دورية أكاديمية
Demystifying the factors associated with rural-urban gaps in severe acute malnutrition among under-five children in low- and middle-income countries: a decomposition analysis.
| العنوان: | Demystifying the factors associated with rural-urban gaps in severe acute malnutrition among under-five children in low- and middle-income countries: a decomposition analysis. |
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| المؤلفون: | Fagbamigbe AF; Department of Epidemiology and Medical Statistics, faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. franstel74@yahoo.com.; Division of Health Sciences, Populations, Evidence and Technologies Group, University of Warwick, Coventry, UK. franstel74@yahoo.com., Kandala NB; Department of Mathematics, Physics and Electrical Engineering (MPEE), Northumbria University, Newcastle upon Tyne, UK., Uthman AO; Division of Health Sciences, Populations, Evidence and Technologies Group, University of Warwick, Coventry, UK. |
| المصدر: | Scientific reports [Sci Rep] 2020 Jul 07; Vol. 10 (1), pp. 11172. Date of Electronic Publication: 2020 Jul 07. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : Nature Publishing Group, copyright 2011- |
| مواضيع طبية MeSH: | Health Status Disparities*, Rural Population/*statistics & numerical data , Severe Acute Malnutrition/*epidemiology , Urban Population/*statistics & numerical data, Chad ; Child, Preschool ; Developing Countries/statistics & numerical data ; Female ; Gabon ; Honduras ; Humans ; Malawi ; Male ; Socioeconomic Factors ; Tajikistan |
| مستخلص: | What explains the underlying causes of rural-urban differentials in severe acute malnutrition (SAM) among under-five children is poorly exploited, operationalized, studied and understood in low- and middle-income countries (LMIC). We decomposed the rural-urban inequalities in the associated factors of SAM while controlling for individual, household, and neighbourhood factors using datasets from successive demographic and health survey conducted between 2010 and 2018 in 51 LMIC. The data consisted of 532,680 under-five children nested within 55,823 neighbourhoods across the 51 countries. We applied the Blinder-Oaxaca decomposition technique to quantify the contribution of various associated factors to the observed rural-urban disparities in SAM. In all, 69% of the children lived in rural areas, ranging from 16% in Gabon to 81% in Chad. The overall prevalence of SAM among rural children was 4.8% compared with 4.2% among urban children. SAM prevalence in rural areas was highest in Timor-Leste (11.1%) while the highest urban prevalence was in Honduras (8.5%). Nine countries had statistically significant pro-rural (significantly higher odds of SAM in rural areas) inequality while only Tajikistan and Malawi showed statistically significant pro-urban inequality (p < 0.05). Overall, neighbourhood socioeconomic status, wealth index, toilet types and sources of drinking water were the most significant contributors to pro-rural inequalities. Other contributors to the pro-rural inequalities are birth weight, maternal age and maternal education. Pro-urban inequalities were mostly affected by neighbourhood socioeconomic status and wealth index. Having SAM among under-five children was explained by the individual-, household- and neighbourhood-level factors. However, we found variations in the contributions of these factors. The rural-urban dichotomy in the prevalence of SAM was generally significant with higher odds found in the rural areas. Our findings suggest the need for urgent intervention on child nutrition in the rural areas of most LMIC. |
| References: | Matern Child Nutr. 2015 Oct;11(4):973-86. (PMID: 23316784) Children (Basel). 2016 Sep 23;3(4):. (PMID: 27669325) World Rev Nutr Diet. 2016;115:82-97. (PMID: 27198529) Health Econ Rev. 2014 Sep 03;4:11. (PMID: 25302140) Ethiop J Health Sci. 2017 Mar;27(2):175-188. (PMID: 28579713) Int J Environ Res Public Health. 2017 Aug 01;14(8):. (PMID: 28788108) Hum Vaccin Immunother. 2018;14(10):2365-2372. (PMID: 29630441) BMC Public Health. 2019 May 21;19(1):616. (PMID: 31113395) Arch Iran Med. 2019 Mar 01;22(3):164-165. (PMID: 31029074) Health Econ Rev. 2015 Dec;5(1):59. (PMID: 26179340) PLoS One. 2018 Oct 25;13(10):e0205977. (PMID: 30359408) Health Econ Rev. 2015 Dec;5(1):34. (PMID: 26603158) Health Econ Rev. 2015 Feb 11;5:5. (PMID: 25853003) Health Econ Rev. 2016 Dec;6(1):23. (PMID: 27271178) Health Econ Rev. 2018 Apr 11;8(1):9. (PMID: 29644503) Beijing Da Xue Xue Bao Yi Xue Ban. 2016 Jun 18;48(3):418-23. (PMID: 27318901) Int J Environ Res Public Health. 2019 Mar 24;16(6):. (PMID: 30909625) BMC Public Health. 2019 Apr 1;19(1):358. (PMID: 30935382) Int J Environ Res Public Health. 2019 May 22;16(10):. (PMID: 31121878) BMC Public Health. 2013 Jun 14;13:581. (PMID: 23767425) |
| تواريخ الأحداث: | Date Created: 20200709 Date Completed: 20201210 Latest Revision: 20231103 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7341744 |
| DOI: | 10.1038/s41598-020-67570-w |
| PMID: | 32636405 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2045-2322 |
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| DOI: | 10.1038/s41598-020-67570-w |