Determinants of Stunting, Wasting, and Anemia in Guinean Preschool-Age Children: An Analysis of DHS Data From 1999, 2005, and 2012
Wasting, stunting, and anemia are persistent and important forms of malnutrition in preschool-age children in the less developed world, in particular the Republic of Guinea, which was the site of a large outbreak of Ebola virus disease in 2014 to 2015. We analyzed data from 3 Demographic and Health...
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Veröffentlicht in: | Food and nutrition bulletin 2018-03, Vol.39 (1), p.39-53 |
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description | Wasting, stunting, and anemia are persistent and important forms of malnutrition in preschool-age children in the less developed world, in particular the Republic of Guinea, which was the site of a large outbreak of Ebola virus disease in 2014 to 2015. We analyzed data from 3 Demographic and Health Surveys done in Guinea in 1999, 2005, and 2012 to identify possible determinants of wasting, stunting, and anemia. All analyses, both bivariate and multivariate, were carried out separately for each of 3 age groups: less than 6 months, 6 to 23 months, and 24 to 59 months. Variables found statistically significantly associated with stunting, wasting, or anemia in bivariate analysis were placed in an age-specific logistic regression model for that outcome. Overall, anthropometric indices were available for 9228 children and hemoglobin concentrations were available for 5681 children. Logistic regression found relatively few variables associated with nutrition outcomes in children younger than 6 months. More variables were associated with nutrition outcomes in children aged 6 to 23 months. Such variables measured a wide variety of conditions, including estimated birth size, child health and nutritional status, child caring practices, mother’s nutritional and health status, and household water source and sanitation. A similarly broad range of variables was statistically significantly associated with one or more nutrition outcomes in children aged 24 to 59 months. Few of the standard infant and young child feeding indicators were associated with any nutrition outcome. Improvement in the nutritional status of young children in Guinea may require a broad range of nutrition and health interventions. |
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We analyzed data from 3 Demographic and Health Surveys done in Guinea in 1999, 2005, and 2012 to identify possible determinants of wasting, stunting, and anemia. All analyses, both bivariate and multivariate, were carried out separately for each of 3 age groups: less than 6 months, 6 to 23 months, and 24 to 59 months. Variables found statistically significantly associated with stunting, wasting, or anemia in bivariate analysis were placed in an age-specific logistic regression model for that outcome. Overall, anthropometric indices were available for 9228 children and hemoglobin concentrations were available for 5681 children. Logistic regression found relatively few variables associated with nutrition outcomes in children younger than 6 months. More variables were associated with nutrition outcomes in children aged 6 to 23 months. Such variables measured a wide variety of conditions, including estimated birth size, child health and nutritional status, child caring practices, mother’s nutritional and health status, and household water source and sanitation. A similarly broad range of variables was statistically significantly associated with one or more nutrition outcomes in children aged 24 to 59 months. Few of the standard infant and young child feeding indicators were associated with any nutrition outcome. Improvement in the nutritional status of young children in Guinea may require a broad range of nutrition and health interventions.</description><identifier>ISSN: 0379-5721</identifier><identifier>EISSN: 1564-8265</identifier><identifier>DOI: 10.1177/0379572117743004</identifier><identifier>PMID: 29382224</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Anemia, Iron-Deficiency - epidemiology ; Child, Preschool ; Family Characteristics ; Female ; Growth Disorders - epidemiology ; Guinea - epidemiology ; Health Status ; Health Surveys ; Humans ; Infant ; Logistic Models ; Male ; Malnutrition - epidemiology ; Nutritional Status ; Prevalence ; Socioeconomic Factors ; Wasting Syndrome - epidemiology</subject><ispartof>Food and nutrition bulletin, 2018-03, Vol.39 (1), p.39-53</ispartof><rights>The Author(s) 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-e66366730511973a3745c610254fa7c965f616b1c3a0d7420d341176d776a6f03</citedby><cites>FETCH-LOGICAL-c379t-e66366730511973a3745c610254fa7c965f616b1c3a0d7420d341176d776a6f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0379572117743004$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0379572117743004$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29382224$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woodruff, Bradley A.</creatorcontrib><creatorcontrib>Wirth, James P.