Factors Associated with Malnutrition among Tribal Children in India: A Non-Parametric Approach

Debnath, Avijit; Bhattacharjee, Nairita

doi:10.1093/tropej/fmt106

Cited by 20 publications

(22 citation statements)

References 7 publications

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“…The inclusion of these variables was guided by approaches adopted in extant studies (Bisai, Bose and Ghosh, 2008;Debnath and Bhattacharjee, 2014;Khan and Raza, 2014;Talapalliwar and Garg, 2014). The age of the child was recorded in completed months based on the mother's report and was categorized as 6 −11, 12−23, 24−35, 36−47, and 48−59 months.…”

Section: Independent Variablesmentioning

confidence: 99%

Cross-sectional study of child malnutrition and associated risk factors among children aged under five in West Bengal, India

Sarkar¹

2016

IJPS

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Using a cross-sectional study of 485 sample households in 2013, the present paper examines the prevalence and risk factors of child malnutrition among children under the age of five in West Bengal, India. As a part of this investigation, children's underweight status, wasting, and stunting were examined in order to determine child nutritional status using the WHO growth standard. We performed bivariate analyses in order to elucidate differentials in nutritional indices and fitted multinomial logistic regression models to examine the net effect of different socio-economic factors on the likelihood of child malnutrition. Analysis results revealed stunting (51%) as the most common form of malnutrition among children aged under five, followed by underweight status (41%), and wasting (22%).Gender discrimination among children increases with age, whereby girls are more deprived (as measured by nutritional indices) compared to boys later in childhood relative to younger ages. Results from multinomial analyses reveal age, religion, caste, and birth-order of the child as significant predictors of child's nutritional status.

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Section: Independent Variablesmentioning

confidence: 99%

Cross-sectional study of child malnutrition and associated risk factors among children aged under five in West Bengal, India

Sarkar¹

2016

IJPS

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“…In India's 2013–2014 nationally representative rapid survey of children, 42.3% of children under‐five from Scheduled Tribes were stunted, rising to 64.1% and 53.4% in Jharkhand and Odisha, two states with a high proportion of Scheduled Tribe households (Ministry of Women and Child Development, Government Of India, ). Unfortunately, most studies on undernutrition among Scheduled Tribe communities use national data from 2005/6 or small sample sizes, and often do not investigate stunting determinants systematically (Arnold et al , Debnath and Bhattacharjee, , UNICEF, ). Determinants research could help prioritise interventions for scaling up stunting reduction in areas with indigenous populations.…”

Section: Introductionmentioning

confidence: 99%

Handwashing, sanitation and family planning practices are the strongest underlying determinants of child stunting in rural indigenous communities of Jharkhand and Odisha, Eastern India: a cross‐sectional study

Saxton¹,

Rath

Nair

et al. 2016

Maternal & Child Nutrition

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The World Health Organisation has called for global action to reduce child stunting by 40% by 2025. One third of the world's stunted children live in India, and children belonging to rural indigenous communities are the worst affected. We sought to identify the strongest determinants of stunting among indigenous children in rural Jharkhand and Odisha, India, to highlight key areas for intervention.We analysed data from 1227 children aged 6–23.99 months and their mothers, collected in 2010 from 18 clusters of villages with a high proportion of people from indigenous groups in three districts. We measured height and weight of mothers and children, and captured data on various basic, underlying and immediate determinants of undernutrition. We used Generalised Estimating Equations to identify individual determinants associated with children's height‐for‐age z‐score (HAZ; p < 0.10); we included these in a multivariable model to identify the strongest HAZ determinants using backwards stepwise methods.In the adjusted model, the strongest protective factors for linear growth included cooking outdoors rather than indoors (HAZ +0.66), birth spacing ≥24 months (HAZ +0.40), and handwashing with a cleansing agent (HAZ +0.32). The strongest risk factors were later birth order (HAZ −0.38) and repeated diarrhoeal infection (HAZ −0.23).Our results suggest multiple risk factors for linear growth faltering in indigenous communities in Jharkhand and Odisha. Interventions that could improve children's growth include reducing exposure to indoor air pollution, increasing access to family planning, reducing diarrhoeal infections, improving handwashing practices, increasing access to income and strengthening health and sanitation infrastructure.

