2020
DOI: 10.1001/jamanetworkopen.2020.2791
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Association of Poor Sanitation With Growth Measurements Among Children in India

Abstract: IMPORTANCE Much research on sanitation and linear growth in low-and middle-income countries focuses on children younger than 5 years. However, poor sanitation may be associated with growth faltering during middle and late childhood to a greater extent than previously recognized. OBJECTIVETo characterize the association of poor sanitation with height-for-age z (HAZ) scores in children and adolescents in India aged 0 to 18 years. DESIGN, SETTING, AND PARTICIPANTSThis cross-sectional study examined 134 882 childr… Show more

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Cited by 22 publications
(29 citation statements)
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“…8 Nonetheless, the research significantly lags the policy action and investment. 9 Our paper develops important new facts on sanitation in the modern developing world-in part, by simply documenting striking patterns in stated and revealed preferences over latrines in India. But our study also contributes new evidence to a long-running debate: the past two centuries have produced the fastest declines in human mortality ever experienced.…”
mentioning
confidence: 97%
See 1 more Smart Citation
“…8 Nonetheless, the research significantly lags the policy action and investment. 9 Our paper develops important new facts on sanitation in the modern developing world-in part, by simply documenting striking patterns in stated and revealed preferences over latrines in India. But our study also contributes new evidence to a long-running debate: the past two centuries have produced the fastest declines in human mortality ever experienced.…”
mentioning
confidence: 97%
“…Duflo et al (2015) shows that an integrated water and sanitation improvement program in rural India reduced diarrhea episodes by 30 -50 percent. 9 There are several reasons why, despite significant interest in and spending on this issue, the externalities of open defecation are not yet well understood. For one, OLS estimates are likely to be biased because neighborhoods with worse sanitation practices are likely to be worse in other unobservable dimensions as well.…”
mentioning
confidence: 99%
“…Prior research reports that child health may vary by population density of open defecation and by toilet availability within districts. (7,43) The HMIS data, however, do not report VPD prevalence by rural/urban divisions within districts and hence limit detailed analyses by within-district regions. Owing to data limitations, we also cannot examine differential responses by gender or age groups.…”
Section: Discussionmentioning
confidence: 99%
“…The prevalence of open defecation in a neighborhood (i.e., sanitation behavior of others in the immediate surroundings) is an ecological exposure that adversely affects child health. (7,8) Prolonged exposure to fecal pathogens may cause environmental enteropathy, also referred to as tropical enteropathy or jejunitis. (9) This condition, or syndrome, includes nutrient malabsorption in the small intestine, atrophy of intestinal villi, crypt hyperplasia, T-cell infiltration and inflammation of the jejunum.…”
Section: Introductionmentioning
confidence: 99%
“…None of these studies, however, underscores the importance of APW on adolescent health. Adolescence period is the second‐most critical period of growth and maturity and may serve as the final window of opportunity to reduce stunting (Chakrabarti et al., 2020). The improvement of disease environment, sanitation, and resource availability can stimulate remedial growth of older children.…”
Section: Introductionmentioning
confidence: 99%