</creatorcontrib><creatorcontrib>Ngnie-Teta, Ismael</creatorcontrib><creatorcontrib>Beaulière, Jean Max</creatorcontrib><creatorcontrib>Mamady, Daffe</creatorcontrib><creatorcontrib>Ayoya, Mohamed Ag</creatorcontrib><creatorcontrib>Rohner, Fabian</creatorcontrib><title>Determinants of Stunting, Wasting, and Anemia in Guinean Preschool-Age Children: An Analysis of DHS Data From 1999, 2005, and 2012</title><title>Food and nutrition bulletin</title><addtitle>Food Nutr Bull</addtitle><description>Wasting, stunting, and anemia are persistent and important forms of malnutrition in preschool-age children in the less developed world, in particular the Republic of Guinea, which was the site of a large outbreak of Ebola virus disease in 2014 to 2015. 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Such variables measured a wide variety of conditions, including estimated birth size, child health and nutritional status, child caring practices, mother’s nutritional and health status, and household water source and sanitation. A similarly broad range of variables was statistically significantly associated with one or more nutrition outcomes in children aged 24 to 59 months. Few of the standard infant and young child feeding indicators were associated with any nutrition outcome. Improvement in the nutritional status of young children in Guinea may require a broad range of nutrition and health interventions.</description><subject>Anemia, Iron-Deficiency - epidemiology</subject><subject>Child, Preschool</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Growth Disorders - epidemiology</subject><subject>Guinea - epidemiology</subject><subject>Health Status</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Infant</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Malnutrition - epidemiology</subject><subject>Nutritional Status</subject><subject>Prevalence</subject><subject>Socioeconomic Factors</subject><subject>Wasting Syndrome - epidemiology</subject><issn>0379-5721</issn><issn>1564-8265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM9LwzAUx4Mobk7vniRHD6vmd1ZvY3ObMFCY4rFkbbpltOlM2sOu_uWmdnoQhEAevO_78N4HgGuM7jCW8h5RGXNJ2ppRhNgJ6GMuWDQigp-CftuO2n4PXHi_Q4hwwfE56JGYjgghrA8-p7rWrjRW2drDKoerurG1sZshfFe-K5TN4Njq0ihoLJw3xmpl4YvTPt1WVRGNNxpOtqbInLYPIRmeKg7efPOmixWcqlrBmatKiOM4HkKCEO-wBGFyCc5yVXh9dfwH4G32-DpZRMvn-dNkvIzScEYdaSGoEJIijnEsqaKS8VTgcBPLlUxjwXOBxRqnVKFMMoIyyoIYkUkplMgRHYDbjrt31UejfZ2Uxqe6KJTVVeOTsFtwGGyxEEVdNHWV907nyd6ZUrlDglHS2k7-mg8jN0d6sy519jvwozoEoi7g1UYnu6pxwZL_H_gFbv2FOg</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Woodruff, Bradley A.</creator><creator>Wirth, James P.</creator><creator>Ngnie-Teta, Ismael</creator><creator>Beaulière, Jean Max</creator><creator>Mamady, Daffe</creator><creator>Ayoya, Mohamed Ag</creator><creator>Rohner, Fabian</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201803</creationdate><title>Determinants of Stunting, Wasting, and Anemia in Guinean Preschool-Age Children: An Analysis of DHS Data From 1999, 2005, and 2012</title><author>Woodruff, Bradley A. ; Wirth, James P. ; Ngnie-Teta, Ismael ; Beaulière, Jean Max ; Mamady, Daffe ; Ayoya, Mohamed Ag ; Rohner, Fabian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-e66366730511973a3745c610254fa7c965f616b1c3a0d7420d341176d776a6f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anemia, Iron-Deficiency - epidemiology</topic><topic>Child, Preschool</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Growth Disorders - epidemiology</topic><topic>Guinea - epidemiology</topic><topic>Health Status</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Infant</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Malnutrition - epidemiology</topic><topic>Nutritional Status</topic><topic>Prevalence</topic><topic>Socioeconomic Factors</topic><topic>Wasting Syndrome - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Woodruff, Bradley A.</creatorcontrib><creatorcontrib>Wirth, James P.</creatorcontrib><creatorcontrib>Ngnie-Teta, Ismael</creatorcontrib><creatorcontrib>Beaulière, Jean Max</creatorcontrib><creatorcontrib>Mamady, Daffe</creatorcontrib><creatorcontrib>Ayoya, Mohamed Ag</creatorcontrib><creatorcontrib>Rohner, Fabian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Food and nutrition bulletin</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woodruff, Bradley A.</au><au>Wirth, James P.</au><au>Ngnie-Teta, Ismael</au><au>Beaulière, Jean Max</au><au>Mamady, Daffe</au><au>Ayoya, Mohamed Ag</au><au>Rohner, Fabian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of Stunting, Wasting, and Anemia in Guinean Preschool-Age Children: An Analysis of DHS Data From 1999, 2005, and 2012</atitle><jtitle>Food and nutrition bulletin</jtitle><addtitle>Food Nutr Bull</addtitle><date>2018-03</date><risdate>2018</risdate><volume>39</volume><issue>1</issue><spage>39</spage><epage>53</epage><pages>39-53</pages><issn>0379-5721</issn><eissn>1564-8265</eissn><abstract>Wasting, stunting, and anemia are persistent and important forms of malnutrition in preschool-age children in the less developed world, in particular the Republic of Guinea, which was the site of a large outbreak of Ebola virus disease in 2014 to 2015. 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subjects | Anemia, Iron-Deficiency - epidemiology Child, Preschool Family Characteristics Female Growth Disorders - epidemiology Guinea - epidemiology Health Status Health Surveys Humans Infant Logistic Models Male Malnutrition - epidemiology Nutritional Status Prevalence Socioeconomic Factors Wasting Syndrome - epidemiology |
title | Determinants of Stunting, Wasting, and Anemia in Guinean Preschool-Age Children: An Analysis of DHS Data From 1999, 2005, and 2012 |
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