Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regression
Abstract Wasting is one of the symptoms of malnutrition that has been connected to the deaths of malnourished children. This study was intended to explain the effect of socio‐demographic and economic factors on under‐5 wasting by evaluating their conditional effect across the distribution of weight‐...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2023-02-01
|
Series: | Food Science & Nutrition |
Subjects: | |
Online Access: | https://doi.org/10.1002/fsn3.3144 |
_version_ | 1797826702700707840 |
---|---|
author | Faruq Abdulla M. M. Abd El‐Raouf Azizur Rahman Ramy Aldallal Mohamed S. Mohamed Md. Moyazzem Hossain |
author_facet | Faruq Abdulla M. M. Abd El‐Raouf Azizur Rahman Ramy Aldallal Mohamed S. Mohamed Md. Moyazzem Hossain |
author_sort | Faruq Abdulla |
collection | DOAJ |
description | Abstract Wasting is one of the symptoms of malnutrition that has been connected to the deaths of malnourished children. This study was intended to explain the effect of socio‐demographic and economic factors on under‐5 wasting by evaluating their conditional effect across the distribution of weight‐for‐height Z (WHZ) scores using the quantile regression (QR) model. The weighted sample which included 13,680 children under 5 years was taken from the countrywide Egyptian DHS 2014 survey. The results depicted that about 2% of Egyptian children were severely wasted, with the prevalence of wasting being around 8%. It was discovered that across the WHZ distribution, the child's features, maternal characteristics, father's education, and social factors had significant but varied contributions in explaining the wasting status of under‐5 children. It was revealed that female children had a significant weight advantage, notably 0.21 standard deviation (SD) higher weight at the 95th quantile over their male counterparts. The WHZ score was also found to be significantly positively associated with both age and household's wealth status at the lower and upper tails of the WHZ distribution, respectively. Moreover, in comparison with children whose mothers were underweight, those whose mothers were normal or overweight had higher WHZ scores, with a 1.45 SD increase in WHZ scores at the 95th quantile for mothers who were normal weights. Furthermore, the children who were breastfed, whose mothers received antenatal care (ANC) services, and/or who had educated parents had an advantage in terms of WHZ scores than their counterparts. In addition, the children with higher birth order and/or who resided in urban areas had weight disadvantages compared to their counterparts. Therefore, in order to improve children's nutritional status and achieve the Sustainable Development Goals (SDGs) by 2030, the government and public–private owner organizations must work together at the community level focusing on vulnerable groups. |
first_indexed | 2024-04-09T12:36:33Z |
format | Article |
id | doaj.art-82c813b9151b4775a85ec94eb1b91c4f |
institution | Directory Open Access Journal |
issn | 2048-7177 |
language | English |
last_indexed | 2024-04-09T12:36:33Z |
publishDate | 2023-02-01 |
publisher | Wiley |
record_format | Article |
series | Food Science & Nutrition |
spelling | doaj.art-82c813b9151b4775a85ec94eb1b91c4f2023-05-15T11:51:08ZengWileyFood Science & Nutrition2048-71772023-02-011121073108310.1002/fsn3.3144Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regressionFaruq Abdulla0M. M. Abd El‐Raouf1Azizur Rahman2Ramy Aldallal3Mohamed S. Mohamed4Md. Moyazzem Hossain5Department of Applied Health and Nutrition RTM Al‐Kabir Technical University Sylhet BangladeshBasic and Applied Science Institute, Arab Academy for Science, Technology and Maritime Transport (AASTMT) Alexandria EgyptSchool of Computing, Mathematics and Engineering Charles Sturt University Wagga Wagga New South Wales AustraliaDepartment of Accounting, College of Business Administration in Hawtat Bani Tamim Prince Sattam bin Abdulaziz University Al‐Kharj Saudi ArabiaDepartment of Mathematics, College of Science Taif University Taif Saudi ArabiaDepartment of Statistics Jahangirnagar University Dhaka BangladeshAbstract Wasting is one of the symptoms of malnutrition that has been connected to the deaths of malnourished children. This study was intended to explain the effect of socio‐demographic and economic factors on under‐5 wasting by evaluating their conditional effect across the distribution of weight‐for‐height Z (WHZ) scores using the quantile regression (QR) model. The weighted sample which included 13,680 children under 5 years was taken from the countrywide Egyptian DHS 2014 survey. The results depicted that about 2% of Egyptian children were severely wasted, with the prevalence of wasting being around 8%. It was discovered that across the WHZ distribution, the child's features, maternal characteristics, father's education, and social factors had significant but varied contributions in explaining the wasting status of under‐5 children. It was revealed that female children had a significant weight advantage, notably 0.21 standard deviation (SD) higher weight at the 95th quantile over their male counterparts. The WHZ score was also found to be significantly positively associated with both age and household's wealth status at the lower and upper tails of the WHZ distribution, respectively. Moreover, in comparison with children whose mothers were underweight, those whose mothers were normal or overweight had higher WHZ scores, with a 1.45 SD increase in WHZ scores at the 95th quantile for mothers who were normal weights. Furthermore, the children who were breastfed, whose mothers received antenatal care (ANC) services, and/or who had educated parents had an advantage in terms of WHZ scores than their counterparts. In addition, the children with higher birth order and/or who resided in urban areas had weight disadvantages compared to their counterparts. Therefore, in order to improve children's nutritional status and achieve the Sustainable Development Goals (SDGs) by 2030, the government and public–private owner organizations must work together at the community level focusing on vulnerable groups.https://doi.org/10.1002/fsn3.3144child malnutritionchi‐squareEgyptquantile regressionundernutritionwasting |
spellingShingle | Faruq Abdulla M. M. Abd El‐Raouf Azizur Rahman Ramy Aldallal Mohamed S. Mohamed Md. Moyazzem Hossain Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regression Food Science & Nutrition child malnutrition chi‐square Egypt quantile regression undernutrition wasting |
title | Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regression |
title_full | Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regression |
title_fullStr | Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regression |
title_full_unstemmed | Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regression |
title_short | Prevalence and determinants of wasting among under‐5 Egyptian children: Application of quantile regression |
title_sort | prevalence and determinants of wasting among under 5 egyptian children application of quantile regression |
topic | child malnutrition chi‐square Egypt quantile regression undernutrition wasting |
url | https://doi.org/10.1002/fsn3.3144 |
work_keys_str_mv | AT faruqabdulla prevalenceanddeterminantsofwastingamongunder5egyptianchildrenapplicationofquantileregression AT mmabdelraouf prevalenceanddeterminantsofwastingamongunder5egyptianchildrenapplicationofquantileregression AT azizurrahman prevalenceanddeterminantsofwastingamongunder5egyptianchildrenapplicationofquantileregression AT ramyaldallal prevalenceanddeterminantsofwastingamongunder5egyptianchildrenapplicationofquantileregression AT mohamedsmohamed prevalenceanddeterminantsofwastingamongunder5egyptianchildrenapplicationofquantileregression AT mdmoyazzemhossain prevalenceanddeterminantsofwastingamongunder5egyptianchildrenapplicationofquantileregression |