Determinants of stunting among under-five children: Evidence from Cambodian Demographic and Health Survey 2021–2022

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-06-19 DOI:10.1111/cch.13291

Imran Hossain Sumon, Suchana Akter, Md. Sazzad Hossan Sujon, Muhammad Khairul Alam, Sabina Yasmin, Sabina Yeasmin, Mohammad Alamgir Kabir, Md. Moyazzem Hossain

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Abstract

Background

Epidemiological and nutritional modifications are causing an increase in stunting in many low- and middle-income countries (LMIC), which will eventually result in juvenile diseases and mortality. Therefore, this study aimed to identify the influential factors contributing to stunting among under-five children in Cambodia.

Methods

A secondary dataset consisting of 3268 under-five children was extracted from the latest Cambodian Demographic and Health Survey (CDHS)-2021/2022 dataset. The Chi-square test and Boruta algorithm were used for covariate selection, and logistic regression approaches were used to determine the influence of demographic, socioeconomic and other factors on the presence of stunting.

Results

Findings revealed that about 21% of under-five children were stunted, and the prevalence of stunting was higher in rural areas than in urban areas. The prevalence of child stunting was lower in families with highly educated parents. A child whose father had a secondary education had 0.71 times lower (adjusted odds ratio [AOR]: 0.71, 95% CI: 0.520–0.969) chance of stunting than a child whose father had no education. Findings revealed that Ratnak Kiri, Mondul Kiri, Stung Treng, Pursat and Kampot had a greater prevalence of stunting than other places, ranging from 27.11% to 35.70%, whereas Banteay Meanchey, Phnom Penh and Kandal had the lowest rates, ranging from 12.80% to 16.00%. Results of the Boruta algorithm and logistic regression suggested that under-five stunting is significantly influenced by factors such as the child's age, size at birth, mother's age at first birth, mother's body mass index (BMI), father's educational status, cooking fuel, and wealth index.

Conclusions

It is necessary to take initiatives for reducing the prevalence of stunted children prioritising the identified factors that ultimately help to reduce the burden of child health. The authors believed that the findings of this study will be helpful for policymakers in designing the appropriate policies and actions to achieve the Sustainable Development Goals (SDGs) by reducing stunting among under-five children in Cambodia.

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五岁以下儿童发育迟缓的决定因素：柬埔寨 2021-2022 年人口与健康调查的证据。

背景：在许多中低收入国家（LMIC），流行病学和营养学的变化正在导致发育迟缓的增加，这最终将导致青少年疾病和死亡。因此，本研究旨在确定导致柬埔寨五岁以下儿童发育迟缓的影响因素：从最新的柬埔寨人口与健康调查（CDHS）--2021/2022 年数据集中提取了 3268 名五岁以下儿童的二次数据集。在选择协变量时使用了卡方检验（Chi-square test）和博鲁塔算法（Boruta algorithm），在确定人口、社会经济和其他因素对发育迟缓的影响时使用了逻辑回归方法：研究结果显示，约 21% 的五岁以下儿童发育迟缓，农村地区的发育迟缓发生率高于城市地区。父母受过高等教育的家庭中，儿童发育迟缓的发生率较低。父亲受过中等教育的儿童比父亲未受过教育的儿童发育迟缓的几率低 0.71 倍（调整后的几率比 [AOR]：0.71，95% CI：0.520-0.969）。调查结果显示，拉特纳基里、蒙多基里、上丁、菩萨和贡布的发育迟缓发生率高于其他地方，从 27.11% 到 35.70%，而班迭棉吉、金边和干丹的发生率最低，从 12.80% 到 16.00%。Boruta 算法和逻辑回归的结果表明，五岁以下儿童发育迟缓受多种因素的显著影响，如儿童的年龄、出生时的体型、母亲的初产年龄、母亲的体重指数（BMI）、父亲的教育状况、烹饪燃料和财富指数：有必要采取措施降低发育迟缓儿童的患病率，优先考虑已确定的因素，这些因素最终有助于减轻儿童健康负担。作者认为，这项研究的结果将有助于决策者制定适当的政策和行动，通过减少柬埔寨五岁以下儿童发育迟缓的情况来实现可持续发展目标（SDGs）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.