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Predictors of poor anthropometric status among children under 2 years of age in rural Uganda

  • Henry Wamani (a1) (a2), Anne Nordrehaug Åstrøm (a1), Stefan Peterson (a3), James K Tumwine (a4) and Thorkild Tylleskär (a1)
  • DOI: http://dx.doi.org/10.1079/PHN2005854
  • Published online: 01 January 2007
Abstract
AbstractObjective

To assess predictors of poor anthropometric status among infants and young children.

Design

Cross-sectional survey.

Setting

The rural subsistence agricultural district of Hoima, western Uganda.

Subjects

Seven hundred and twenty children aged 0–23 months with their mothers/carers.

Methods

Participants were recruited in September 2002, using a two-stage cluster sampling methodology. A structured questionnaire was administered to mothers in their home settings. Information on health, household socio-economic status, child feeding practices and anthropometric measurement was gathered. Conditional logistic regression analysis was applied taking into account the hierarchical relationships between potential determinants of poor anthropometric status.

Results

The mean Z-score for weight-for-height was −0.2 (95% confidence interval (CI) −0.1, −0.7), for height-for-age was −1.1 (95% CI −1.2, −0.9) and for weight-for-age was −0.7 (95% CI −0.8, −0.6). Wasting was independently associated only with a history of fever in the 2 weeks prior to the survey (odds ratio (OR) = 4.4, 95% CI 1.5, 13), while underweight was associated with a history of fever (OR = 2.4, 95% CI 1.3, 4.4) and cough (OR = 3.0, 95% CI 1.3, 6.8). Stunting was positively associated with a wider range of factors, including: history of a fever episode (OR = 1.7, 95% CI 1.0, 2.9), lack of a latrine in the household (OR = 2.7, 95% CI 1.5, 4.9), failure to de-worm children 12 months or older (OR = 1.7, 95% CI 1.1, 2.8), and being born to a non-formally educated mother compared with mothers educated above primary school (OR = 2.1, 95% CI 1.1, 4.0).

Conclusions

In analyses guided by the hierarchical interrelationships of potential determinants of malnutrition, wasting and underweight turned out to be independently predicted by morbidity (proximal) factors. Stunting, however, was predicted by socio-economic (distal), environmental and health-care (intermediate) factors in addition to morbidity. Strategies aimed at improving the growth of infants and young children in rural communities should address morbidity due to common childhood illness coupled with environmental and socio-economically oriented measures.

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Corresponding author
*Corresponding author: Email Wamanih@yahoo.com
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9CG Victora , SR Huttly , SC Fuchs , MT Olinto . The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. International Journal of Epidemiology 1997; 26: 224–7.

14JA Schellenberg , C Victora , A Mushi , D de Savigny , D Schellenberg , H Mshinda , Inequities among the very poor: health care for children in rural southern Tanzania. Lancet 2003; 361: 561–6.

20R Shrimpton , C Victora , M de Onis , R Lima , M Blossner , G Clugston . Worldwide timing of growth faltering: implications for nutritional interventions. Pediatrics 2001; 107: e75.

21V Vella , A Tomkins , A Borghesi , G Migliori , V Oryem . Determinants of stunting and recovery from stunting in northwestern Uganda. International Journal of Epidemiology 1994; 23: 782–6.

22R Dickson , S Awasthi , P Williamson , C Demellweek , P Garner . Effects of treatment for intestinal helminth infection on growth and cognitive performance in children: systematic review of randomised trials. British Medical Journal 2000; 320: 1697–701.

25H Wamani , T Tylleskär , AN Åstrøm , JK Tumwine , S Peterson . Mothers' education but not fathers' education, household assets or land ownership is the best predictor of child health inequalities in rural Uganda. International Journal of Equity in Health 2004; 3: 9.

26M Espo , T Kulmala , K Maleta , T Cullinan , M Salin , P Ashorn . Determinants of linear growth and predictors of severe stunting during infancy in rural Malawi. Acta Paediatrica 2002; 91: 1364–70.

28JCK Wells . Natural selection and sex differences in morbidity and mortality in early life. Journal of Theoretical Biology 2000; 202: 6576.

29LE Caulfield , ME Bentley , S Ahmed . Is prolonged breastfeeding associated with malnutrition? Evidence from nineteen demographic and health surveys. International Journal of Epidemiology 1996; 25: 693703.

30GS Marquis , J Habicht , CF Lanata , RE Black , KM Rasmussen . Association of breastfeeding and stunting in Peruvian toddlers: an example of reverse causality. International Journal of Epidemiology 1997; 26: 349–56.

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Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
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