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Risk factors for stunting among under-fives in Libya
Adel El Taguri1, Ibrahim Betilmal, Salah Murad Mahmud
1Hôpital Necker Enfants Malades, 149 rue de Sèvres, F-75743 Paris Cedex 15, France. tajoury@pediatrician.com
Insights
Child stunting in Libya is linked to young age, male sex, and poor living conditions. Addressing these factors is crucial for improving child nutrition and health outcomes in the region.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Stunting is a critical indicator of chronic malnutrition and poor health in children under five.
- Libya faces significant challenges in child nutrition, necessitating identification of key risk factors for effective intervention.
Purpose of the Study:
- To identify the primary predictors of stunting in children under five years old in Libya.
- To inform public health strategies aimed at reducing childhood stunting.
Main Methods:
- A nationally representative, cross-sectional survey involving 4549 children under five.
- Logistic regression analysis (bivariate and multivariate) was employed to determine risk factors.
Main Results:
- Stunting affected 20.7% of children surveyed.
- Key risk factors identified include young age (1-3 years), male sex, low paternal education, poor psychosocial stimulation, inadequate housing (filtered water, garbage disposal), diarrhea, and low birth weight.
- Protective factors included older paternal age and proper water storage.
Conclusions:
- Multilevel interventions are essential to enhance the nutritional status of Libyan children under five.
- Targeted strategies should address identified risk groups: young children, those in the Al-Akhdar region, boys, children with less educated fathers, and those experiencing poor psychosocial stimulation or environmental conditions.
Objective:
Stunting is a chronic condition reflecting poor nutrition and health. Our aim was to ascertain major predictors of stunting in children <5 years old in Libya.
Population And Methods:
A nationally representative, cross-sectional, two-stage stratified cluster sample survey enrolled 4549 under-fives from 6707 households. Logistic regression was used to determine individual risk factors in bivariate and multivariate analyses.
Results:
Anthropometric measurements were available for 4498 children. Among the 929 stunted children (20.7 %), 495 were boys (53.3 %) and 434 were girls (46.5 %). In multivariate analysis, risk factors were young age (1-2 years: OR = 2.32, 95 % CI 1.67, 3.22; 2-3 years: OR = 1.64, 95 % CI 1.22, 2.21), resident of Al-Akhdar (OR = 1.67, 95 % CI 1.08, 2.58), being a boy (OR = 1.28, 95 % CI 1.05, 1.55), having a less educated father (illiterate: OR = 2.10, 95 % CI 1.17, 3.77; preparatory school: OR = 1.71, 95 % CI 1.11, 2.65), poor psychosocial stimulation (no family visits or trips: OR = 1.52, 95 % CI 1.07, 2.16; father rarely/never plays with child: OR = 2.24, 95 % CI 1.20, 4.16), filtered water (OR = 8.45, 95 % CI 2.31, 30.95), throwing garbage in the street (OR = 13.81, 95 % CI 2.33, 81.72), diarrhoea (OR = 1.58, 95 % CI 1.09, 2.29) and low birth weight (OR = 1.8, 95 % CI 1.17, 2.40). Protective factors were older age of father (OR = 0.53, 95 % CI 0.32, 0.90) and water storage (OR = 0.70, 95 % CI 0.54, 0.90). These variables only explained 20 % of cases of stunting.
Conclusion:
Various multilevel actions are needed to improve nutritional status of under-fives in Libya. At risk-groups include those with young age (1-3 years), resident of Al-Akhdar region, boys, father's low educational level, poor psychosocial stimulation, poor housing environment, diarrhoea and low birth weight.
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