High-risk fertility behaviour and undernutrition among children under-five in sub-Saharan Africa: a cross-sectional study

Seidu, A-A; Hagan, JE; Budu, E; Aboagye, RG; Okyere, J; Sakyi, B; Adu, C; Ahinkorah, BO

High-risk fertility behaviour and undernutrition among children under-five in sub-Saharan Africa: a cross-sectional study

Seidu, A-A Hagan, JE Budu, E Aboagye, RG Okyere, J Sakyi, B Adu, C Ahinkorah, BO

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ Open, 2023, 13, (6), pp. e066543
Issue Date:: 2023-06

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Field	Value	Language
dc.contributor.author	Seidu, A-A
dc.contributor.author	Hagan, JE
dc.contributor.author	Budu, E
dc.contributor.author	Aboagye, RG
dc.contributor.author	Okyere, J
dc.contributor.author	Sakyi, B
dc.contributor.author	Adu, C
dc.contributor.author	Ahinkorah, BO
dc.date.accessioned	2024-05-06T04:28:06Z
dc.date.available	2024-05-06T04:28:06Z
dc.date.issued	2023-06
dc.identifier.citation	BMJ Open, 2023, 13, (6), pp. e066543
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/178676
dc.description.abstract	OBJECTIVE The study examined high risk fertility behaviour and its association with under five undernutrition in sub Saharan Africa SSA DESIGN We conducted a cross sectional analysis of data from 32 sub Saharan African countries Demographic and Health Surveys A weighted sample of 110 522 mother child pairs was included in final analysis Multilevel binary logistic regression was used to examine the association between high risk fertility behaviour and undernutrition The results were presented using adjusted odds ratio aOR with their respective 95 confidence intervals CIs SETTING Thirty two countries in SSA OUTCOME MEASURE Stunting wasting and underweight RESULTS The pooled prevalence of stunting was 31 3 ranging from 15 0 in Gabon to 51 7 in Burundi Wasting was highest among children from Burkina Faso 19 1 and lowest among those from South Africa 1 6 The overall prevalence of wasting was 8 1 The prevalence of underweight was 17 0 with the highest among children in Niger 37 1 and lowest in South Africa 4 8 Mothers who gave birth at the age less than 18 years and those with short birth interval were more likely to have their children being stunted wasted and underweight The odds of stunting and wasting were high among children born to women with high parity However maternal age at birth more than 34 was associated with lower odds of childhood underweight as against those with age at birth less than 34 CONCLUSION Countries in SSA are encouraged to address the issue of maternal age at birth less than 18 high parity and shorter birth intervals in order to meet the Global Nutrition targets which aim to achieve a 40 reduction in the number of stunted children under the age of 5 and to reduce and maintain childhood wasting to less than 5 by 2025
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2022-066543
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Infant
dc.subject.mesh	Adolescent
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Thinness
dc.subject.mesh	Malnutrition
dc.subject.mesh	Cachexia
dc.subject.mesh	Growth Disorders
dc.subject.mesh	Burkina Faso
dc.subject.mesh	Prevalence
dc.subject.mesh	Humans
dc.subject.mesh	Malnutrition
dc.subject.mesh	Growth Disorders
dc.subject.mesh	Cachexia
dc.subject.mesh	Thinness
dc.subject.mesh	Prevalence
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Adolescent
dc.subject.mesh	Infant
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Burkina Faso
dc.subject.mesh	Female
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Infant
dc.subject.mesh	Adolescent
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Thinness
dc.subject.mesh	Malnutrition
dc.subject.mesh	Cachexia
dc.subject.mesh	Growth Disorders
dc.subject.mesh	Burkina Faso
dc.subject.mesh	Prevalence
dc.title	High-risk fertility behaviour and undernutrition among children under-five in sub-Saharan Africa: a cross-sectional study
dc.type	Journal Article
utslib.citation.volume	13
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2024-05-06T04:28:05Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	13
utslib.citation.issue	6

Abstract:

OBJECTIVE The study examined high risk fertility behaviour and its association with under five undernutrition in sub Saharan Africa SSA DESIGN We conducted a cross sectional analysis of data from 32 sub Saharan African countries Demographic and Health Surveys A weighted sample of 110 522 mother child pairs was included in final analysis Multilevel binary logistic regression was used to examine the association between high risk fertility behaviour and undernutrition The results were presented using adjusted odds ratio aOR with their respective 95 confidence intervals CIs SETTING Thirty two countries in SSA OUTCOME MEASURE Stunting wasting and underweight RESULTS The pooled prevalence of stunting was 31 3 ranging from 15 0 in Gabon to 51 7 in Burundi Wasting was highest among children from Burkina Faso 19 1 and lowest among those from South Africa 1 6 The overall prevalence of wasting was 8 1 The prevalence of underweight was 17 0 with the highest among children in Niger 37 1 and lowest in South Africa 4 8 Mothers who gave birth at the age less than 18 years and those with short birth interval were more likely to have their children being stunted wasted and underweight The odds of stunting and wasting were high among children born to women with high parity However maternal age at birth more than 34 was associated with lower odds of childhood underweight as against those with age at birth less than 34 CONCLUSION Countries in SSA are encouraged to address the issue of maternal age at birth less than 18 high parity and shorter birth intervals in order to meet the Global Nutrition targets which aim to achieve a 40 reduction in the number of stunted children under the age of 5 and to reduce and maintain childhood wasting to less than 5 by 2025

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http://hdl.handle.net/10453/178676