International Journal of Child Health and Nutrition最新文献_第8页

Parental Knowledge of Malnutrition as a Cause of Infant and Child Mortality Rate in Torbu Community, Sierra Leone 塞拉利昂托尔布社区父母对营养不良作为婴儿和儿童死亡率原因的认识

International Journal of Child Health and Nutrition Pub Date : 2020-06-02 DOI: 10.6000/1929-4247.2020.09.02.4

A. Tommy, T. Musa, J. Kawuki, U. Ghimire, N. Obore, S. Papabathini, Lovel Fornah

{"title":"Parental Knowledge of Malnutrition as a Cause of Infant and Child Mortality Rate in Torbu Community, Sierra Leone","authors":"A. Tommy, T. Musa, J. Kawuki, U. Ghimire, N. Obore, S. Papabathini, Lovel Fornah","doi":"10.6000/1929-4247.2020.09.02.4","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.02.4","url":null,"abstract":": Malnutrition is a significant public health problem over the world, with severe impact in developing countries, including Asia and Africa. This paper present to assess malnutrition as a cause of infant and child mortality rate in Torbu community in Bo city, Sierra Leone. We used a community-based cross-sectional survey. A total of 80 mothers with children of under five years were selected using convenience sampling from the different divisions of Bo city. The findings showed that 48 (60%) of the respondents have never been sensitized nor have any knowledge about Malnutrition, of which 16 (50%) were informed via radio while 50 (63%) were not aware of any nutrition facility around the community. Besides, 56 (70%) of the respondents did not practice exclusive breastfeeding, 64 (80%) fed their children on only carbohydrates mainly in the form of rice, and 26 (32.5%) had one meal per day. 64 (80%) reported their children to have been admitted due to malnutrition (with mainly protein-energy malnutrition), while over a half 46 (57%) reported having lost a child to malnutrition. Thus, we recommended more nutrition education to address the poor Infant and Young Child Feeding (IYCF) practices as well as targeted health interventions to mitigate the devastating effects of child malnutrition in the district.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43952728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Parenting Styles and Family Contributors to the Development of Dietary Behaviors in Arab Children Ages 6-10 Years Old Living in the US 父母教养方式和家庭对生活在美国的6-10岁阿拉伯儿童饮食行为发展的影响

International Journal of Child Health and Nutrition Pub Date : 2020-06-02 DOI: 10.6000/1929-4247.2020.09.02.5

Suzan H. Tami, D. Reed

{"title":"Parenting Styles and Family Contributors to the Development of Dietary Behaviors in Arab Children Ages 6-10 Years Old Living in the US","authors":"Suzan H. Tami, D. Reed","doi":"10.6000/1929-4247.2020.09.02.5","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.02.5","url":null,"abstract":": Parenting styles and family contributors are the main determinants of obesity risk in children. To date, no research has been reported on parenting styles/practices and family contributors to the development of dietary behaviors in Arab children living in the US. The objectives of this exploratory mixed-method study were to collect data on parenting feeding styles (Caregiver’s Feeding Style Questionnaire- CFSQ) of Arab mothers and family contributors (Family Nutrition Physical Activity- FNPA) to the development of dietary behaviors in their children; and to collect data on Arab mothers' challenges and strategies to promote healthier dietary behaviors in their children. Although all Arab mothers (n=23) self-assessed that they were authoritative, only seven mothers were categorized as having an authoritative feeding style based on their CFSQ scores. The FNPA overall mean was 3.15, indicating less obesogenic family environment and behaviors. Across focus groups, barriers to desirable dietary intake included low vegetable intake and child being distracted by sweets, junk foods, and technology. All mothers wanted their children to have healthier dietary habits and used positive and negative approaches to achieve that. Positive approaches included no pressure to eat and providing healthier alternative foods. Negative approaches included pressuring the child to eat and rewarding with sweets and technology. In correlation analyses, the mother's BMI was significantly correlated with the child's BMI z- scores (r = 0.325, p = 0.005). This study can guide future efforts in assessing parenting style and assessing the home environment regarding the dietary behaviors of Arab families.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42779815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Parenting Styles and Family Contributors on Physical Activity Behaviors in Arab Children Ages 6-10 Years Old Living in the US 父母教养方式和家庭因素对美国6-10岁阿拉伯儿童体育活动行为的影响

