Rural and Urban Correlates of Stunting Among Under-Five Children in Sierra Leone: A 2019 Nationwide Cross-Sectional Survey.

IF 2.3 Q3 NUTRITION & DIETETICS

Nutrition and Metabolic Insights Pub Date : 2021-09-30 eCollection Date: 2021-01-01 DOI:10.1177/11786388211047056

Quraish Sserwanja, Kassim Kamara, Linet M Mutisya, Milton W Musaba, Shirin Ziaei

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Abstract

Background: Undernutrition accounts for at least 50% of the annual global under-five mortality burden. Although disparities in the childhood stunting between urban and rural areas in Sierra Leone have been documented, information on factors associated with these differences is lacking. We aimed to determine rural-urban correlates of stunting among children under the age of 5 in Sierra Leone.

Methods: We analyzed data from 2019 Sierra Leone demographic and health survey (SLDHS) focusing on under-five children. We conducted multivariable logistic regression to examine rural-urban factors associated with childhood stunting.

Results: Prevalence of stunting was 31.6% (95% CI 29.8-33.2) in rural areas and 24.0% (95% CI 21.6-26.1) in urban areas. Within the rural areas, children of stunted mothers (aOR = 2.37; 95% CI 1.07-5.24, P < .05), younger mothers aged 15 to 19 years (aOR = 2.08; 95% CI 1.17-3.69, P < .05), uneducated mothers (aOR = 1.87; 95% CI 1.28-2.71, P < .01), as well as older children (24-59 months) (aOR = 1.83; 95% CI 1.48-2.27, P < .001), and boys (aOR = 1.37; 95% CI 1.12-1.66, P < .01) were more likely to be stunted compared to those of non-stunted, older, post-primary education mothers and those who were less than 24 months and girls respectively. While urban children whose fathers had lower education (aOR = 1.94; 95% CI 1.10-3.42, P < .05), whose mothers were more parous (para 2-4) (aOR = 1.74; 95% CI 1.03-2.95, P < .05), and boys (aOR = 1.48; 95% CI 1.06-2.08, P < .05) were more likely to be stunted compared to their counterparts with fathers that had tertiary education, mothers of low parity and girls, respectively.

Conclusions: Stunting is more prevalent in the rural areas compared to the urban areas. Sex of the child was the only significant factor in both rural and urban areas. Our study findings suggest that programs designed to reduce stunting should aim for integrated yet context specific interventions in rural and urban areas.

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塞拉利昂五岁以下儿童发育迟缓的农村和城市相关因素：2019年全国横断面调查》。

背景：营养不良至少占全球每年五岁以下儿童死亡率的 50%。虽然塞拉利昂城市和农村地区儿童发育迟缓的差异已被记录在案，但缺乏与这些差异相关的因素的信息。我们旨在确定塞拉利昂 5 岁以下儿童发育迟缓的城乡相关因素：我们分析了 2019 年塞拉利昂人口与健康调查（SLDHS）的数据，重点关注五岁以下儿童。我们进行了多变量逻辑回归，以研究与儿童发育迟缓相关的城乡因素：农村地区发育迟缓发生率为 31.6%（95% CI 29.8-33.2），城市地区为 24.0%（95% CI 21.6-26.1）。在农村地区，母亲发育迟缓的儿童（aOR = 2.37；95% CI 1.07-5.24，P P P P P P P P P 结论：与城市地区相比，发育迟缓在农村地区更为普遍。在农村和城市地区，儿童的性别是唯一重要的因素。我们的研究结果表明，旨在减少发育迟缓的计划应针对农村和城市地区的具体情况采取综合干预措施。

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来源期刊

Nutrition and Metabolic Insights NUTRITION & DIETETICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Nutrition and Metabolic Insights is a peer-reviewed, open-access online journal focusing on all aspects of nutrition and metabolism. This encompasses nutrition, including the biochemistry of metabolism, exercise and associated physical processes and also includes clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes. It includes research at the molecular, cellular and organismal levels. This journal welcomes new manuscripts for peer review on the following topics: Nutrition, including the biochemistry of metabolism, Exercise and associated physical processes, Clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes, Research at the molecular, cellular and organismal levels, Other areas of interest include gene-nutrient interactions, the effects of hormones, models of metabolic function, macronutrient interactions, outcomes of changes in diet, and pathophysiology.

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