A case-control study to investigate determinants of undernutrition in community-dwelling children
Raden Ahmad Dedy Mardani1,2, Zuhratul Hajri2, Zurriyatun Thoyibah2
1School of Nursing, College of Nursing, Taipei Medical University, Taipei City, Taiwan.
Insights
Mothers' knowledge of nutrition and complementary feeding practices significantly reduces undernutrition risk in children under 2. Healthcare providers should assess and support maternal knowledge for better child health outcomes.
Area of Science:
- Pediatric Nutrition
- Public Health
- Maternal and Child Health
Background:
- Child undernutrition remains a significant global health challenge, particularly in children under 2 years of age.
- Understanding the determinants of undernutrition is crucial for developing effective prevention and intervention strategies.
- Maternal knowledge and practices are recognized as key factors influencing child nutritional status.
Purpose of the Study:
- To investigate the factors associated with undernutrition among children under two years of age.
- To identify specific maternal knowledge and practices that act as determinants of child undernutrition.
- To provide evidence for targeted interventions to reduce the prevalence of undernutrition.
Main Methods:
- A matched case-control study involving 300 mothers (100 with undernourished children, 200 with healthy children).
- Data collection included child demographics, maternal characteristics, household information, and maternal knowledge of nutrition and complementary feeding.
- Conditional logistic regression analysis was employed to identify significant determinants of undernutrition.
Main Results:
- Maternal knowledge of undernutrition (AOR: 0.95) and nutrition (AOR: 0.90) were significant protective factors against child undernutrition.
- Knowledge and behavior related to complementary feeding practices also showed a significant protective effect (AOR: 0.97).
- All identified factors were statistically significant (p < .05), indicating their importance in preventing undernutrition.
Conclusions:
- Enhancing maternal knowledge in undernutrition, general nutrition, and complementary feeding is vital for reducing undernutrition in children under 2.
- Healthcare professionals should prioritize assessing and educating mothers on these critical knowledge areas.
- Early and targeted interventions focusing on maternal education can significantly mitigate the risk of child undernutrition.
Purpose:
This study aimed to examine determinants of undernutrition among children under 2 years of age.
Design And Methods:
A matched case-control study design was conducted to recruit 300 mothers comprising 100 mothers with an undernourished child (case group) and 200 mothers with a healthy child (control group). Measurements consisted of demographic characteristics of children data, mother's data, household data, mother's knowledge of child undernutrition, mother's knowledge of nutrition, complementary feeding practices, and undernutrition parameters of the children. A conditional logistic regression was used to identify determinants of undernutrition. The risk of undernutrition was estimated by odds ratios (ORs) and 95% confidence intervals (CIs). Statistical significance was defined as any p value of <.05.
Results:
Findings showed that mother's knowledge of undernutrition (AOR: 0.95; 95% CI: 0.91-0.98), mother's knowledge of nutrition (AOR: 0.90; 95% CI: 0.85-0.96), and mother's knowledge (AOR: 0.78; 95% CI: 0.67-0.91) and behavior of complementary feeding practices (AOR: 0.97; 95% CI: 0.94-0.99) were significant determinants of undernutrition (p < .05).
Practice Implications:
Mothers with high scores on knowledge of undernutrition, knowledge of nutrition, and knowledge and behaviors of complementary feeding practices would benefit the children under 2 years to reduce the risk of undernutrition. Healthcare professionals (i.e., pediatric nurses and community health nurses) should provide early assessment of knowledge related to undernutrition, nutrition, and complementary feeding practices for mothers with children under 2 years.
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