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Risk factors for childhood malnutrition in Roma settlements in Serbia
Teresa Janevic1, Oliver Petrovic, Ivana Bjelic
1MacMillan Center for International and Area Studies, Global Health Initiative,Yale University, New Haven, CT, USA. teresa.janevic@yale.edu
Insights
Poverty and social exclusion significantly increase malnutrition risks for Roma children in Serbia. Household wealth, maternal education, and urban living conditions are key factors influencing child stunting and wasting.
Area of Science:
- Public Health
- Pediatrics
- Sociology
Background:
- Roma children in Central and Eastern Europe face severe social exclusion and poverty.
- Their health status, particularly malnutrition, is understudied.
- This study focuses on identifying malnutrition risk factors in Serbian Roma children.
Purpose of the Study:
- To investigate the prevalence of malnutrition (stunting, wasting, underweight) in Roma children under five in Serbia.
- To identify sociodemographic and familial risk factors associated with malnutrition in this population.
Main Methods:
- Utilized data from the 2005 Serbia Multiple Indicator Cluster Survey.
- Included anthropometric and sociodemographic measures for 1192 Roma children under five.
- Employed multiple logistic regression to analyze risk factors for stunting, wasting, and underweight.
Main Results:
- Prevalence rates: 20.1% stunting, 4.3% wasting, 8.0% underweight.
- Significant wealth gradient: lowest quintile children four times more likely to be stunted.
- Maternal literacy associated with wasting; older child caregivers and urban living linked to higher malnutrition risks.
Conclusions:
- Socioeconomic inequities, including household wealth, significantly impact child health even within impoverished communities.
- Public health interventions should address maternal literacy, child endangerment, and urban disparities.
- Further research is needed to understand and mitigate malnutrition drivers in marginalized Roma populations.
Background:
Children living in Roma settlements in Central and Eastern Europe face extreme levels of social exclusion and poverty, but their health status has not been well studied. The objective of this study was to elucidate risk factors for malnutrition in children in Roma settlements in Serbia.
Methods:
Anthropometric and sociodemographic measures were obtained for 1192 Roma children under five living in Roma settlements from the 2005 Serbia Multiple Indicator Cluster Survey. Multiple logistic regression was used to relate family and child characteristics to the odds of stunting, wasting, and underweight.
Results:
The prevalence of stunting, wasting, and underweight was 20.1%, 4.3%, and 8.0%, respectively. Nearly all of the children studied fell into the lowest quintile of wealth for the overall population of Serbia. Children in the lowest quintile of wealth were four times more likely to be stunted compared to those in the highest quintile, followed by those in the second lowest quintile (AOR = 2.1) and lastly by those in the middle quintile (AOR = 1.6). Children who were ever left in the care of an older child were almost twice as likely to stunted as those were not. Children living in urban settlements showed a clear disadvantage with close to three times the likelihood of being wasted compared to those living in rural areas. There was a suggestion that maternal, but not paternal, education was associated with stunting, and maternal literacy was significantly associated with wasting. Whether children were ever breastfed, immunized or had diarrhoeal episodes in the past two weeks did not show strong correlations to children malnutrition status in this Roma population.
Conclusions:
There exists a gradient relationship between household wealth and stunting even within impoverished settlements, indicating that among poor and marginalized populations socioeconomic inequities in child health should be addressed. Other areas on which to focus future research and public health intervention include maternal literacy, child endangerment practices, and urban settlements.
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