International Journal of Child Health and Nutrition Pub Date : 2020-06-02 DOI: 10.6000/1929-4247.2020.09.02.3

Suzan H. Tami, D. Reed

{"title":"Effects of Parenting Styles and Family Contributors on Physical Activity Behaviors in Arab Children Ages 6-10 Years Old Living in the US","authors":"Suzan H. Tami, D. Reed","doi":"10.6000/1929-4247.2020.09.02.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.02.3","url":null,"abstract":": The purpose of this study was to explore the effects of parenting styles and family contributors on physical activity behaviors in Arab children living in the US. This mixed-method study included the Caregiver's Feeding Style Questionnaire (CFSQ), Family Nutrition Physical Activity (FNPA) survey, and five focus group discussions (FGD), guided by the Social Cognitive Theory (SCT). Twenty-three Arab mothers of 37 children aged 6-10 years old participated in this study. Seventeen mothers were overweight or obese, and six children were overweight or obese. Although all Arab mothers self-assessed that they were authoritative, only seven mothers were categorized as having an authoritative feeding style based on their CFSQ scores. The FNPA overall mean was 3.15, indicating less obesogenic family environments and behaviors. Across FGDs, common physical activity barriers included lack of time, the child being distracted by technology, and lack of a mother's interest in a child's physical activity due to culture and fear. Positive approaches included considering the child's interest in sports and involvement in physical activity with the child. Negative attitudes included pushing the child to do sports and the mother's lack of interest in physical activity. In correlation analyses, the mother's BMI was significantly correlated with the child's BMI z-scores (r = 0.325, p = 0.005). No significant associations were found between reported feeding styles (CFSQ), obesogenic family environments (FNPA), and child's BMI z-scores. This study can guide future efforts in developing effective education programs, including physical activity behaviors for Arab families.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46683394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contextual Influences on Child Feeding in Two South Asian Immigrant Groups 背景对两个南亚移民群体儿童喂养的影响

International Journal of Child Health and Nutrition Pub Date : 2020-06-02 DOI: 10.6000/1929-4247.2020.09.02.2

A. Karasz, Margia Shiriti, Nilifa Desilva, Afrida Khurshid, K. Bonuck, Usha Ramachandran

引用次数: 1

Nutritional Status and Infant and Young Child Feeding (IYCF) Practices among Buhid Mangyan Tribe, Occidental Mindoro Philippines 菲律宾西民都罗Buhid Mangyan部落的营养状况和婴幼儿喂养（IYCF）实践

International Journal of Child Health and Nutrition Pub Date : 2020-06-02 DOI: 10.6000/1929-4247.2020.09.02.1

Artemio M. Gonzales, Marciel N. Salvador

{"title":"Nutritional Status and Infant and Young Child Feeding (IYCF) Practices among Buhid Mangyan Tribe, Occidental Mindoro Philippines","authors":"Artemio M. Gonzales, Marciel N. Salvador","doi":"10.6000/1929-4247.2020.09.02.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.02.1","url":null,"abstract":": Nutritionally adequate and safe complementary feeding starting from the age of 6 months up to 59 months is one of the effective intervention to reduce infant and child morbidity and malnutrition. This study aims to determine the nutritional status of children ages 6-59 months and their caregiver’s infant and young child feeding (IYCF) practices of the Buhid community in Rizal, Occidental Mindoro. The design used in this study was a descriptive cross-sectional carried out between December 2016-February 2017. A survey questionnaire was utilized as an instrument in this study. It includes an anthropometric survey of 6-59 months old and infant and young child feeding practices using WHO and UNICEF IYCF indicators. Vaccination, vitamin A supplementation and deworming coverage were also measured. Findings revealed a prevalence of global acute malnutrition (GAM) at a critical level. There is a low but significant prevalence of stunting and underweight among children. There is a good infant and young feeding practice in the community except for the minimum acceptable diet during complementary feeding. Lastly, there is low BCG and measles vaccination coverage in the community that could be a threat to the impending disease outbreak.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44492760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Knowledge on Intrapartum Danger Sign Influences Place of Delivery: The Case of Raya Kobo District, Northeastern Ethiopia 分娩危险信号知识对分娩地点的影响——以埃塞俄比亚东北部Raya Kobo区为例

