Objective: The present study aimed to identify the role of mother's education in the nutritional status of children aged 2-5 years in Serbia. Design: Nationally representative population-based study. Age-and gender-specific BMI percentiles of children were analysed. In accordance with the WHO growth reference, children with BMI less than the 5th percentile were considered undernourished. Logistic regression was used to calculate the association between mother's education and other socio-economic determinants as possible confounders. Setting: UNICEF's fourth Multiple Indicator Cluster Survey, conducted in both Roma and non-Roma settlements in Serbia. Subjects: Children (n 2603) aged 2-5 years (mean age 3·05 years). Results: Less than 5 % of children aged 2-5 years were undernourished. There were significantly more undernourished children among the Roma population, in the capital of Serbia and among those whose mothers were less educated. There were statistically significant differences according to mother's education in all socio-economic characteristics (ethnicity, area, region of living and wealth index). Mother's level of education proved to be the most important factor for child's nutritional status; place of living (region) was also associated. Conclusions: Mother's education is the most significant predictor of children's undernutrition. It confirms that investment in females' education will bring benefits and progress not only for women and their children, but also for society as a whole.
Keywords
Mother's education Undernutrition ChildrenChild undernutrition is a significant global health problem and one of the leading risk factors for child mortality and morbidity worldwide (1) . It accounts for 45 % of all deaths in children under the age of 5 years (2) . Since adequate nutrition is essential during childhood to ensure healthy growth, undernutrition during early childhood may substantially increase vulnerability to infection and disease and the risk of premature death (3) . Undernutrition in children leads to permanent effects diminishing health capital later in life. It produces serious health, social and economic consequences in the course of life, as well as across generations (3)(4)(5)(6)(7) . The child undernutrition prevalence rate remains a significant public health problem in many developing countries, including Serbia. Based on data from 2005 and 2010, undernutrition has increased in Serbia and become more alarming. Multiple Indicator Cluster Surveys (MICS) have been conducted periodically in Serbia (2010 and. These surveys showed that the prevalence of child undernutrition (under the age of 5 years) in 2010 was higher than that in 2005 in non-Roma and Roma children (11 % v. 13 % for non-Roma children, 31 % v. 28 % for Roma children) (8,9)