OBJECTIVE: To determine the maternal risk factors associated with childhood malnutrition. DESIGN: An unmatched case control study of 327 children < 5 years of age. SETTING: Primary health care clinics on the communal lands and commercial farms in the Mazowe District of Zimbabwe. MAIN OUTCOME MEASURES: The relationship between maternal risk factors and childhood malnutrition was analysed. To correct for confounding variables a forward stepwise logistic regression was performed. RESULTS: Odds ratio (95pc confidence limits) for childhood malnutrition were a working mother 5.69 (2.37 to 3.66) and lack of decision making power 2.86 (1.1 to 7.45) on the communal lands, and lack of extra income generating projects 3.92 (1.64 to 9.54) and previous death of a child 2.17 (1.08 to 4.39) on the commercial farms. In both areas malnutrition was associated with < or = 1 acre of land 3.66 (1.4 to 9.53) and p < 0.01 (Fisher's exact test) for the communal lands and commercial farms respectively), and father's income < or = Z$150/month 12.5 (2.5 to 100) and 5.56 (1.4 to 25.0) for the communal lands and commercial farms respectively. CONCLUSIONS: To reduce childhood malnutrition in the rural areas reduced maternal work load and increased decision making power, better access to health care plus more access to land and higher income are all critical issues.
OBJECTIVE: To determine the maternal risk factors associated with childhood malnutrition. DESIGN: An unmatched case control study of 327 children < 5 years of age. SETTING: Primary health care clinics on the communal lands and commercial farms in the Mazowe District of Zimbabwe. MAIN OUTCOME MEASURES: The relationship between maternal risk factors and childhood malnutrition was analysed. To correct for confounding variables a forward stepwise logistic regression was performed. RESULTS: Odds ratio (95pc confidence limits) for childhood malnutrition were a working mother 5.69 (2.37 to 3.66) and lack of decision making power 2.86 (1.1 to 7.45) on the communal lands, and lack of extra income generating projects 3.92 (1.64 to 9.54) and previous death of a child 2.17 (1.08 to 4.39) on the commercial farms. In both areas malnutrition was associated with < or = 1 acre of land 3.66 (1.4 to 9.53) and p < 0.01 (Fisher's exact test) for the communal lands and commercial farms respectively), and father's income < or = Z$150/month 12.5 (2.5 to 100) and 5.56 (1.4 to 25.0) for the communal lands and commercial farms respectively. CONCLUSIONS: To reduce childhood malnutrition in the rural areas reduced maternal work load and increased decision making power, better access to health care plus more access to land and higher income are all critical issues.
Entities:
Keywords:
Africa; Africa South Of The Sahara; Age Factors; Biology; Case Control Studies; Child; Child Nutrition; Demographic Factors; Developing Countries; Diseases; Eastern Africa; Economic Factors; English Speaking Africa; Family And Household; Family Characteristics; Family Relationships; Health; Land Tenure; Malnutrition; Mothers; Nutrition; Nutrition Disorders; Parents; Population; Population Characteristics; Research Methodology; Research Report; Risk Factors; Rural Population; Socioeconomic Factors; Studies; Youth; Zimbabwe
Authors: Marianne V Santoso; Rachel Bezner Kerr; John Hoddinott; Priya Garigipati; Sophia Olmos; Sera L Young Journal: Adv Nutr Date: 2019-11-01 Impact factor: 8.701
Authors: Blessing J Akombi; Kingsley E Agho; John J Hall; Nidhi Wali; Andre M N Renzaho; Dafna Merom Journal: Int J Environ Res Public Health Date: 2017-08-01 Impact factor: 3.390