Risk Factors Associated with Malnutrition among Children Under-Five Years in Sub-Saharan African Countries: A Scoping
Phillips Edomwonyi Obasohan1,2, Stephen J Walters1, Richard Jacques1
1School of Health and Related Research (ScHARR), University of Sheffield, Sheffield S1 4DA, UK.
Insights
Malnutrition in Sub-Saharan African children under five is a major concern. This review identified socioeconomic, demographic, and contextual risk factors, highlighting the need for a comprehensive research approach to address all malnutrition dimensions.
Area of Science:
- Public Health
- Global Health
- Pediatrics
Background:
- Malnutrition poses a significant global health challenge, particularly affecting children under five in Sub-Saharan Africa (SSA).
- Understanding prevalence, causes, and risk factors is crucial for effective interventions in resource-limited settings.
Purpose of the Study:
- To conduct a scoping review of literature on malnutrition risk factors in SSA children under five.
- To identify studies using classical regression analysis on national health surveys.
- To determine individual socioeconomic, demographic, and contextual risk factors.
Main Methods:
- Searched EMBASE, PubMed, CINAHL, Scopus, Web of Science, and Cochrane Library.
- Included English-language papers published between January 1, 1990, and July 31, 2020.
- Identified 26 relevant studies from an initial 229 papers.
Main Results:
- Identified numerous risk factors for malnutrition.
- Classified risk factors into child-related, parental/household-related, and community/area-related categories.
Conclusions:
- Research often shows bias towards stunting, neglecting other malnutrition indicators.
- A holistic research approach is needed to address all anthropometric dimensions of malnutrition.
Abstract:
Background/Purpose: Malnutrition is a significant global public health burden with greater concern among children under five years in Sub-Saharan Africa (SSA). To effectively address the problem of malnutrition, especially in resource-scarce communities, knowing the prevalence, causes and risk factors associated with it are essential steps. This scoping review aimed to identify the existing literature that uses classical regression analysis on nationally representative health survey data sets to find the individual socioeconomic, demographic and contextual risk factors associated with malnutrition among children under five years of age in Sub-Sahara Africa (SSA). Methods: The electronic databases searched include EMBASE (OVID platform), PubMed (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Web of Science (WoS) and Cochrane Library. Only papers written in the English language, and for which the publication date was between 1 January 1990 and 31 July 2020, were included. Results: A total of 229 papers were identified, of which 26 were studies that have been included in the review. The risk factors for malnutrition identified were classified as child-related, parental/household-related and community or area-related. Conclusions: Study-interest bias toward stunting over other anthropometric indicators of malnutrition could be addressed with a holistic research approach to equally address the various dimension of the anthropometric indicators of malnutrition in a population.
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