Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.

<h4>Background</h4>The prevalence of under-five children's undernutrition in Ethiopia is among the highest in the world. This study aimed at exploring the prevalence and risk factors of the composite index for anthropometric failure (CIAF) of under-five children in Ethiopia by incor...

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Autores principales:	Haile Mekonnen Fenta, Temesgen Zewotir, Essey Kebede Muluneh
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/17f397e8a6334ea4a161d42831ba9c19
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spelling	oai:doaj.org-article:17f397e8a6334ea4a161d42831ba9c192021-12-02T20:14:15ZDisparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.1932-620310.1371/journal.pone.0256726https://doaj.org/article/17f397e8a6334ea4a161d42831ba9c192021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256726https://doaj.org/toc/1932-6203<h4>Background</h4>The prevalence of under-five children's undernutrition in Ethiopia is among the highest in the world. This study aimed at exploring the prevalence and risk factors of the composite index for anthropometric failure (CIAF) of under-five children in Ethiopia by incorporating the zonal (district) effects.<h4>Methods</h4>The data was drawn from Ethiopian Demographic and Health Surveys (EDHSs), a population-based cross-sectional study of 29,599 under-five year children from 72 Zones in the years 2000, 2005, 2011, and 2016. Fixed effect variables related to child and maternal-household were included in the model. We adopted a generalized mixed model with CIAF as outcome variable and Zones as random effects.<h4>Results</h4>The prevalence of CIAF in Ethiopia was 53.78% with the highest prevalence of 61.30% in 2000 and the lowest prevalence of 46.58% in 2016. The model result revealed that being a female child, absence of comorbidity, singleton births, and the first order of birth showed significantly lower CIAF prevalence than their counterparts. Among the household characteristics, children from mothers of underweight body mass index, uneducated parents, poor household sanitation, and rural residents were more likely to be undernourished than their counterparts. Based on the best linear unbiased prediction for the zonal-level random effect, significant variations of CIAF among zones were observed.<h4>Conclusion</h4>The generalized linear mixed-effects model results identified gender of the child, size of child at birth, dietary diversity, birth type, place of residence, age of the child, parental level of education, wealth index, sanitation facilities, and media exposure as main drivers of CIAF. Disparities of CIAF were observed between and within the Ethiopian administrative Zones over time.Haile Mekonnen FentaTemesgen ZewotirEssey Kebede MulunehPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0256726 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Haile Mekonnen Fenta Temesgen Zewotir Essey Kebede Muluneh Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.
description	<h4>Background</h4>The prevalence of under-five children's undernutrition in Ethiopia is among the highest in the world. This study aimed at exploring the prevalence and risk factors of the composite index for anthropometric failure (CIAF) of under-five children in Ethiopia by incorporating the zonal (district) effects.<h4>Methods</h4>The data was drawn from Ethiopian Demographic and Health Surveys (EDHSs), a population-based cross-sectional study of 29,599 under-five year children from 72 Zones in the years 2000, 2005, 2011, and 2016. Fixed effect variables related to child and maternal-household were included in the model. We adopted a generalized mixed model with CIAF as outcome variable and Zones as random effects.<h4>Results</h4>The prevalence of CIAF in Ethiopia was 53.78% with the highest prevalence of 61.30% in 2000 and the lowest prevalence of 46.58% in 2016. The model result revealed that being a female child, absence of comorbidity, singleton births, and the first order of birth showed significantly lower CIAF prevalence than their counterparts. Among the household characteristics, children from mothers of underweight body mass index, uneducated parents, poor household sanitation, and rural residents were more likely to be undernourished than their counterparts. Based on the best linear unbiased prediction for the zonal-level random effect, significant variations of CIAF among zones were observed.<h4>Conclusion</h4>The generalized linear mixed-effects model results identified gender of the child, size of child at birth, dietary diversity, birth type, place of residence, age of the child, parental level of education, wealth index, sanitation facilities, and media exposure as main drivers of CIAF. Disparities of CIAF were observed between and within the Ethiopian administrative Zones over time.
format	article
author	Haile Mekonnen Fenta Temesgen Zewotir Essey Kebede Muluneh
author_facet	Haile Mekonnen Fenta Temesgen Zewotir Essey Kebede Muluneh
author_sort	Haile Mekonnen Fenta
title	Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.
title_short	Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.
title_full	Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.
title_fullStr	Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.
title_full_unstemmed	Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.
title_sort	disparities in childhood composite index of anthropometric failure prevalence and determinants across ethiopian administrative zones.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/17f397e8a6334ea4a161d42831ba9c19
work_keys_str_mv	AT hailemekonnenfenta disparitiesinchildhoodcompositeindexofanthropometricfailureprevalenceanddeterminantsacrossethiopianadministrativezones AT temesgenzewotir disparitiesinchildhoodcompositeindexofanthropometricfailureprevalenceanddeterminantsacrossethiopianadministrativezones AT esseykebedemuluneh disparitiesinchildhoodcompositeindexofanthropometricfailureprevalenceanddeterminantsacrossethiopianadministrativezones
_version_	1718374690025635840

Disparities in childhood composite index of anthropometric failure prevalence and determinants across Ethiopian administrative zones.

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