Social determinants of child malnutrition outcomes: Evidence from CHNS in China

China is committed to reduce child malnutrition outcomes (CMO) rates to less than 5 by 2030 in order to meet the Sustainable Development Goal (SDG). Yet, this is still an enormous challenge for China, particularly in disadvantaged areas, due to regional and urban-rural disparities. Using China Heal...

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Main Authors: Li, Sa, Mohamed Nor, Norashidah, Kaliappan, Shivee Ranjanee
Format: Article
Language:English
Published: Elsevier 2024
Online Access:http://psasir.upm.edu.my/id/eprint/105715/1/105715.pdf
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author Li, Sa
Mohamed Nor, Norashidah
Kaliappan, Shivee Ranjanee
author_facet Li, Sa
Mohamed Nor, Norashidah
Kaliappan, Shivee Ranjanee
author_sort Li, Sa
collection UPM
description China is committed to reduce child malnutrition outcomes (CMO) rates to less than 5 by 2030 in order to meet the Sustainable Development Goal (SDG). Yet, this is still an enormous challenge for China, particularly in disadvantaged areas, due to regional and urban-rural disparities. Using China Health and Nutrition Survey (CHNS) data from 1991 to 2015 and fixed-effect models, this study investigates the social determinants of stunting (n = 4012) measured by height-for-age z score (HAZ) and wasting (n = 4229) measured by weight-for-height z score (WHZ) in children under the age of five. According to the empirical findings, the significant social determinants of child stunting encompassed whether the child is insured (p < 0.01), maternal education level (primary school (p < 0.01) low middle school (p < 0.01); vocational school (p < 0.01)), maternal employment status (p < 0.05), mother's average working days (p < 0.05), average household per capita income (p < 0.01), household asset index (p < 0.01), urbanization index living in a community (medium (p < 0.05); higher (p < 0.01); highest (p < 0.01)) and living regions (west (p < 0.01); northeast (p < 0.05)). Children's maternal employment status (p < 0.05), mother's average working days (p < 0.05), living areas (p < 0.05) and living regions (central (p < 0.01); west (p < 0.01); north-east (p < 0.05)) are the significant factors impacting child wasting. Furthermore, the interaction impact between maternal employment and have one additional working day per week is positive. To attain SDGs, the Chinese government should priorities lowering stunting and wasting among 5-year-olds in the western region, particularly in impoverished regions. Also, it is possible to develop tailored policies for the growth and development of children under the age of five by addressing pertinent socio-economic factors. © 2023 The Authors
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spelling upm.eprints-1057152024-07-13T03:54:59Z http://psasir.upm.edu.my/id/eprint/105715/ Social determinants of child malnutrition outcomes: Evidence from CHNS in China Li, Sa Mohamed Nor, Norashidah Kaliappan, Shivee Ranjanee China is committed to reduce child malnutrition outcomes (CMO) rates to less than 5 by 2030 in order to meet the Sustainable Development Goal (SDG). Yet, this is still an enormous challenge for China, particularly in disadvantaged areas, due to regional and urban-rural disparities. Using China Health and Nutrition Survey (CHNS) data from 1991 to 2015 and fixed-effect models, this study investigates the social determinants of stunting (n = 4012) measured by height-for-age z score (HAZ) and wasting (n = 4229) measured by weight-for-height z score (WHZ) in children under the age of five. According to the empirical findings, the significant social determinants of child stunting encompassed whether the child is insured (p < 0.01), maternal education level (primary school (p < 0.01) low middle school (p < 0.01); vocational school (p < 0.01)), maternal employment status (p < 0.05), mother's average working days (p < 0.05), average household per capita income (p < 0.01), household asset index (p < 0.01), urbanization index living in a community (medium (p < 0.05); higher (p < 0.01); highest (p < 0.01)) and living regions (west (p < 0.01); northeast (p < 0.05)). Children's maternal employment status (p < 0.05), mother's average working days (p < 0.05), living areas (p < 0.05) and living regions (central (p < 0.01); west (p < 0.01); north-east (p < 0.05)) are the significant factors impacting child wasting. Furthermore, the interaction impact between maternal employment and have one additional working day per week is positive. To attain SDGs, the Chinese government should priorities lowering stunting and wasting among 5-year-olds in the western region, particularly in impoverished regions. Also, it is possible to develop tailored policies for the growth and development of children under the age of five by addressing pertinent socio-economic factors. © 2023 The Authors Elsevier 2024-01 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/105715/1/105715.pdf Li, Sa and Mohamed Nor, Norashidah and Kaliappan, Shivee Ranjanee (2024) Social determinants of child malnutrition outcomes: Evidence from CHNS in China. Heliyon, 10 (1). art. no. 23887. pp. 1-15. ISSN 2405-8440 https://www.sciencedirect.com/science/article/pii/S2405844023110954?via%3Dihub 10.1016/j.heliyon.2023.e23887
spellingShingle Li, Sa
Mohamed Nor, Norashidah
Kaliappan, Shivee Ranjanee
Social determinants of child malnutrition outcomes: Evidence from CHNS in China
title Social determinants of child malnutrition outcomes: Evidence from CHNS in China
title_full Social determinants of child malnutrition outcomes: Evidence from CHNS in China
title_fullStr Social determinants of child malnutrition outcomes: Evidence from CHNS in China
title_full_unstemmed Social determinants of child malnutrition outcomes: Evidence from CHNS in China
title_short Social determinants of child malnutrition outcomes: Evidence from CHNS in China
title_sort social determinants of child malnutrition outcomes evidence from chns in china
url http://psasir.upm.edu.my/id/eprint/105715/1/105715.pdf
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