International Journal of Child Health and Nutrition Pub Date : 2020-03-26 DOI: 10.6000/1929-4247.2021.10.01.6

N. Yimer, Misgan Legesse Liben

{"title":"Knowledge on Intrapartum Danger Sign Influences Place of Delivery: The Case of Raya Kobo District, Northeastern Ethiopia","authors":"N. Yimer, Misgan Legesse Liben","doi":"10.6000/1929-4247.2021.10.01.6","DOIUrl":"https://doi.org/10.6000/1929-4247.2021.10.01.6","url":null,"abstract":"Background: A skilled birth attendance for every pregnant woman during childbirth is the most crucial intervention for improving maternal health. This study aimed to assess institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Raya Kobo district, Ethiopia. Methods: A community-based cross-sectional study was carried out in the Raya Kobo district of Amhara Regional State during March 2016. Logistic regression analysis was performed to assess the association between each independent variable and the outcome variable. Variables with a p-value <0.05 were considered significant. Results: A total of 493 mothers were included in the study, with a response rate of 95.4%. The mean (+SD) age of the study participants was 29.13 (±6.93) years. About 73% of the study participants had attended at least one antenatal care follow up for their last pregnancy, and 56.6% (95% CI: 52.0, 61.0%) gave birth at health institutions. Travelling for 30 minutes and less [AOR=2.95(1.89, 4.58)], attending antenatal care [AOR=6.0(3.55, 10.13)], having knowledge about intrapartum danger signs [AOR=2.48(1.44, 4.24)] and getting information from health extension workers (HEWs) regarding maternal health services were positively associated. Conclusion: The district health office should strengthen its effort to provide free ambulance accessibility and provide information on danger signs of intrapartum complications and the importance of using institutional delivery service to every mother who came to the antenatal clinic. Furthermore, the district health officials should focus on strengthening the capacity of HEWs in relation to maternal health services.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44361874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nutrient Intakes among Jordanian Adolescents Based on Gender and Body Mass Index 基于性别和体重指数的约旦青少年营养摄入量

International Journal of Child Health and Nutrition Pub Date : 2020-03-16 DOI: 10.6000/1929-4247.2020.09.01.2

