Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart Review
This retrospective study investigated growth outcomes of Kenyan children born to women living with HIV, comparing children who were orphaned maternally, paternally, and totally (both parents deceased) to those who were non-orphaned. We reviewed HIV clinic visits performed in Kenya from January 2011...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-02-01
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| Series: | Global Pediatric Health |
| Online Access: | https://doi.org/10.1177/2333794X231156045 |
| _version_ | 1797903854205927424 |
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| author | Shae Jansen MD Edith Apondi MBChB, MMED Samuel O. Ayaya MBChB, MMED Jiae Kim PhD Megan S. McHenry MD, MS |
| author_facet | Shae Jansen MD Edith Apondi MBChB, MMED Samuel O. Ayaya MBChB, MMED Jiae Kim PhD Megan S. McHenry MD, MS |
| author_sort | Shae Jansen MD |
| collection | DOAJ |
| description | This retrospective study investigated growth outcomes of Kenyan children born to women living with HIV, comparing children who were orphaned maternally, paternally, and totally (both parents deceased) to those who were non-orphaned. We reviewed HIV clinic visits performed in Kenya from January 2011 to August 2016 in children 0 to 4 years of age. Malnutrition was assessed using stunting, underweight status, and wasting ( z -scores of ≤−2). Descriptive statistics, Chi-square, t -tests, multivariable logistic regression, and ANCOVA models were performed. Of 15 027 total children in the study population, 3.5% (n = 520) were orphaned maternally, 8.1% (n = 1222) were orphaned paternally, and 2.2% (n = 336) were orphaned totally. Children who were orphans had higher rates of malnutrition compared to non-orphans ( P < .001). Children who were orphaned maternally and totally had lower anthropometric mean scores, presented to clinic later, and were more likely to be living with HIV. Children who are orphaned maternally or totally should be targeted in interventional strategies. |
| first_indexed | 2024-04-10T09:39:27Z |
| format | Article |
| id | doaj.art-241eb29b520c4cf58ac65e7b80eed812 |
| institution | Directory Open Access Journal |
| issn | 2333-794X |
| language | English |
| last_indexed | 2024-04-10T09:39:27Z |
| publishDate | 2023-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Pediatric Health |
| spelling | doaj.art-241eb29b520c4cf58ac65e7b80eed8122023-02-17T13:03:44ZengSAGE PublishingGlobal Pediatric Health2333-794X2023-02-011010.1177/2333794X231156045Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart ReviewShae Jansen MD0Edith Apondi MBChB, MMED1Samuel O. Ayaya MBChB, MMED2Jiae Kim PhD3Megan S. McHenry MD, MS4Indiana University School of Medicine, Indianapolis, IN, USAAcademic Model Providing Access to Healthcare, Eldoret, KenyaMoi University, Eldoret, KenyaIndiana University, Bloomington, IN, USAIndiana University School of Medicine, Indianapolis, IN, USAThis retrospective study investigated growth outcomes of Kenyan children born to women living with HIV, comparing children who were orphaned maternally, paternally, and totally (both parents deceased) to those who were non-orphaned. We reviewed HIV clinic visits performed in Kenya from January 2011 to August 2016 in children 0 to 4 years of age. Malnutrition was assessed using stunting, underweight status, and wasting ( z -scores of ≤−2). Descriptive statistics, Chi-square, t -tests, multivariable logistic regression, and ANCOVA models were performed. Of 15 027 total children in the study population, 3.5% (n = 520) were orphaned maternally, 8.1% (n = 1222) were orphaned paternally, and 2.2% (n = 336) were orphaned totally. Children who were orphans had higher rates of malnutrition compared to non-orphans ( P < .001). Children who were orphaned maternally and totally had lower anthropometric mean scores, presented to clinic later, and were more likely to be living with HIV. Children who are orphaned maternally or totally should be targeted in interventional strategies.https://doi.org/10.1177/2333794X231156045 |
| spellingShingle | Shae Jansen MD Edith Apondi MBChB, MMED Samuel O. Ayaya MBChB, MMED Jiae Kim PhD Megan S. McHenry MD, MS Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart Review Global Pediatric Health |
| title | Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart Review |
| title_full | Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart Review |
| title_fullStr | Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart Review |
| title_full_unstemmed | Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart Review |
| title_short | Growth Anthropometrics as a Metric of Malnutrition Disparities Among Young Children Affected by HIV who are Orphaned Maternally, Paternally, or Totally in Western Kenya: A Retrospective Chart Review |
| title_sort | growth anthropometrics as a metric of malnutrition disparities among young children affected by hiv who are orphaned maternally paternally or totally in western kenya a retrospective chart review |
| url | https://doi.org/10.1177/2333794X231156045 |
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