Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component model

Objectives: This study aimed at assessing shared spatial risk of childhood undernutrition indicators in Malawi. Study design: Cross-sectional design. Methods: The shared spatial component model was fitted to childhood undernutrition indicators, namely: stunting, wasting and underweight, using 5066 c...

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Main Author: A. Ngwira
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266653522100149X
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author A. Ngwira
author_facet A. Ngwira
author_sort A. Ngwira
collection DOAJ
description Objectives: This study aimed at assessing shared spatial risk of childhood undernutrition indicators in Malawi. Study design: Cross-sectional design. Methods: The shared spatial component model was fitted to childhood undernutrition indicators, namely: stunting, wasting and underweight, using 5066 child records of the 2015/16 Malawi demographic health survey data. The spatial components were districts, and were modeled by the convolution prior, with the structured components being assigned the conditional autoregressive distribution. Results: There is significant clustering of shared spatial risk of stunting and wasting (Moran I = 0.464, p-value = 0.009), and wasting and underweight (Moran I = 0.392, p-value = 0.026), and the risk maps show southern districts, followed by central districts being at greater risk of jointly having stunting and wasting, wasting and underweight, compared to the northern region districts. The shared spatial risk of stunting and underweight is randomly dispersed across the country (Moran I = - 0.044, p-value = 0.539). Conclusion: Interventions to reduce the shared risk of child undernutrition should focus on the southern region districts and those in the central region, and a suggestion is made to address the issue of overpopulation and effects of climate change.
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spelling doaj.art-3d81f4834f2b465788b5df9f1758ffb12022-12-22T02:33:16ZengElsevierPublic Health in Practice2666-53522022-06-013100224Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component modelA. Ngwira0Basic Sciences Department, Lilongwe University of Agriculture and Natural Resources, P.O Box 219, Lilongwe, MalawiObjectives: This study aimed at assessing shared spatial risk of childhood undernutrition indicators in Malawi. Study design: Cross-sectional design. Methods: The shared spatial component model was fitted to childhood undernutrition indicators, namely: stunting, wasting and underweight, using 5066 child records of the 2015/16 Malawi demographic health survey data. The spatial components were districts, and were modeled by the convolution prior, with the structured components being assigned the conditional autoregressive distribution. Results: There is significant clustering of shared spatial risk of stunting and wasting (Moran I = 0.464, p-value = 0.009), and wasting and underweight (Moran I = 0.392, p-value = 0.026), and the risk maps show southern districts, followed by central districts being at greater risk of jointly having stunting and wasting, wasting and underweight, compared to the northern region districts. The shared spatial risk of stunting and underweight is randomly dispersed across the country (Moran I = - 0.044, p-value = 0.539). Conclusion: Interventions to reduce the shared risk of child undernutrition should focus on the southern region districts and those in the central region, and a suggestion is made to address the issue of overpopulation and effects of climate change.http://www.sciencedirect.com/science/article/pii/S266653522100149XJoint modelWinBUGSMalnutritionBayesianSpatial risk
spellingShingle A. Ngwira
Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component model
Public Health in Practice
Joint model
WinBUGS
Malnutrition
Bayesian
Spatial risk
title Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component model
title_full Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component model
title_fullStr Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component model
title_full_unstemmed Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component model
title_short Shared geographic spatial risk of childhood undernutrition in Malawi: An application of joint spatial component model
title_sort shared geographic spatial risk of childhood undernutrition in malawi an application of joint spatial component model
topic Joint model
WinBUGS
Malnutrition
Bayesian
Spatial risk
url http://www.sciencedirect.com/science/article/pii/S266653522100149X
work_keys_str_mv AT angwira sharedgeographicspatialriskofchildhoodundernutritioninmalawianapplicationofjointspatialcomponentmodel