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|Title: ||Socio-economic predictors of stunting in preschool children: a population-based study from Johannesburg and Soweto|
|Authors: ||Willey, Barbara A.|
Norris, Shane A.
Pettifor, John M.
Griffiths, Paula L.
|Issue Date: ||2009|
|Publisher: ||© South African Medical Journal|
|Citation: ||WILLEY, B.A. ... et al, 2009. Socio-economic predictors of stunting in preschool children: a population-based study from Johannesburg and Soweto. South African Medical Journal, 99 (6), pp. 450-456.|
|Abstract: ||Background. Stunting continues to be a child public health
concern in many African countries, including South Africa.
This study uses data from the Birth to Twenty study, held in
Johannesburg, to investigate a range of household-level socioeconomic
and social support predictors of stunting in children
aged less than 30 months.
Design. Logistical regression models were constructed using a
conceptual framework to investigate the association between
early life measures of socio-economic status and stunting (<–2
standard deviations from the WHO (2006) standard), using
data collected in the Birth to Twenty study.
Results. Stunting prevalence was 18.0% (213/1 186). In
unadjusted analyses, numerous socio-economic status
exposures showed significant associations with stunting;
however, in final multivariable models, decreased likelihood
of stunting was seen in children born to mothers who were employed (adjusted odds ratio (AOR)=0.60, 95% confidence
interval (CI) 0.40 - 0.88), those with fathers who had
completed secondary school (AOR=0.59, 95% CI 0.40 - 0.85),
and whose parents employed a domestic worker (AOR=0.40,
95% CI 0.19 - 0.83), while increased likelihood of stunting was
seen in male children (AOR=1.40, 95% CI 1.03 - 1.91), and
those born of low birth weight (AOR=2.56, 95% CI 1.54 - 4.26).
Conclusions. Stunting and child malnutrition remain policy
priorities for the South African Department of Health,
and this study suggests that policies that aim to increase
parental education level and reduce unemployment or
target additional support to families with low education or
unemployed parents may reduce stunting in preschool-age
children in this setting|
|Description: ||This paper is also freely available at: http://www.samj.org.za/ The SAMJ reserves copyright of the material published. The work is licensed under a Creative Commons Attribution - Noncommercial Works License: http://creativecommons.org/licenses/by-nc/3.0/|
|Appears in Collections:||Socio-economic status and child/adolescent health in Johannesburg-Soweto Study|
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