Shared environments: a multilevel analysis of community context and child nutritional status in Bangladesh

Corsi, Daniel J.; Chow, Clara K; Lear, Scott A.; Rahman, Omar; Subramanian, S. V.; Teo, Koon

doi:10.1017/s1368980010003356

Cited by 27 publications

(20 citation statements)

References 48 publications

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“…Our results confirm the importance of the education of mothers for the health of children, found in previous studies for Colombia 10 , 11 and developing countries 23 , 24 . Education level may influence the health of the children from the access to information or the ability to acquire new knowledge.…”

Section: Discussionsupporting

confidence: 92%

Socioeconomic context of the community and chronic child malnutrition in Colombia

Osorio¹,

Romero²,

Bonilla³

et al. 2018

Rev. saúde pública

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OBJECTIVE To analyze the influence of the socioeconomic context of the community on chronic child malnutrition in Colombia.METHODS We estimated multilevel logistic models using data from the National Demographic and Health Survey in Colombia in 2010. The final sample included 11,448 children under the age of five gathered in 3,528 communities. In addition, we used the Principal Component Analysis with polychoric correlations for the construction of composed indicators of wealth, autonomy of the woman, and the use and access to the health system.RESULTS The average level of community wealth was significantly and independently associated with chronic malnutrition in early childhood, more than the socioeconomic status of the household itself. At the individual and household level, the probability of chronic malnutrition was higher for children from mothers with low levels of autonomy and use and access to the health system, mothers who had their first child in adolescence, and mothers who live in homes in the lowest wealth quintiles. In contrast, children from mothers with a body mass index > 25 and with at least secondary education (versus no education) were less likely to suffer from chronic malnutrition.CONCLUSIONS Research, programs, and interventions need to take into account the physical, economic, and social context of communities to contribute with the improvement of the nutritional status of early childhood in Colombia.

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Section: Discussionsupporting

confidence: 92%

Socioeconomic context of the community and chronic child malnutrition in Colombia

Osorio¹,

Romero²,

Bonilla³

et al. 2018

Rev. saúde pública

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“…through contact with contaminated flies or other children) spread faecal contamination and water contamination over the community. In this way, members of households that already have good water and sanitation may be affected (Corsi et al, 2011;Gragnolati, 1999). Hence, important spillover effects between factors at the household and at the community level can be relevant.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…This might facilitate better hygiene and health outcomes for children in the community (Corsi et al, 2011;Gragnolati, 1999). An even stronger spillover effect is expected with respect to the coverage of proper sanitation in the community (Alderman et al, 2003).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…Ideally, an analysis of the determinants of diarrhoea should take all relevant factors at both levels into account (Corsi et al, 2011;Fewtrell et al, 2005). Children from a household with good quality water and sanitation are still at risk for diarrhoea if they live in a community with open defaecation, due to the contamination of soil and water sources (Andres, Briceño, Chase, & Echenique, 2014;Corsi et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Clean water, sanitation and diarrhoea in Indonesia: Effects of household and community factors

Komarulzaman

Smits

Jong

2016

Global Public Health

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Diarrhoea is an important health issue in low-and middle-income countries, including Indonesia. We applied a multilevel regression analysis on the Indonesian Demographic and Health Survey to examine the effects of drinking water and sanitation facilities at the household and community level on diarrhoea prevalence among children under five (n = 33,339). The role of the circumstances was explored by studying interactions between the water and sanitation variables and other risk factors. Diarrhoea prevalence was reported by 4820 (14.4%) children, who on average were younger, poorer and were living in a poorer environment. At the household level, piped water was significantly associated with diarrhoea prevalence (OR = 0.797, 95% CI: 0.692-0.918), improved sanitation had no direct effect (OR = 0.992, 95% CI: 0.899-1.096) and water treatment was not related to diarrhoea incidence (OR = 1.106, 95% CI: 0.994-1.232). At the community level, improved water coverage had no direct effect (OR = 1.002, 95% CI: 0.950-1.057) but improved sanitation coverage was associated with lower diarrhoea prevalence (OR = 0.917, 95% CI: 0.843-0.998). Our interaction analysis showed that the protective effects of better sanitation at the community level were increased by better drinking water at the community level. This illustrates the importance of improving both drinking water and sanitation simultaneously. ARTICLE HISTORY

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“…Communities often share common characteristics such as customs, beliefs and values, and may also have common access to resources such as income, transport, markets, schools and health centres. Previous studies have found associations between child nutritional status and the education level of the community (Corsi et al, 2011); economic inequality at the provincial level (Larrea and Kawachi, 2005) and access to clean water and environmental conditions (Pongou et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

How important are community characteristics in influencing children׳s nutritional status? Evidence from Malawi population-based household and community surveys

2014

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Using the 2004 data from the Malawi Integrated Household Survey and the Malawi Community Survey, this study investigates the influence of community characteristics on stunting among children under five years of age in a rural context. Multilevel logistic regression modelling on 4284 children with stunting as the dependent variable shows that availability of daily markets and lineage defined in terms of patrilineal or matrilineal communities were significant community determinants of childhood stunting in Malawi. There were significant differences in socio-economic status between household heads from matrilineal and patrilineal communities. Implementation of strategies that empower communities and households economically such as supporting the establishment of community daily markets and promoting household income generating opportunities can effectively reduce the burden of childhood stunting in Malawi.

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Shared environments: a multilevel analysis of community context and child nutritional status in Bangladesh

Cited by 27 publications

References 48 publications

Socioeconomic context of the community and chronic child malnutrition in Colombia

Socioeconomic context of the community and chronic child malnutrition in Colombia

Clean water, sanitation and diarrhoea in Indonesia: Effects of household and community factors

How important are community characteristics in influencing children׳s nutritional status? Evidence from Malawi population-based household and community surveys

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