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“…En cuanto a los resultados que relacionan riqueza con el estado nutricional del menor, se evidencia una relación similar con estudios previos 1,12,22,23 . No obstante, con respecto a la variable número de hijos, que es una proxy de menor cantidad de recursos al interior del hogar, se encontró que los resultados de la presente investigación no son acordes con otros estudios realizados en Colombia, Perú y Ecuador, estudios en los que la variable número de hijos si generó diferencias significativas en la DC 4,11,24 .…”

Section: Discussionunclassified

“…SETTING Nabon (rural. De igual modo, existe una fuerte asociación entre los controles prenatales y el estado nutricional de los niños, como lo muestran estudios realizados en Argentina y la India, donde un menor número de controles aumenta la probabilidad de mal estado nutricional 23,29 .…”

Section: Discussionunclassified

Determinantes socioeconómicos del estado nutricional en menores de cinco años atendidos en el Hospital Infantil Napoleón Franco Pareja

Moreno-Ruiz

Picon

Marrugo-Arnedo

et al. 2017

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RESUMENObjetivo: Determinar los factores sociales y económicos que afectan el estado nutricional de los niños menores de cinco años. Metodología: Se llevó a cabo un estudio de corte transversal con una muestra de 600 menores que asistieron al Hospital Infantil Napoleón Franco Pareja (HINFP) a cuyas madres se les aplicó un instrumento estandarizado para capturar la información socioeconómica y el estado nutricional del niño y de la madre. Se estimaron dos modelos econométricos de Umbral Generalizado, tomando como variable dependientes talla para la edad y peso para la talla y como variables independientes: peso al nacer del menor, número de controles prenatales, nivel de ingresos del hogar, uso de servicios de alcantarillado y acueducto, índice de masa corporal (IMC) de la madre, entre otras. Resultados: De acuerdo al indicador de talla para la edad, el 48.05% de los niños sufren de desnutrición crónica. El indicador de peso para la talla reflejó que el 22.09% de los niños tuvieron un déficit en su masa corporal (desnutrición aguda) y un 13.53% se encontraba en sobrepeso u obesidad. El 76.02% de las madres con hijos con talla para la edad normal tienen educación media o superior. El 56% de los niños pertenecientes a hogares con ingresos inferiores al salario mínimo mensual legal vigente tuvieron problemas de desnutrición aguda. Respecto a los determinantes, mayores ingresos reducen la probabilidad de que un niño sufra desnutrición. El tiempo de lactancia materna, la ocupación y el estado nutricional de la madre resultaron ser factores protectores. El incremento de la edad gestacional al nacimiento, aumenta la probabilidad de tener una talla normal. Conclusiones: La presente investigación genera evidencia para revisar la política sanitaria de nutrición infantil. Elevar el nivel de ingresos y promover la lactancia materna mejorarían el estado nutricional de los niños.Palabras claves: Nutrición infantil, determinantes, indicadores de salud, peso para la estatura, salud pública.

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Factors Associated with Malnutrition among Tribal Children in India: A Non-Parametric Approach

Cited by 20 publications

References 7 publications

Cross-sectional study of child malnutrition and associated risk factors among children aged under five in West Bengal, India

Cross-sectional study of child malnutrition and associated risk factors among children aged under five in West Bengal, India

Handwashing, sanitation and family planning practices are the strongest underlying determinants of child stunting in rural indigenous communities of Jharkhand and Odisha, Eastern India: a cross‐sectional study

Determinantes socioeconómicos del estado nutricional en menores de cinco años atendidos en el Hospital Infantil Napoleón Franco Pareja

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