The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 Countries
The current study sought to investigate the joint effect of maternal marital status and type of household cooking fuel on child nutritional status in sub-Saharan Africa. Data in the children’s files of 31 sub-Saharan African countries were pooled from the Demographic and Health Surveys collected bet...
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MDPI AG
2021-05-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/5/1541 |
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| author | Iddrisu Amadu Abdul-Aziz Seidu Eric Duku Joshua Okyere John Elvis Hagan Thomas Hormenu Bright Opoku Ahinkorah |
| author_facet | Iddrisu Amadu Abdul-Aziz Seidu Eric Duku Joshua Okyere John Elvis Hagan Thomas Hormenu Bright Opoku Ahinkorah |
| author_sort | Iddrisu Amadu |
| collection | DOAJ |
| description | The current study sought to investigate the joint effect of maternal marital status and type of household cooking fuel on child nutritional status in sub-Saharan Africa. Data in the children’s files of 31 sub-Saharan African countries were pooled from the Demographic and Health Surveys collected between 2010 and 2019. The outcome variables were three child anthropometrics: stunting (height-for-age z-scores); wasting (weight-for-height z-scores); and underweight (weight-for-age z-scores). The joint effect of maternal marital status and type of household cooking fuel on child nutritional status was examined using multilevel regression models. The results were presented as adjusted odds ratios (aORs) at <i>p</i> < 0.05. The percentages of children who were stunted, wasted and underweight in the 31 countries in sub-Saharan Africa were 31%, 8% and 17%, respectively. On the joint effect of maternal marital status and type of household cooking fuel on stunting, we found that compared to children born to married mothers who used clean household cooking fuel, children born to single mothers who use unclean household cooking fuel, children born to single women who use clean household cooking fuel, and children born to married women who used unclean household cooking were more likely to be stunted. With wasting, children born to single mothers who used unclean household cooking fuel and children born to married women who used unclean household cooking fuel were more likely to be wasted compared to children born to married mothers who used clean household cooking fuel. With underweight, we found that compared to children born to married mothers who used clean household cooking fuel, children born to single mothers who used unclean household cooking fuel, children born to single women who used clean household cooking fuel and children born to married women who used unclean household cooking were more likely to be underweight. It is imperative for the governments of the 31 sub-Saharan African countries to double their efforts to end the use of unclean household cooking fuel. This goal could be achieved by promoting clean household cooking fuel (e.g., electricity, gas, ethanol, solar, etc.) through effective health education, and promotion programmes. The attention of policymakers is drawn to the urgent need for children’s nutritional status policies and programmes (e.g., dietary supplementation, increasing dietary diversity, improving agriculture and food security) to be targeted towards at-risk sub-populations (i.e., single mothered households). |
| first_indexed | 2024-03-10T11:43:20Z |
| format | Article |
| id | doaj.art-60dcc673c90649c0bce5a8647cf7a174 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T11:43:20Z |
| publishDate | 2021-05-01 |
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| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-60dcc673c90649c0bce5a8647cf7a1742023-11-21T18:15:43ZengMDPI AGNutrients2072-66432021-05-01135154110.3390/nu13051541The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 CountriesIddrisu Amadu0Abdul-Aziz Seidu1Eric Duku2Joshua Okyere3John Elvis Hagan4Thomas Hormenu5Bright Opoku Ahinkorah6Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast PMB TF0494, GhanaDepartment of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast PMB TF0494, GhanaAfrica Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast PMB TF0494, GhanaDepartment of Population and Health, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast PMB TF0494, GhanaDepartment of Health, Physical Education, and Recreation, University of Cape Coast, Cape Coast PMB TF0494, GhanaCollege of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, AustraliaSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, AustraliaThe current study sought to investigate the joint effect of maternal marital status and type of household cooking fuel on child nutritional status in sub-Saharan Africa. Data in the children’s files of 31 sub-Saharan African countries were pooled from the Demographic and Health Surveys collected between 2010 and 2019. The outcome variables were three child anthropometrics: stunting (height-for-age z-scores); wasting (weight-for-height z-scores); and underweight (weight-for-age z-scores). The joint effect of maternal marital status and type of household cooking fuel on child nutritional status was examined using multilevel regression models. The results were presented as adjusted odds ratios (aORs) at <i>p</i> < 0.05. The percentages of children who were stunted, wasted and underweight in the 31 countries in sub-Saharan Africa were 31%, 8% and 17%, respectively. On the joint effect of maternal marital status and type of household cooking fuel on stunting, we found that compared to children born to married mothers who used clean household cooking fuel, children born to single mothers who use unclean household cooking fuel, children born to single women who use clean household cooking fuel, and children born to married women who used unclean household cooking were more likely to be stunted. With wasting, children born to single mothers who used unclean household cooking fuel and children born to married women who used unclean household cooking fuel were more likely to be wasted compared to children born to married mothers who used clean household cooking fuel. With underweight, we found that compared to children born to married mothers who used clean household cooking fuel, children born to single mothers who used unclean household cooking fuel, children born to single women who used clean household cooking fuel and children born to married women who used unclean household cooking were more likely to be underweight. It is imperative for the governments of the 31 sub-Saharan African countries to double their efforts to end the use of unclean household cooking fuel. This goal could be achieved by promoting clean household cooking fuel (e.g., electricity, gas, ethanol, solar, etc.) through effective health education, and promotion programmes. The attention of policymakers is drawn to the urgent need for children’s nutritional status policies and programmes (e.g., dietary supplementation, increasing dietary diversity, improving agriculture and food security) to be targeted towards at-risk sub-populations (i.e., single mothered households).https://www.mdpi.com/2072-6643/13/5/1541biomass fuelchild nutritionsingle-motherhoodsolarsub-Saharan Africa |
| spellingShingle | Iddrisu Amadu Abdul-Aziz Seidu Eric Duku Joshua Okyere John Elvis Hagan Thomas Hormenu Bright Opoku Ahinkorah The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 Countries Nutrients biomass fuel child nutrition single-motherhood solar sub-Saharan Africa |
| title | The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 Countries |
| title_full | The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 Countries |
| title_fullStr | The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 Countries |
| title_full_unstemmed | The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 Countries |
| title_short | The Joint Effect of Maternal Marital Status and Type of Household Cooking Fuel on Child Nutritional Status in Sub-Saharan Africa: Analysis of Cross-Sectional Surveys on Children from 31 Countries |
| title_sort | joint effect of maternal marital status and type of household cooking fuel on child nutritional status in sub saharan africa analysis of cross sectional surveys on children from 31 countries |
| topic | biomass fuel child nutrition single-motherhood solar sub-Saharan Africa |
| url | https://www.mdpi.com/2072-6643/13/5/1541 |
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