuberculosis incidence in Jember increased. In 2014, 6,5% of total tuberculosis incidence was childhood tuberculosis. Childhood tuberculosis is a major component in controlling tuberculosis. The objective of this study is to analyze determining factors of childhood tuberculosis incidence in Jember. This study is an analytical observational study using case-control design. The object of this study is children aged 0–14 years who diagnosed with tuberculosis in Jember Paru Hospital. Sampling taken by simple random sampling method. Sampel consisting 24 cases and 48 control. The independent variables is child nutritional status, contact history, long-term contact, and proximity contact. Analysis using Logistic Regression test to determine the influence between two variables. The results show that childhood tuberculosis incidence determined by contact history (p = 0,000; OR = 26,6), long-term contact (p = 0,000; OR = 69), and proximity contact (p = 0,000; OR = 27,1). The conclusion is, contact history, long-term contact, proximity contact determine childhood tuberculosis in Jember. Stakeholder have to do active case finding to break the chain of tuberculosis transmission with early household contact detection.Keywords: nutritional status, childhood tuberculosis, contact history, long-term contact, and proximity contact


Author(s):  
Imelda Angeles-Agdeppa ◽  
Frances Pola Santos Arias ◽  
James Andrei Justin Pascual Sy ◽  
Ren Annaliz Pabustan Garingo

: Addiction affects the economy of countries worldwide. Nutrition plays an important role in helping persons who use drugs (PWUDs) to regain their physical and mental health, thereby increasing the probability of recovery. This study aimed to evaluate the effects of implementing the nutrition care process on PWUDs management 120 days after its implementation. Following a quasi-experimental design with pre and post-test evaluations, 268 PWUDs admitted to 8 drug treatment, and rehabilitation centers in the Philippines were recruited. Developed nutrition management guidelines containing the nutrition care process and cycle menu of calculated diet for PWUDs were provided for implementation in the rehabilitation regimen. Body mass index was used to assess nutritional status, dietary diversity score (DDS) to measure diet quality, WHO quality of life-BREF to assess the quality of life (QoL), Kessler-10 Psychological Distress Scale to determine psychological distress, and Beck’s depression inventory to assess stress level. The results indicated a 92% reduction in underweight during the study period. Participants with high DDS significantly increased from 38.43 to 91.04%. All domains of the QoL were improved, the level of severe depression was significantly decreased (6.72 to 4.48%), and decrease in the proportion of participants experiencing moderate (18.3 to 12.7%) and severe psychological distress (4.48 to 3.73%) was observed. There was no significant association between DDS and the three psychological parameters. The implementation of the nutrition care process and the recovery diets is feasible and could improve the nutritional status, QoL, and stress level of PWUDs.


2020 ◽  
Vol 10 (3) ◽  
pp. 425-434
Author(s):  
Muhammed A. Usman ◽  
Nicolas Gerber

Abstract In this paper, we investigate the relationship between household drinking water quality and irrigation and child nutrition using primary household survey data and microbiological water sample testings in two rural districts of Ethiopia. Anthropometric measures such as height-for-age z-scores (HAZ), weight-for-age z-scores (WAZ), and weight-for-height z-scores (WHZ) were used to measure stunting, underweight, and wasting, respectively. Our survey results show that 41% of the children are stunted, 26% underweight, and 8% wasted. More than 58% of household's stored drinking water samples were also contaminated with Escherichia coli bacteria. The multivariate regression results suggest that irrigation farming and on-premises water sources are significantly associated with lower HAZ, while uncontaminated household stored drinking water quality is correlated with higher WAZ. The results also reveal that dietary diversity score and the number of antenatal care visits by the primary caretaker are statistically significant predictors of child nutritional status. These findings, however, cast doubt on the hypothesis that irrigated agriculture exclusively has a positive effect on child nutrition outcomes.


2018 ◽  
Vol 51 (1) ◽  
pp. 1-17 ◽  
Author(s):  
Mesbah Fathy Sharaf ◽  
Elhussien Ibrahim Mansour ◽  
Ahmed Shoukry Rashad

SummaryThis study examined the underlying demographic and socioeconomic determinants of child nutritional status in Egypt using data from the most recent round of the Demographic and Health Survey. The height-for-age Z-score (HAZ) was used as a measure of child growth. A quantile regression approach was used to allow for a heterogeneous effect of each determinant along different percentiles of the conditional distribution of the HAZ. A nationally representative sample of 13,682 children aged 0–4 years was drawn from the 2014 Egypt DHS. The multivariate analyses included a set of HAZ determinants commonly used in the literature. The conditional and unconditional analyses revealed a socioeconomic gradient in child nutritional status, in which children of low income/education households have a worse HAZ than those from high income/education households. The results also showed significant disparities in child nutritional status by demographic and social characteristics. The quantile regression results showed that the association between the demographic and socioeconomic factors and HAZ differed along the conditional HAZ distribution. Intervention measures need to consider the heterogeneous effect of the determinants of child nutritional status along the different percentiles of the HAZ distribution. There is no one-size-fits-all policy to combat child malnutrition; a multifaceted approach and targeted policy interventions are required to address this problem effectively.


2021 ◽  
Author(s):  
Ahad Mahmud Khan

Abstract Objective: Poor mental health may diminish a mother's capacity to adequately care for her child, resulting in a negative impact on the child’s nutrition. This study aims to determine the association between maternal mental health and child nutritional status in a poor urban population in Bangladesh.Methods: We carried out a cross-sectional study among 264 mother-child pairs in an urban slum area of Bangladesh. The Self-Reporting Questionnaire-20 (SRQ-20) was used to assess maternal mental health. An SRQ-20 score ≥7 was considered a common mental disorder (CMD). Anthropometric measurements were performed to assess child nutritional status.Results: The prevalence of maternal CMD was 46.2%. Maternal CMD was associated with poorer child feeding practice (p<0.001), poorer hygiene practice (p<0.001), poorer preventive care service use (p=0.016) and suffering from diarrheal disease (p=0.049). The prevalence of stunting, wasting and underweight was 44.3%, 18.2% and 33.7%, respectively. Poorer child feeding practice was associated with wasting (p=0.004) and underweight (p<0.001) but not with stunting. Poorer hygiene practice and suffering from diarrheal disease were associated with stunting and underweight but not with wasting. In multivariate analysis, maternal CMD was associated with child wasting (AOR=2.25, 95% CI=1.15-4.43). Association between maternal CMD and child underweight found in bivariate analysis was attenuated and no longer statistically significant after multivariate analysis (AOR=1.77, 95% CI=0.94-3.33). No statistically significant association was observed between maternal CMD and stunting in this study (AOR=1.46, 95% CI=0.84-2.54).Conclusions: Maternal mental health affects child nutritional status through child feeding practice, hygiene practice and preventive care use. Interventions to address the mental health of mothers in child nutrition programs might contribute to improving child nutritional status.


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