Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study

Background: Stunting is a common type of undernutrition in schoolchildren, and it has a significant negative impact on academic performance. Stunting refers to a child who is too short for their age. It is the result of chronic or recurring malnutrition. Stunting can have far-reaching consequences t...

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Main Authors: Dirshaye Argaw, Robel Hussen Kabthymer, Tsion Endale, Aregahegn Wudneh, Meiraf Daniel Meshesha, Jarsso Tadesse Hirbu, Yesuneh Bayisa, Lulu Abebe, Ruth Tilahun, Saron Aregawi, Mengistu Lodebo Funga, Tilahun Wodaynew, Biniyam Demisse, Aneleay Cherinet Eritero, Dawit Getachew Assefa, Eden Daganchew Zeleke, Nebiyu Mengistu, Kiber Temesgen Alemu, Wondwosen Molla
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:International Journal of Africa Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214139122000580
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author Dirshaye Argaw
Robel Hussen Kabthymer
Tsion Endale
Aregahegn Wudneh
Meiraf Daniel Meshesha
Jarsso Tadesse Hirbu
Yesuneh Bayisa
Lulu Abebe
Ruth Tilahun
Saron Aregawi
Mengistu Lodebo Funga
Tilahun Wodaynew
Biniyam Demisse
Aneleay Cherinet Eritero
Dawit Getachew Assefa
Eden Daganchew Zeleke
Nebiyu Mengistu
Kiber Temesgen Alemu
Wondwosen Molla
author_facet Dirshaye Argaw
Robel Hussen Kabthymer
Tsion Endale
Aregahegn Wudneh
Meiraf Daniel Meshesha
Jarsso Tadesse Hirbu
Yesuneh Bayisa
Lulu Abebe
Ruth Tilahun
Saron Aregawi
Mengistu Lodebo Funga
Tilahun Wodaynew
Biniyam Demisse
Aneleay Cherinet Eritero
Dawit Getachew Assefa
Eden Daganchew Zeleke
Nebiyu Mengistu
Kiber Temesgen Alemu
Wondwosen Molla
author_sort Dirshaye Argaw
collection DOAJ
description Background: Stunting is a common type of undernutrition in schoolchildren, and it has a significant negative impact on academic performance. Stunting refers to a child who is too short for their age. It is the result of chronic or recurring malnutrition. Stunting can have far-reaching consequences that last a lifetime. Malnutrition is still a major public health concern in developing countries, including Ethiopia, with an estimated 118 million people going hungry by 2020. Therefore, this study was intended to assess the prevalence and associated factors of stunting among primary school children. Methods: A cross-sectional school-based study was conducted in Gedeo Zone, South Ethiopia. A multistage sampling technique was used to get a total of 500 study participants from May 1 to June 30, 2021. Data was collected by using face-to-face interviews with structured questionnaires. It was entered into Epi Data version 3.1 and exported to SPSS version 23 for analysis. Variables with a p value of 0.25 in bivariate analysis were fitted to multivariable analysis. A multivariable logistic regression model with a 95% confidence interval and a P-Value of 0.05 was used. Results: The study found that 203 (40.6%) of the 500 primary students enrolled were stunted (95% CI: 17–47). Stunting was significantly associated with educational status [AOR 2.49 (95%CI (1.23, 4.06)], dietary diversity [AOR 2.0, (95%CI (1.64, 3.54)], child age [AOR 3.48, (95%CI (2.04, 6.16)], family size [AOR 2.18, (95%CI (2.06, 4.49)], and family type [AOR 2.94, (95%CI (1.84, 4.72)]. Conclusion: More than one-third of elementary school children were stunted. Implementing school health and nutrition initiatives to improve the nutritional status of school-age children in the study area is critical, as is considering a strategy to improve children's wellbeing through cross-cutting child wellbeing strategies, with a special focus on vulnerable children. It should be considered to empower vulnerable families who are at risk of having a child with stunting to improve children's home environments.
