What explains the large disparity in child stunting in the Philippines? A decomposition analysis

Ulep, Valerie Gilbert T.; Uy, Jhanna; Casas, Lyle Daryll

doi:10.1017/s136898002100416x

Cited by 7 publications

(15 citation statements)

References 84 publications

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“…The results from our study suggest that coefficients (Child factors: child age; household factors: wealth index; Maternal factors: number of antenatal care visits) were the key determinants of moderate and severe stunting reduction in Rwanda. The results from the current study agree with the outcome of studies conducted in Bangladesh and the Philippines which concluded that child‐related factors (age, sex, place of birth and vaccination status), Maternal (education, BMI, stature, media exposure and the number of children), and household (wealth index, family size and sanitation infrastructure) are essential determinants of stunting reduction (Ulep et al, 2021 ; Win et al, 2021 ). Furthermore, our study and those of others show that attainment of higher education among mothers increases their chances of access to knowledge of health education, leading to improved child feeding practices.…”

Section: Discussionsupporting

confidence: 88%

Understanding factors associated with rural‐urban disparities of stunting among under‐five children in Rwanda: A decomposition analysis approach

Kalinda

Phiri

Simona

et al. 2023

Maternal & Child Nutrition

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Childhood stunting in its moderate and severe forms is a major global problem and an important indicator of child health. Rwanda has made progress in reducing the prevalence of stunting. However, the burden of stunting and its geographical disparities have precipitated the need to investigate its spatial clusters and attributable factors. Here, we assessed the determinants of under-5 stunting and mapped its prevalence to identify areas where interventions can be directed. Using three combined rounds of the nationally representative Rwanda Demographic and Health Surveys of 2010, 2015 and 2020, we employed the Blinder-Oaxaca decomposition analysis and the hotspot and cluster analyses to quantify the contributions of key determinants of stunting. Overall, there was a 7.9% and 10.3% points reduction in moderate stunting among urban and rural areas, respectively, and a 2.8% and 8.3% points reduction in severe stunting in urban and rural areas, respectively. Child age, wealth index, maternal education and the number of antenatal care visits were key determinants for the reduction of moderate and severe stunting. Over time, persistent statistically significant hotspots for moderate and severe stunting were observed in Northern and Western parts of the country.There is a need for an adaptive scaling approach when implementing national nutritional interventions by targeting high-burden regions. Stunting hotspots in Western and Northern provinces underscore the need for coordinated subnational initiatives and strategies such as empowering the rural poor, enhancing antenatal health care, and improving maternal health and education levels to sustain the gains made in reducing childhood stunting.

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Section: Discussionsupporting

confidence: 88%

Understanding factors associated with rural‐urban disparities of stunting among under‐five children in Rwanda: A decomposition analysis approach

Kalinda

Phiri

Simona

et al. 2023

Maternal & Child Nutrition

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“…Of the two predictors classified in this factor, low micronutrient quality is the predictor that appears to provide the greatest increased risk of causing stunting, which is equal to 13% ( 33 ) . Although few studies have reported it, it was identified that vitamin D ( 19 ) , iodine ( 33 ) , iron ( 28 ) , and vitamin A ( 31 , 33 ) are micronutrients associated with stunting in Southeast Asia. This finding is also the same as that of another study on stunting in other middleand low-income countries ( 48 ) .…”

Section: Discussionmentioning

confidence: 99%

Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review

Togatorop,

Rahayuwati,

Susanti

et al. 2024

Rev. Bras. Enferm.

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Objective: To identify predictors of stunting among children 0-24 months in Southeast Asia. Methods: This scoping review focused on articles with observational study design in English published from 2012 to 2023 from five international databases. The primary keyword used were: “stunting” OR “growth disorder” AND “newborn” AND “predict” AND “Southeast Asia”. Results: Of the 27 articles selected for the final analysis there are thirteen predictors of stunting in seven Southeast Asia countries. The thirteen predictors include the child, mother, home, inadequate complementary feeding, inadequate breastfeeding, inadequate care, poor quality foods, food and water safety, infection, political economy, health and healthcare, water, sanitation, and environment, and social culture factor. Conclusion: All these predictors can lead to stunting in Southeast Asia. To prevent it, health service providers and other related sectors need to carry out health promotion and health prevention according to the predictors found.

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“…Women are also more likely to work part-time or take career breaks to care for children or ageing parents, which can impact their pension entitlements. This can lead to poverty and social exclusion in later life [ 47 , 49 ]. Mental health issues, such as depression, anxiety, and cognitive impairment, can also impact ageing experiences.…”

Section: Agingmentioning

confidence: 99%

Unlocking the Power: New Insights into the Anti-Aging Properties of Mushrooms

Luo,

Ganesan,

2024

JoF

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Aging is a complex biological process that is influenced by both intrinsic and extrinsic factors. Recently, it has been discovered that reactive oxygen species can accelerate the aging process, leading to an increased incidence of age-related diseases that are characteristic of aging. This review aims to discuss the potential of mushrooms as a dietary intervention for anti-aging, focusing on their nutritional perspective. Mushrooms contain various bioactive compounds, including carbohydrates, bioactive proteins, fungal lipids, and phenolic compounds. These compounds have shown promising effectiveness in combating skin aging and age-related diseases. In vitro and in vivo studies have demonstrated that treatments with mushrooms or their extracts can significantly extend lifespan and improve health span. Furthermore, studies have aimed to elucidate the precise cellular and molecular mechanisms of action and the structure–activity relationship of mushroom bioactive compounds. These findings provide a strong basis for further research, including human clinical trials and nutritional investigations, to explore the potential benefits of mushrooms in real-life anti-aging practices. By exploring the anti-aging effects of mushrooms, this review aims to provide valuable insights that can contribute to the development of broader strategies for healthy aging.

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What explains the large disparity in child stunting in the Philippines? A decomposition analysis

Cited by 7 publications

References 84 publications

Understanding factors associated with rural‐urban disparities of stunting among under‐five children in Rwanda: A decomposition analysis approach

Understanding factors associated with rural‐urban disparities of stunting among under‐five children in Rwanda: A decomposition analysis approach

Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review

Unlocking the Power: New Insights into the Anti-Aging Properties of Mushrooms

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