Exploring the association of anthropometric indicators for under-five children in Ethiopia

Gashu Workneh Kassie1, Demeke Lakew Workie2

  • 1Department of Statistics, University of Gondar, P.O. Box: 96, Gondar, Ethiopia.

BMC Public Health
|June 16, 2019
PubMed

Insights

Childhood undernutrition indicators like stunting, wasting, and underweight are linked, but not always together. Understanding these relationships is key to addressing global child malnutrition effectively.

Area of Science:

  • Global health
  • Pediatrics
  • Nutritional epidemiology

Background:

  • Child undernutrition is a significant global health issue.
  • Previous research often examined predictors of undernutrition indicators separately.
  • Limited studies have explored the interrelationships between stunting, wasting, and underweight.

Purpose of the Study:

  • To investigate the association structures among key childhood undernutrition indicators: stunting, wasting, and underweight.
  • To determine if these indicators are independently associated or if they interact.
  • To provide insights for a more comprehensive assessment of child malnutrition.

Main Methods:

  • Utilized data from the 2016 Ethiopia Demographic Health Survey.
  • Employed a log-linear model to analyze a three-way contingency table of stunting, wasting, and underweight.
  • Defined indicators based on WHO Child Growth Standards (z-scores below -2).

Main Results:

  • Prevalence rates: 36.34% stunting, 12.09% wasting, 24.87% underweight; overall undernutrition 45.96%.
  • Underweight was significantly associated with both stunting (P<0.001) and wasting (P<0.001).
  • No significant association was found between stunting and wasting (P=0.999), nor a three-way interaction (P=1.000).

Conclusions:

  • The study found no three-way association between stunting, wasting, and underweight.
  • This supports the multi-dimensional nature of childhood undernutrition indicators.
  • Recommends simultaneous consideration of all three indicators for accurate assessment of child malnutrition burden.
Abstract

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