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spelling doaj.art-42414923b1bb4ded8dc6ac0adb238b642022-12-22T04:37:55ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912022-01-0117100451Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional studyDirshaye Argaw0Robel Hussen Kabthymer1Tsion Endale2Aregahegn Wudneh3Meiraf Daniel Meshesha4Jarsso Tadesse Hirbu5Yesuneh Bayisa6Lulu Abebe7Ruth Tilahun8Saron Aregawi9Mengistu Lodebo Funga10Tilahun Wodaynew11Biniyam Demisse12Aneleay Cherinet Eritero13Dawit Getachew Assefa14Eden Daganchew Zeleke15Nebiyu Mengistu16Kiber Temesgen Alemu17Wondwosen Molla18School of Public Health, Dilla University, PO Box- 419, Dilla, EthiopiaSchool of Public Health, Dilla University, PO Box- 419, Dilla, EthiopiaSchool of Public Health, Dilla University, PO Box- 419, Dilla, EthiopiaDepartment of Midwifery, Dilla University, PO Box- 419, Dilla, EthiopiaDilla University, Department of Psychiatry, PO Box- 419, Dilla, EthiopiaDilla University, Department of Psychiatry, PO Box- 419, Dilla, EthiopiaDilla University, Department of Psychiatry, PO Box- 419, Dilla, EthiopiaSchool of Medicine, Department of Internal Medicine, PO Box- 419, Dilla, EthiopiaDepartment of Midwifery, Dilla University, PO Box- 419, Dilla, EthiopiaSchool of Public Health, Dilla University, PO Box- 419, Dilla, EthiopiaDepartment of Midwifery, Hossana College of Health Science, Hossana, EthiopiaSchool of Nursing, Jimma University, Jimma Town, EthiopiaSchool of Nursing, Arbaminch University, Arbaminch, EthiopiaDepartment of Midwifery, Dilla University, PO Box- 419, Dilla, EthiopiaDepartment of Nursing, Dilla University, Dilla, EthiopiaDepartment of Midwifery, Bule Hora University, Bule Hora, EthiopiaSchool of Medicine, Department of Internal Medicine, PO Box- 419, Dilla, EthiopiaSchool of Medicine, Department of Internal Medicine, PO Box- 419, Dilla, EthiopiaDepartment of Midwifery, Dilla University, PO Box- 419, Dilla, Ethiopia; Corresponding author.Background: Stunting is a common type of undernutrition in schoolchildren, and it has a significant negative impact on academic performance. Stunting refers to a child who is too short for their age. It is the result of chronic or recurring malnutrition. Stunting can have far-reaching consequences that last a lifetime. Malnutrition is still a major public health concern in developing countries, including Ethiopia, with an estimated 118 million people going hungry by 2020. Therefore, this study was intended to assess the prevalence and associated factors of stunting among primary school children. Methods: A cross-sectional school-based study was conducted in Gedeo Zone, South Ethiopia. A multistage sampling technique was used to get a total of 500 study participants from May 1 to June 30, 2021. Data was collected by using face-to-face interviews with structured questionnaires. It was entered into Epi Data version 3.1 and exported to SPSS version 23 for analysis. Variables with a p value of 0.25 in bivariate analysis were fitted to multivariable analysis. A multivariable logistic regression model with a 95% confidence interval and a P-Value of 0.05 was used. Results: The study found that 203 (40.6%) of the 500 primary students enrolled were stunted (95% CI: 17–47). Stunting was significantly associated with educational status [AOR 2.49 (95%CI (1.23, 4.06)], dietary diversity [AOR 2.0, (95%CI (1.64, 3.54)], child age [AOR 3.48, (95%CI (2.04, 6.16)], family size [AOR 2.18, (95%CI (2.06, 4.49)], and family type [AOR 2.94, (95%CI (1.84, 4.72)]. Conclusion: More than one-third of elementary school children were stunted. Implementing school health and nutrition initiatives to improve the nutritional status of school-age children in the study area is critical, as is considering a strategy to improve children's wellbeing through cross-cutting child wellbeing strategies, with a special focus on vulnerable children. It should be considered to empower vulnerable families who are at risk of having a child with stunting to improve children's home environments.http://www.sciencedirect.com/science/article/pii/S2214139122000580StuntingMalnutritionUndernutritionEthiopia
spellingShingle Dirshaye Argaw
Robel Hussen Kabthymer
Tsion Endale
Aregahegn Wudneh
Meiraf Daniel Meshesha
Jarsso Tadesse Hirbu
Yesuneh Bayisa
Lulu Abebe
Ruth Tilahun
Saron Aregawi
Mengistu Lodebo Funga
Tilahun Wodaynew
Biniyam Demisse
Aneleay Cherinet Eritero
Dawit Getachew Assefa
Eden Daganchew Zeleke
Nebiyu Mengistu
Kiber Temesgen Alemu
Wondwosen Molla
Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study
International Journal of Africa Nursing Sciences
Stunting
Malnutrition
Undernutrition
Ethiopia
title Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study
title_full Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study
title_fullStr Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study
title_full_unstemmed Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study
title_short Stunting and associated factors among primary school children in Ethiopia: School-based cross-sectional study
title_sort stunting and associated factors among primary school children in ethiopia school based cross sectional study
topic Stunting
Malnutrition
Undernutrition
Ethiopia
url http://www.sciencedirect.com/science/article/pii/S2214139122000580
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