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Stunting among children under 3 years of age in Côte d'Ivoire: spatial and temporal variations between 1994 and 2011.
Public Health Nutr. 2017 Jun; 20(9):1627-1639.PH

Abstract

OBJECTIVE

To investigate spatial heterogeneity of stunting prevalence among children in Côte d'Ivoire and examine changes in stunting between 1994 and 2011, to assess the impact of the 2002-2011 civil war that led to temporary partitioning of the country.

DESIGN

Data from 1994, 1998 and 2011 Côte d'Ivoire Demographic and Health Surveys (DHS) were analysed using a geostatistical approach taking into account spatial autocorrelation. Stunting data were interpolated using ordinary kriging; spatial clusters with high and low stunting prevalence were identified using Kulldorff spatial scan statistics. Multilevel multivariable logistic regression was then carried out, with year of survey as the main independent variable and an interaction term for time by geographic zone (Abidjan, South, North).

SETTING

Côte d'Ivoire, West Africa.

SUBJECTS

Children aged 0-35 months included in three DHS (n 6709).

RESULTS

Overall stunting prevalence was 30·7, 28·7 and 27·8 % in 1994, 1998 and 2011, respectively (P=0·32). Clusters with high prevalence were found in 1994 (in the West region, P<0·001) and 1998 (in the West and North-West regions, P<0·01 and P=0·01, respectively), but not in 2011. Abidjan was included in a cluster with low prevalence in all surveys (P<0·05). Risk of stunting did not change between 1994 and 2011 at national level (adjusted OR; 95 % CI: 1·39; 0·72, 2·64), but decreased in the South (0·74; 0·58, 0·94) and increased from 1998 to 2011 in Abidjan (1·96; 1·06, 3·64).

CONCLUSIONS

In Côte d'Ivoire, significant changes in stunting prevalence were observed at the sub-national level between 1994 and 2011.

Authors+Show Affiliations

1École Normale Supérieure,Département des Sciences Naturelles,Bujumbura,Burundi.3IMAG,UMR 5149/Centre Hospitalier Régional Universitaire de Montpellier/Université de Montpellier,Montpellier,France.2IRD UMI 233,INSERM U 1175,Université de Montpellier,Unité TransVIHMI,BP 64501,34394 Montpellier Cedex 5,France.2IRD UMI 233,INSERM U 1175,Université de Montpellier,Unité TransVIHMI,BP 64501,34394 Montpellier Cedex 5,France.2IRD UMI 233,INSERM U 1175,Université de Montpellier,Unité TransVIHMI,BP 64501,34394 Montpellier Cedex 5,France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28367794

Citation

Barankanira, Emmanuel, et al. "Stunting Among Children Under 3 Years of Age in Côte d'Ivoire: Spatial and Temporal Variations Between 1994 and 2011." Public Health Nutrition, vol. 20, no. 9, 2017, pp. 1627-1639.
Barankanira E, Molinari N, Msellati P, et al. Stunting among children under 3 years of age in Côte d'Ivoire: spatial and temporal variations between 1994 and 2011. Public Health Nutr. 2017;20(9):1627-1639.
Barankanira, E., Molinari, N., Msellati, P., Laurent, C., & Bork, K. A. (2017). Stunting among children under 3 years of age in Côte d'Ivoire: spatial and temporal variations between 1994 and 2011. Public Health Nutrition, 20(9), 1627-1639. https://doi.org/10.1017/S1368980017000544
Barankanira E, et al. Stunting Among Children Under 3 Years of Age in Côte d'Ivoire: Spatial and Temporal Variations Between 1994 and 2011. Public Health Nutr. 2017;20(9):1627-1639. PubMed PMID: 28367794.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Stunting among children under 3 years of age in Côte d'Ivoire: spatial and temporal variations between 1994 and 2011. AU - Barankanira,Emmanuel, AU - Molinari,Nicolas, AU - Msellati,Philippe, AU - Laurent,Christian, AU - Bork,Kirsten A, Y1 - 2017/04/03/ PY - 2017/4/4/pubmed PY - 2018/4/17/medline PY - 2017/4/4/entrez KW - Africa KW - Children KW - Clustering KW - Spatial KW - Trends KW - Undernutrition SP - 1627 EP - 1639 JF - Public health nutrition JO - Public Health Nutr VL - 20 IS - 9 N2 - OBJECTIVE: To investigate spatial heterogeneity of stunting prevalence among children in Côte d'Ivoire and examine changes in stunting between 1994 and 2011, to assess the impact of the 2002-2011 civil war that led to temporary partitioning of the country. DESIGN: Data from 1994, 1998 and 2011 Côte d'Ivoire Demographic and Health Surveys (DHS) were analysed using a geostatistical approach taking into account spatial autocorrelation. Stunting data were interpolated using ordinary kriging; spatial clusters with high and low stunting prevalence were identified using Kulldorff spatial scan statistics. Multilevel multivariable logistic regression was then carried out, with year of survey as the main independent variable and an interaction term for time by geographic zone (Abidjan, South, North). SETTING: Côte d'Ivoire, West Africa. SUBJECTS: Children aged 0-35 months included in three DHS (n 6709). RESULTS: Overall stunting prevalence was 30·7, 28·7 and 27·8 % in 1994, 1998 and 2011, respectively (P=0·32). Clusters with high prevalence were found in 1994 (in the West region, P<0·001) and 1998 (in the West and North-West regions, P<0·01 and P=0·01, respectively), but not in 2011. Abidjan was included in a cluster with low prevalence in all surveys (P<0·05). Risk of stunting did not change between 1994 and 2011 at national level (adjusted OR; 95 % CI: 1·39; 0·72, 2·64), but decreased in the South (0·74; 0·58, 0·94) and increased from 1998 to 2011 in Abidjan (1·96; 1·06, 3·64). CONCLUSIONS: In Côte d'Ivoire, significant changes in stunting prevalence were observed at the sub-national level between 1994 and 2011. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/28367794/Stunting_among_children_under_3_years_of_age_in_Côte_d'Ivoire:_spatial_and_temporal_variations_between_1994_and_2011_ L2 - https://www.cambridge.org/core/product/identifier/S1368980017000544/type/journal_article DB - PRIME DP - Unbound Medicine ER -