Thana’ Y. ALjaraedah, R. Tayyem, H. Takruri

{"title":"Nutrient Intakes among Jordanian Adolescents Based on Gender and Body Mass Index","authors":"Thana’ Y. ALjaraedah, R. Tayyem, H. Takruri","doi":"10.6000/1929-4247.2020.09.01.2","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.01.2","url":null,"abstract":": Background : This study was conducted to examine the dietary intakes of macro- and micronutrients for a Jordanian adolescents based on gender and compare their intake to the Dietary Recommended Intakes (DRIs). Methods : A sample of 398 male and female adolescents, aged 14-18 years, were recruited from private and public schools using convenience sampling. Socio-demographic questionnaire and 3-days food record were self-reported. Bodyweight and height were measured and body mass index (BMI) was calculated for all participants. Results : There were no significant differences between male and female adolescents regarding the intake of micro and macronutrients except for protein, insoluble fibre, saturated fat, cholesterol, omega-6, vitamin E and calcium. The intake of insoluble fibre (g/day), omega-6(g/day), and vitamin E (mg/day) was significantly higher in female adolescents (3.1±0.1, 5.6±0.5, and 3.1±0.3, respectively, P ≤ 0.05) compared to male adolescents (2.9±0.1, 5.1±0.4, and 2.5±0.2, respectively, P ≤ 0.05). On the other hand, the intakes of protein (g/day), saturated fat (g/day), cholesterol (mg/day), calcium (mg/day) were significantly higher in male adolescents (90.1±2.3, 31.7±1.0, 339.2±18.3, and 651.5±27.8) as compared with female adolescents (79.2±2.1, 29.2±1.2, 263.6±14.9, and 555.2±21.7) ( P ≤ 0.05). Comparing of the adolescents’ nutrients intake to the DRIs, many nutrients were found to be below or above the recommendations. Conclusion : The study findings highlighted that there is an urgent need to establish a plan of action to combat malnutrition among adolescents in Jordan.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47748523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Evaluation of the Nutritional and Hematological Status of Sickle Cell Children Monitored in the Pediatric Department of the University Hospital Center of Yalgado Ouedraogo Yalgado Ouedraogo大学医院中心儿科监测的镰状细胞儿童营养和血液学状况评估

International Journal of Child Health and Nutrition Pub Date : 2020-03-16 DOI: 10.6000/1929-4247.2020.09.01.1

Kalmogho Angèle, Barro Makoura, Paré Boyo Constant, O. Ibrahima, Bambara Habibata, Zoungrana Chantal, Kaboré Rolande, O. Flore, Sawadogo Oumarou, Yonaba Caroline, Dahourou Lucien Desiré, Kouéta Fla

{"title":"Evaluation of the Nutritional and Hematological Status of Sickle Cell Children Monitored in the Pediatric Department of the University Hospital Center of Yalgado Ouedraogo","authors":"Kalmogho Angèle, Barro Makoura, Paré Boyo Constant, O. Ibrahima, Bambara Habibata, Zoungrana Chantal, Kaboré Rolande, O. Flore, Sawadogo Oumarou, Yonaba Caroline, Dahourou Lucien Desiré, Kouéta Fla","doi":"10.6000/1929-4247.2020.09.01.1","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.01.1","url":null,"abstract":"Objective: To assess the nutritional and hematological status of sickle cell children followed in the department of pediatrics of the Yalgado Ouédraogo University Hospital Centre (CHU-YO). Methodology: This was a cross-sectional study conducted from September 1, 2017, to February 28, 2018. All children with major sickle cell syndrome followed in the department of pediatrics at the CHU-YO and following their follow-up appointments were included in the study. Results: We included 230 children aged 11 months to 16 years with an average age of 8.5 years. The sex M/F ratio was 1.09. The SC heterozygotes were the most represented with 56.52%. The average hemoglobin level was 9.39 g/dl. The prevalences of wasting, stunting and underweight were respectively 23.04%, 15.65%, and 13.89%. In univariate analysis, the factors associated with emaciation was hyperleukocytosis (p=0.002).The factors associated with stunting were leukocytosis (p=0.01), severe anemia (p=0.01), SS phenotype (p=0.002), age range of 5-10 years (p=0.007), Secondary (P=0.007) and higher level (p=0.001) of father’s education, secondary (p=0.027) and higher level (p=0.034)of mothers’education , farmer(p=0.003) trader (p=0.042), and informal occupation of father (p = 0.002),and breastfeeding duration after 24 months (p=0.006). For underweight associated factors in univariate analysis were SS phenotype (p=0.003) and severe anemia (p=0.01). Conclusion: The prevalence of different types of malnutrition deficiency of sickle cell children followed at CHU-YO was high. It is important to strengthen the nutritional monitoring of children with sickle cell disease for better management of the disease.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42639723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Natural Antioxidants and Vitamins Supplementation Shelters Adolescents from Upper Respiratory Tract Infection 天然抗氧化剂和维生素补充剂保护青少年免受上呼吸道感染

