Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling
Abstract Concurrent wasting and stunting (WaSt) is a condition where both wasting and stunting exist in a child at the same time. This study aimed to assess the prevalence of WaSt and to identify potential associated factors in Ethiopia. A total of 33,650 children aged between 0 and 59 months were...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-04-01
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| Series: | Maternal and Child Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/mcn.13483 |
| _version_ | 1797869288313323520 |
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| author | Biniyam Sahiledengle Kingsley E. Agho Pammla Petrucka Abera Kumie Girma Beressa Daniel Atlaw Yohannes Tekalegn Demisu Zenbaba Fikreab Desta Lillian Mwanri |
| author_facet | Biniyam Sahiledengle Kingsley E. Agho Pammla Petrucka Abera Kumie Girma Beressa Daniel Atlaw Yohannes Tekalegn Demisu Zenbaba Fikreab Desta Lillian Mwanri |
| author_sort | Biniyam Sahiledengle |
| collection | DOAJ |
| description | Abstract Concurrent wasting and stunting (WaSt) is a condition where both wasting and stunting exist in a child at the same time. This study aimed to assess the prevalence of WaSt and to identify potential associated factors in Ethiopia. A total of 33,650 children aged between 0 and 59 months were included in the analysis from the four waves of the Ethiopian Demographic and Health Survey. A mixed‐effects logistic regression model was used to identify the determinants of WaSt. The prevalence of WaSt was found to be 4.7% (95% confidence interval [CI]: (4.5–4.9)), with respectively 2.5% (95% CI: 2.1–3.1) and 4.9% (95% CI: 4.7–5.2) among children in urban and rural settings. Children: (i) in the age group 12–23 months (adjusted odds ratio [AOR]: 4.16, 95% CI: (3.20–5.42)) and 24–59 months (AOR: 3.08, 95% CI: (2.28–4.17)); (ii) who were perceived by their mothers to be smaller than normal at birth (AOR: 1.98, 95% CI: (1.57–2.50)); (iii) had diarrhoea (AOR: 1.38, 95% CI: (1.11–1.71)); and (iv) fever in the past 2 weeks (AOR: 1.38, 95% CI: (1.10–1.71)) reported higher odds of WaSt. Being a female child (AOR: 0.57, 95% CI: (0.48–0.69)), having received measles vaccination (AOR: 0.71, 95% CI: (0.55–0.89)), having a mother with a normal body mass index (18.5–24.9 kg/m2) (AOR: 0.57, 95% CI: (0.48–0.68)), having a wealthier household (AOR: 0.67, 95% CI: (0.50–0.90)), and living in rural setting (AOR: 0.49, 95% CI: (0.32–0.74)) were associated with reduced odds of WaSt. The prevalence of WaSt was high, with approximately 1 in 20 Ethiopian children suffering from the condition and needing a prompt response to minimize the poor health and developmental outcomes. Children perceived by their mother to be smaller than normal at birth, older children, and babies with diarrhoea and fever had higher odds of WaSt. |
| first_indexed | 2024-04-10T00:09:11Z |
| format | Article |
| id | doaj.art-b30002be621648519d86b0d1af149b93 |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-04-10T00:09:11Z |
| publishDate | 2023-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-b30002be621648519d86b0d1af149b932023-03-16T13:27:43ZengWileyMaternal and Child Nutrition1740-86951740-87092023-04-01192n/an/a10.1111/mcn.13483Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modellingBiniyam Sahiledengle0Kingsley E. Agho1Pammla Petrucka2Abera Kumie3Girma Beressa4Daniel Atlaw5Yohannes Tekalegn6Demisu Zenbaba7Fikreab Desta8Lillian Mwanri9Department of Public Health Madda Walabu University Goba Referral Hospital Bale‐Goba EthiopiaSchool of Health Sciences Western Sydney University Penrith New South Wales AustraliaCollege of Nursing University of Saskatchewan Saskatoon CanadaSchool of Public Health Addis Ababa University Addis Ababa EthiopiaDepartment of Public Health Madda Walabu University Goba Referral Hospital Bale‐Goba EthiopiaDepartment of Human Anatomy Madda Walabu University Goba Referral Hospital Bale‐Goba EthiopiaDepartment of Public Health Madda Walabu University Goba Referral Hospital Bale‐Goba EthiopiaDepartment of Public Health Madda Walabu University Goba Referral Hospital Bale‐Goba EthiopiaDepartment of Public Health Madda Walabu University Goba Referral Hospital Bale‐Goba EthiopiaTorrens University Australia Adelaide South Australia AustraliaAbstract Concurrent wasting and stunting (WaSt) is a condition where both wasting and stunting exist in a child at the same time. This study aimed to assess the prevalence of WaSt and to identify potential associated factors in Ethiopia. A total of 33,650 children aged between 0 and 59 months were included in the analysis from the four waves of the Ethiopian Demographic and Health Survey. A mixed‐effects logistic regression model was used to identify the determinants of WaSt. The prevalence of WaSt was found to be 4.7% (95% confidence interval [CI]: (4.5–4.9)), with respectively 2.5% (95% CI: 2.1–3.1) and 4.9% (95% CI: 4.7–5.2) among children in urban and rural settings. Children: (i) in the age group 12–23 months (adjusted odds ratio [AOR]: 4.16, 95% CI: (3.20–5.42)) and 24–59 months (AOR: 3.08, 95% CI: (2.28–4.17)); (ii) who were perceived by their mothers to be smaller than normal at birth (AOR: 1.98, 95% CI: (1.57–2.50)); (iii) had diarrhoea (AOR: 1.38, 95% CI: (1.11–1.71)); and (iv) fever in the past 2 weeks (AOR: 1.38, 95% CI: (1.10–1.71)) reported higher odds of WaSt. Being a female child (AOR: 0.57, 95% CI: (0.48–0.69)), having received measles vaccination (AOR: 0.71, 95% CI: (0.55–0.89)), having a mother with a normal body mass index (18.5–24.9 kg/m2) (AOR: 0.57, 95% CI: (0.48–0.68)), having a wealthier household (AOR: 0.67, 95% CI: (0.50–0.90)), and living in rural setting (AOR: 0.49, 95% CI: (0.32–0.74)) were associated with reduced odds of WaSt. The prevalence of WaSt was high, with approximately 1 in 20 Ethiopian children suffering from the condition and needing a prompt response to minimize the poor health and developmental outcomes. Children perceived by their mother to be smaller than normal at birth, older children, and babies with diarrhoea and fever had higher odds of WaSt.https://doi.org/10.1111/mcn.13483concurrent wasting and stuntingdouble burden of malnutritionEthiopiamalnutritionunder‐five childrenundernutrition |
| spellingShingle | Biniyam Sahiledengle Kingsley E. Agho Pammla Petrucka Abera Kumie Girma Beressa Daniel Atlaw Yohannes Tekalegn Demisu Zenbaba Fikreab Desta Lillian Mwanri Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling Maternal and Child Nutrition concurrent wasting and stunting double burden of malnutrition Ethiopia malnutrition under‐five children undernutrition |
| title | Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling |
| title_full | Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling |
| title_fullStr | Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling |
| title_full_unstemmed | Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling |
| title_short | Concurrent wasting and stunting among under‐five children in the context of Ethiopia: A generalised mixed‐effects modelling |
| title_sort | concurrent wasting and stunting among under five children in the context of ethiopia a generalised mixed effects modelling |
| topic | concurrent wasting and stunting double burden of malnutrition Ethiopia malnutrition under‐five children undernutrition |
| url | https://doi.org/10.1111/mcn.13483 |
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