Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria

Abstract Malnutrition has remained a global public health issue, particularly in low- and middle-income countries (LMICs). Researchers have committed to studying malnutrition (especially in children under the age of five) to address the nine malnutrition targets, set by the WHO to be achieved by 202...

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Main Authors: Phillips Edomwonyi Obasohan, Stephen J. Walters, Richard Jacques, Khaled Khatab
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Nutrition
Subjects:
Online Access:https://doi.org/10.1186/s40795-023-00813-x
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author Phillips Edomwonyi Obasohan
Stephen J. Walters
Richard Jacques
Khaled Khatab
author_facet Phillips Edomwonyi Obasohan
Stephen J. Walters
Richard Jacques
Khaled Khatab
author_sort Phillips Edomwonyi Obasohan
collection DOAJ
description Abstract Malnutrition has remained a global public health issue, particularly in low- and middle-income countries (LMICs). Researchers have committed to studying malnutrition (especially in children under the age of five) to address the nine malnutrition targets, set by the WHO to be achieved by 2025. This study seeks to evaluate the prevalence, the individual and contextual predictors of malnutrition among children aged 6–59 months across Nigeria and its states. Two separates, independently collected, nationally representative cross-sectional surveys, the National Human Development Report (NHDR 2018) and the 2018 Nigeria Demographic and Health Survey (2018 NDHS) were linked for this study. Spatial map was used to describe the prevalence of malnutrition, a 3-level multivariate multilevel logistic regression models were fitted where children/individuals (at level 1) were nested in communities/clusters (at level 2) and nested in states (at level 3). A weighted sample of 7,770 children 6–59 months were considered in this study. The results showed that an estimated 43.6% of children aged 6–59 months are poorly nourished in Nigeria. The proportions of poorly nourished children were generally highest in the Northern Nigeria. Child’s gender, age, birth size, preceding birth order, anaemia status, maternal education, work status, body weight, household wealth status, number of bedrooms were among individual/household predictors of malnutrition. On the community level, being from community with high wealth index, distance to nearest health facilities is no big problem. Regional variations and gender inequality index were the state level predictors of malnutrition among children in Nigeria. This study has shown that two-third of children aged 6–59 months in Nigeria were poorly nourished, an indication of a growing concern of double burden of malnutrition in Nigeria.
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spelling doaj.art-9ea0c6b4a765422499442473c9e6d73c2024-01-07T12:15:03ZengBMCBMC Nutrition2055-09282024-01-0110111210.1186/s40795-023-00813-xSocio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in NigeriaPhillips Edomwonyi Obasohan0Stephen J. Walters1Richard Jacques2Khaled Khatab3Sheffiield Centre of Health and Related Research (SCHARR), A Division of Population Health, University of SheffieldSheffiield Centre of Health and Related Research (SCHARR), A Division of Population Health, University of SheffieldSheffiield Centre of Health and Related Research (SCHARR), A Division of Population Health, University of SheffieldFaculty of Health and Wellbeing, Sheffield Hallam UniversityAbstract Malnutrition has remained a global public health issue, particularly in low- and middle-income countries (LMICs). Researchers have committed to studying malnutrition (especially in children under the age of five) to address the nine malnutrition targets, set by the WHO to be achieved by 2025. This study seeks to evaluate the prevalence, the individual and contextual predictors of malnutrition among children aged 6–59 months across Nigeria and its states. Two separates, independently collected, nationally representative cross-sectional surveys, the National Human Development Report (NHDR 2018) and the 2018 Nigeria Demographic and Health Survey (2018 NDHS) were linked for this study. Spatial map was used to describe the prevalence of malnutrition, a 3-level multivariate multilevel logistic regression models were fitted where children/individuals (at level 1) were nested in communities/clusters (at level 2) and nested in states (at level 3). A weighted sample of 7,770 children 6–59 months were considered in this study. The results showed that an estimated 43.6% of children aged 6–59 months are poorly nourished in Nigeria. The proportions of poorly nourished children were generally highest in the Northern Nigeria. Child’s gender, age, birth size, preceding birth order, anaemia status, maternal education, work status, body weight, household wealth status, number of bedrooms were among individual/household predictors of malnutrition. On the community level, being from community with high wealth index, distance to nearest health facilities is no big problem. Regional variations and gender inequality index were the state level predictors of malnutrition among children in Nigeria. This study has shown that two-third of children aged 6–59 months in Nigeria were poorly nourished, an indication of a growing concern of double burden of malnutrition in Nigeria.https://doi.org/10.1186/s40795-023-00813-xDouble burden of malnutritionPredictorsStuntingWastingUnderweightOverweight
spellingShingle Phillips Edomwonyi Obasohan
Stephen J. Walters
Richard Jacques
Khaled Khatab
Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria
BMC Nutrition
Double burden of malnutrition
Predictors
Stunting
Wasting
Underweight
Overweight
title Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria
title_full Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria
title_fullStr Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria
title_full_unstemmed Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria
title_short Socio-economic, demographic, and contextual predictors of malnutrition among children aged 6–59 months in Nigeria
title_sort socio economic demographic and contextual predictors of malnutrition among children aged 6 59 months in nigeria
topic Double burden of malnutrition
Predictors
Stunting
Wasting
Underweight
Overweight
url https://doi.org/10.1186/s40795-023-00813-x
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