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Gender discrimination in undernutrition with mediating factors among Bengalee school children from Eastern India
Prakash Ranjan Mondal1, Sadaruddin Biswas, Kaushik Bose
1Department of Anthropology, University of Delhi, Delhi, India.
Insights
High rates of underweight (44.40%) and stunting (37.20%) were found in Indian school children. Socio-economic factors like income and education significantly impact child nutrition, highlighting the need for targeted interventions and gender equality.
Area of Science:
- Nutritional Science
- Public Health
- Socio-economics
Background:
- Childhood undernutrition, specifically underweight and stunting, remains a significant public health concern globally.
- Socio-economic determinants are known to influence nutritional status, but require localized investigation.
Purpose of the Study:
- To determine age and sex variations in underweight and stunting prevalence among school children.
- To assess the impact of socio-economic variables on undernutrition in 6-16 year olds.
- To provide data for targeted nutritional interventions in Chapra, West Bengal, India.
Main Methods:
- A cross-sectional study involving 725 school children (6-16 years) in Chapra Block, West Bengal.
- Random sampling from schools and madrassas.
- Data collection included anthropometric measurements (weight-for-age Z-score and height-for-age Z-score) and socio-economic indicators (per-capita income, father's education, number of living rooms, number of siblings).
- Statistical analyses included t-tests, F-tests, chi-square tests, linear regression, and logistic regression.
Main Results:
- Overall prevalence of underweight was 44.40% and stunting was 37.20%.
- Significant associations were found between nutritional status (WAZ, HAZ) and socio-economic factors including per-capita income, father's educational status, number of living rooms, and number of siblings, with variations between sexes.
- Linear and logistic regression analyses identified per-capita income, father's educational status, number of living rooms, and number of siblings as significant predictors of underweight and stunting, particularly in girls.
Conclusions:
- The nutritional status of school children in Chapra is unsatisfactory, with high rates of underweight and stunting.
- Socio-economic status, particularly income and parental education, plays a crucial role in child undernutrition.
- Interventions should focus on improving food supplementation and promoting gender equality to address nutritional disparities.
Abstract:
This study was undertaken to determine age and sex variations in the prevalence of underweight and stunting, and to assess the impact of some socio-economic variables on undernutrition among 6-16 year old school children of Bengalee ethnicity in Chapra, West Bengal, India. The subjects were selected randomly from various schools and madrassas of the Chapra Block. A total of 725 children (342 boys and 383 girls) aged 6-16 years were measured and data on their socio-economic status were collected. Age and sex combined rates of underweight and stunting were 44.40% and 37.20%, respectively. Weight-for-age Z-score (WAZ) showed significant association with per-capita income (PCI) among boys (F=5.45) and girls (F=8.14). Height-for-age Z-score (HAZ) has also shown the association with per-capita income among boys (F=4.43) and girls (F=9.69). The WAZ was significantly associated with fathers' educational status (FOS) (t=-2.95) and the number of living rooms (NLR) (t=-2.91) among girls. The HAZ showed significant association with number of siblings (NS) among girls (F=4.25). Linear regression analyses revealed that NLR (t=2.04) and NS (t=1.95) had a significant impact on HAZ among boys. Among girls, PCI (t=3.38), FOS (t=2.87) and NLR (t=2.81) had a significant impact on WAZ and also PCI (t=3.28) and FOS (t=2.90) had a significant impact on HAZ. NLR had significant associations with underweight (χ(2)=3.59) and stunting (χ(2)=4.20) among boys. Among girls, PCI had significant associations with underweight (χ(2)=11.15) and stunting (χ(2)=11.64). FOS also showed significant associations with underweight (χ(2)=8.10) as well as stunting (χ(2)=8.28) among girls. NLR showed a significant association with underweight (χ(2)=7.75). Logistics regression analyses revealed that FOS (Wald=8.00) and NLR (Wald=4.09) were significant predictors of stunting among boys. Among girls, PCI was a significant predictor of underweight (Wald=10.95) as well as stunting (Wald=10.45). FOS, NLR and NS were also significant predictors of stunting (Wald=8.16), underweight (Wald=7.68) and stunting (Wald=6.97) respectively. The present study revealed that the nutritional status of the children was unsatisfactory and it is of paramount importance not only to increase the amount of food supplementation given but also to promote gender equality.
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