The dietary diversity and stunting prevalence in minority children under 3 years old: a cross-sectional study in forty-two counties of Western China

Abstract

As a key indicator of childhood malnutrition, few studies have focused on stunting in relation to various socio-economic factors in which disadvantaged groups face in China. We conducted a community-based cross-sectional study incorporating forty-two rural counties in seven western provinces of China in 2011. In total, 5196 children aged 6-23 months were included. We used Poisson regression to examine risk factors for inadequate minimum dietary diversity (MDD) and stunting status, respectively. Overall, the proportion of children not meeting MDD was 44·5 %. Children aged 6-11 months (adjusted risk ratio (ARR)=1·39; 95 % CI 1·31, 1·49), with two siblings (ARR=1·09; 95 % CI 1·02, 1·17), delivered at home (ARR=1·30; 95 % CI 1·20, 1·41), within Yi (ARR=1·15; 95 % CI 1·04, 1·28) or Uighur groups (ARR=1·52; 95 % CI 1·36, 1·71), with an illiterate caregiver (ARR=2·12; 95 % CI 1·52, 2·96), receiving lowest income (ARR=1·32; 95 % CI 1·17, 1·50), and with breast-feeding in the last day (ARR=1·55; 95 % CI 1·44, 1·66) were more likely to have inadequate MDD. Moreover, inadequate MDD was positively associated with stunting (ARR=1·15; 95 % CI 1·01, 1·31). Other determinants for stunting were age, sex, place of delivery, minority group and income. The stunting prevalence and proportion of inadequate MDD remained high in Western China; to reduce stunting rates of ethnic minorities, further efforts addressing appropriate dietary feeding practices are needed, especially within these groups.

Risk factors for undernutrition among children 0–59 months of age in Myanmar

“…Facility delivery might allow for more chances to have appropriate and timely obstetric and medical care and to receive information about childcare (Pacagnella et al, ). Similar results were found in a cross‐sectional study in Western China (Wang et al, ) and in a study using the Bangladesh DHS (Hong, Banta, & Betancourt, ). In our study population, mothers who delivered at home also exhibited lower utilization of antenatal and post‐natal services than those with facility delivery (data not shown).…”

“…Facility delivery might allow for more chances to have appropriate and timely obstetric and medical care and to receive information about childcare (Pacagnella et al, 2014). Similar results were found in a cross-sectional study in Western China (Wang et al, 2017) and in a study using the Bangladesh DHS (Hong, Banta, & Betancourt, 2006).…”

Factors associated with dietary diversity and length‐for‐age z‐score in rural Ethiopian children aged 6–23 months: A novel approach to the analysis of baseline data from the Sustainable Undernutrition Reduction in Ethiopia evaluation

“…We investigated a range of gender‐related risk factors. Maternal education is a well‐established predictor of child feeding practices and nutritional status (Boyle et al, ; Wachs, Creed‐Kanashiro, Cueto, & Jacoby, ; Wang et al, ). A study conducted in Addis Ababa, Ethiopia, reported that mother's attainment of secondary education and above was associated with higher odds of achieving minimum dietary diversity among children 6–23 months old (Solomon, Aderaw, & Tegegne, ).…”

Determinan kejadian Stunting pada Anak di Indonesia : A Literature Review

“…Karakteristik pada anak yang menyebabkan stunting cukup luas dalam 12 artikel yang di review, antara lain : bayi dengan berat lahir rendah dan kebanyakan bayi yang berjenis kelamin laki -laki (Aryastami et al, 2017;Oliviana, Deandra, &Hubaidiyah, 2016;Rachmi et al, 2016;Torlesse et al, 2016), bayi yang lahir premature (Boylan et al, 2017;Endy p, Prawirohartono, S, & Mohammad, 2016), tidak pernah mendapatkan ASI atau ASI yang diberikan tidak cukup selama 6 bulan (Aryastami et al, 2017;Huriah, 2017;Jiang et al, 2015;Rachmi et al, 2016;Wang et al, 2017).…”

“…6, No. 2, Desember 2019, 113-121 118 (Wang et al, 2017) DOAJ focused on stunting in relation to various socio economic factors in which disadvantaged groups face in China crosssectional survey China risk factors for inadequate minimum dietary diversity (MDD) and stunting status, respectively. Overall, the proportion of children not meeting MDD .…”