Is mother's education essential to improving the nutritional status of children under five in Côte d′Ivoire?

SSM - Health Systems Pub Date : 2025-06-01 Epub Date: 2025-02-01 DOI:10.1016/j.ssmhs.2025.100056
Sonia A.W. Gbratto-Dobe , Hugues B. Segnon
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Abstract

This paper analyses the effect of mothers’ education on the nutritional status of children under 5 in Côte d’Ivoire. We used data on 8743 children aged 0–59 months, of the MICS5–2016 conducted in Côte d’Ivoire. Child nutritional status was measured with their height-for-age and weight-for-age, according to WHO standards. Multilogistic estimates were carried out using Stata 17. We find that children whose mothers had at least primary education were less at risk of having moderate stunting as well as moderate underweight. Those whose mothers reached a higher level were less at risk of having severe stunting as well as severe underweight. Controlling by significant variables such as child's sex and age, paternal education, household place of residence, household wellbeing index, and mother access to media slightly increased the impact of mothers’ education. Mothers’ education is essential to improving child nutritional status during his first 5 years of life. Her impact in reducing child malnutrition is greater on stunting than on underweight, suggesting an improvement in the long-term. Promoting women's education, by improving their access to formal education is fundamental to fight against child malnutrition. Considering multi-sectoral actions in the fight against malnutrition could make this objective more effective.
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母亲的教育对于改善Côte科特迪瓦五岁以下儿童的营养状况至关重要吗?
本文分析了母亲教育对Côte科特迪瓦5岁以下儿童营养状况的影响。我们使用了在Côte科特迪瓦进行的MICS5-2016中8743名0-59 个月儿童的数据。根据世界卫生组织的标准,用儿童的年龄身高和年龄体重来衡量儿童的营养状况。使用Stata 17进行多元logistic估计。我们发现,母亲至少受过初等教育的孩子出现中度发育迟缓和中度体重不足的风险更小。母亲体内维生素d含量较高的孩子,患严重发育迟缓和严重体重不足的风险就较小。在子女性别、年龄、父亲受教育程度、家庭居住地、家庭幸福指数、母亲接触媒体等显著变量的控制下,母亲受教育程度的影响略有增加。母亲的教育对于改善儿童5岁前的营养状况至关重要。她在减少儿童营养不良方面对发育迟缓的影响大于对体重不足的影响,这表明了长期的改善。通过改善妇女接受正规教育的机会来促进她们的教育,是消除儿童营养不良的根本。考虑在防治营养不良方面采取多部门行动,可以使这一目标更加有效。
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