Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors
The prevention of wasting should be a public health priority as the global burden of acute malnutrition is still high. Gaps still exist in our understanding of context-specific risk factors and interventions that can be implemented to prevent acute malnutrition. We used data from the four rounds of...
| Autores principales: | , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Wiley
2024
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| Acceso en línea: | https://hdl.handle.net/10568/139939 |
| _version_ | 1855537801831907328 |
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| author | Girma, Meron Hussein, Alemayehu Baye, Kaleab Samuel, Aregash van Zyl, Cornelia Tessema, Masresha Chitekwe, Stanley Laillou, Arnaud |
| author_browse | Baye, Kaleab Chitekwe, Stanley Girma, Meron Hussein, Alemayehu Laillou, Arnaud Samuel, Aregash Tessema, Masresha van Zyl, Cornelia |
| author_facet | Girma, Meron Hussein, Alemayehu Baye, Kaleab Samuel, Aregash van Zyl, Cornelia Tessema, Masresha Chitekwe, Stanley Laillou, Arnaud |
| author_sort | Girma, Meron |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | The prevention of wasting should be a public health priority as the global burden of acute malnutrition is still high. Gaps still exist in our understanding of context-specific risk factors and interventions that can be implemented to prevent acute malnutrition. We used data from the four rounds of the Ethiopia Demographic and Health Survey (2000–2016) to identify risk factors that have contributed to the change in weight-for-height z-score (WHZ) among children under 5 years of age. We performed a pooled linear regression analysis followed by a decomposition analysis to identify relevant risk factors and their relative contribution to the change in WHZ. Modest improvements in WHZ were seen between 2000 and 2016. The sharpest decrease in mean WHZ occurred from birth to 6 months of age. Perceived low weight at birth and recent diarrhoea predicted a decline in WHZ among children aged 0–5, 6–23 and 23–59 months. Less than 50% of the change in WHZ was accounted for by the change in risk factors included in our regression decomposition analysis. This finding highlights data gaps to identify context-specific wasting risk factors. The decline in the prevalence of recent diarrhoea (15% of the improvement), decline in low birth size (7%–9%), and an increase in wealth (15%–30%) were the main risk factors that accounted for the explained change in WHZ. Our findings emphasize the importance of interventions to reduce low birthweight, diarrhoea and interventions that address income inequities to prevent acute malnutrition. |
| format | Journal Article |
| id | CGSpace139939 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1399392025-12-08T10:11:39Z Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors Girma, Meron Hussein, Alemayehu Baye, Kaleab Samuel, Aregash van Zyl, Cornelia Tessema, Masresha Chitekwe, Stanley Laillou, Arnaud body weight children infants data risk malnutrition wasting disease (nutritional disorder) The prevention of wasting should be a public health priority as the global burden of acute malnutrition is still high. Gaps still exist in our understanding of context-specific risk factors and interventions that can be implemented to prevent acute malnutrition. We used data from the four rounds of the Ethiopia Demographic and Health Survey (2000–2016) to identify risk factors that have contributed to the change in weight-for-height z-score (WHZ) among children under 5 years of age. We performed a pooled linear regression analysis followed by a decomposition analysis to identify relevant risk factors and their relative contribution to the change in WHZ. Modest improvements in WHZ were seen between 2000 and 2016. The sharpest decrease in mean WHZ occurred from birth to 6 months of age. Perceived low weight at birth and recent diarrhoea predicted a decline in WHZ among children aged 0–5, 6–23 and 23–59 months. Less than 50% of the change in WHZ was accounted for by the change in risk factors included in our regression decomposition analysis. This finding highlights data gaps to identify context-specific wasting risk factors. The decline in the prevalence of recent diarrhoea (15% of the improvement), decline in low birth size (7%–9%), and an increase in wealth (15%–30%) were the main risk factors that accounted for the explained change in WHZ. Our findings emphasize the importance of interventions to reduce low birthweight, diarrhoea and interventions that address income inequities to prevent acute malnutrition. 2024-07 2024-03-12T14:37:37Z 2024-03-12T14:37:37Z Journal Article https://hdl.handle.net/10568/139939 en Open Access Wiley Girma, Meron; Hussein, Alemayehu; Baye, Kaleab; Samuel, Aregash; van Zyl, Cornelia; Tessema, Masresha; Chitekwe, Stanley; and Laillou, Arnaud. 2024. Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors. Maternal and Child Nutrition 20(S5). https://doi.org/10.1111/mcn.13392 |
| spellingShingle | body weight children infants data risk malnutrition wasting disease (nutritional disorder) Girma, Meron Hussein, Alemayehu Baye, Kaleab Samuel, Aregash van Zyl, Cornelia Tessema, Masresha Chitekwe, Stanley Laillou, Arnaud Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors |
| title | Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors |
| title_full | Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors |
| title_fullStr | Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors |
| title_full_unstemmed | Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors |
| title_short | Drivers of change in weight-for-height among children under 5 years of age in Ethiopia: Risk factors and data gaps to identify risk factors |
| title_sort | drivers of change in weight for height among children under 5 years of age in ethiopia risk factors and data gaps to identify risk factors |
| topic | body weight children infants data risk malnutrition wasting disease (nutritional disorder) |
| url | https://hdl.handle.net/10568/139939 |
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