International Journal of Child Health and Nutrition Pub Date : 2020-03-16 DOI: 10.6000/1929-4247.2020.09.01.4

N. Chahine, M. Nader, Wissam W. Chalhoub, R. Chahine

{"title":"Natural Antioxidants and Vitamins Supplementation Shelters Adolescents from Upper Respiratory Tract Infection","authors":"N. Chahine, M. Nader, Wissam W. Chalhoub, R. Chahine","doi":"10.6000/1929-4247.2020.09.01.4","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.01.4","url":null,"abstract":": Context : Several decades of dietary research recommended the consumption of antioxidants and vitamins rich foods as a protective tool against a broad portfolio of diseases Aims : This study aims to test if oral supplementation of natural antioxidants and vitamins before the winter season, may reduce the occurrence of upper respiratory tract infection (URTI) in adolescents. Settings and Design : Natural antioxidants and vitamins supplements were given to 90 adolescents (45 males, and 45 females) from an orphanage against a placebo during three months in a double-blind fashion. Methods and Material : Saliva was collected before and after supplementation. The antioxidant activity of saliva was determined in vitro using electrolysis as a free radical generating system. Additionally, total antioxidant activity, glutathione and ascorbic acid levels in the saliva were evaluated before and after supplementation. The URTI frequency was recorded throughout the winter season (3 months). Statistical Analysis : All values were expressed as means ± SEM. Significance of the results was assessed using Student's t-test and Fisher’s test Results : Data indicated that only five individuals from the group that received antioxidants and vitamins supplements manifested URTI while 14 adolescents from the non-supplemented group showed symptoms of URTI. Biochemical analysis revealed that the saliva in provenance from the supplemented group exhibited a higher capacity to scavenge free radicals compared to its capacity before supplementation. This supplementation also increased the total antioxidant activity and the levels of both ascorbic acid and glutathione in the saliva. Conclusions : We concluded that oral intake of antioxidants and vitamins protects against URTI through increased antioxidant activity.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42003702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Estimation of the Family and Community Unobserved Heterogeneity Effects on the Risk of Under-Five Mortality in Nigeria using Frailty Model 使用脆弱模型估计尼日利亚家庭和社区未观察到的异质性对五岁以下儿童死亡率的影响

International Journal of Child Health and Nutrition Pub Date : 2020-03-16 DOI: 10.6000/1929-4247.2020.09.01.3

A. I. Wegbom, I. D. Essi, V. Kiri

{"title":"Estimation of the Family and Community Unobserved Heterogeneity Effects on the Risk of Under-Five Mortality in Nigeria using Frailty Model","authors":"A. I. Wegbom, I. D. Essi, V. Kiri","doi":"10.6000/1929-4247.2020.09.01.3","DOIUrl":"https://doi.org/10.6000/1929-4247.2020.09.01.3","url":null,"abstract":"Abstract: The Under-five mortality (U5M) rate is an important determinant of societal and national advancementa key marker of wellbeing, value, and access. In spite of efforts to identify the predictors of U5M to reduce its high level in Nigeria, the problem remains a major cause for concern. This study estimated the potential role of unmeasured/unobserved factors at both family and community levels, using shared frailty models on the 2013 Nigeria Demographic and Health Survey (2013 NDHS) data. The Log-rank test was used to identify variables associated with U5Mhazard ratio estimates with P<0.05 were considered as statistically significant. Our findings suggested region, marital status, place of residence and place of delivery were significant determinants of U5M in both frailty models. We also found evidence of frailty effect on the risk, particularly at the community levelheterogeneity due to unmeasured/unobserved factors, which are generally ignored when we assess the risk using only observed variables. We, therefore, suggest that to achieve the sustainable development goals relating to child health in Nigeria, more significant efforts should be directed at identifying more determinants, such as to reduce the influence of unobserved factors and facilitate an extension of interventions to these factors.","PeriodicalId":43030,"journal":{"name":"International Journal of Child Health and Nutrition","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49141091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1