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Prevalence and factors associated with stunting and thinness among school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia.
PLoS One. 2018; 13(11):e0206659.Plos

Abstract

INTRODUCTION

Despite consistent economic growth in the country, malnutrition remains one of the major public health problems in Ethiopia. The prevalence of malnutrition and its associated factors are well studied among under-five children. However, there is a paucity of evidence among older children in developing countries including Ethiopia. The aim of the study was to assess the prevalence of stunting and thinness and their associated factors among school-age children.

METHODS

A community-based cross-sectional study was conducted among randomly selected 389 school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia, during April and May 2017. Height for age and body mass index for age z scores were calculated using WHO Anthro Plus software as indicators of stunting and thinness respectively. A binary logistic regression model was used to assess the association between independent and outcome variables.

RESULTS

The prevalence of stunting and thinness were 41.9% (95% CI: 37-47) and 8.0% (95% CI: 5.4-10.8) respectively. The likelihood of stunting was significantly higher among children within the age group of 12-14 years old (AOR = 2.97, 95% CI: 1.78-4.95); children who were male (AOR = 1.94, 95% CI: 1.21-3.10); children living in households with medium wealth terciles (AOR = 2.90, 95%CI: 1.39-6.04); and children who were non-enrolled in schools (AOR = 2.25, 95% CI: (1.37-3.70). Moreover, thinness was 63% less common among children who had a dietary diversity score of <4 food groups (AOR = 0.37, 95%CI: 0.16-0.89).

CONCLUSION

The prevalence of thinness is low when compared to the prevalence reported by a single national school health and nutrition survey in Ethiopia. Stunting is a major public health concern. Therefore, this finding warrants the need to implement school health and nutrition programs to improve the nutritional status of school-age children in the study area. The interventions should focus towards both gender and special emphasis should also be given to increase the enrollment of children in schools. In addition, effort should be taken by stakeholders in different hierarchies to improve the family wealth status.

Authors+Show Affiliations

Department of Public Health, Arba Minch University, Arba Minch, Ethiopia.Department of Medical Laboratory Science, Bahir Dar University, Bahir Dar, Ethiopia.Department of Nursing, Arba Minch University, Arba Minch, Ethiopia.Department of Public Health, Arba Minch University, Arba Minch, Ethiopia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30388149

Citation

Tariku, Eshetu Zerihun, et al. "Prevalence and Factors Associated With Stunting and Thinness Among School-age Children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia." PloS One, vol. 13, no. 11, 2018, pp. e0206659.
Tariku EZ, Abebe GA, Melketsedik ZA, et al. Prevalence and factors associated with stunting and thinness among school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. PLoS One. 2018;13(11):e0206659.
Tariku, E. Z., Abebe, G. A., Melketsedik, Z. A., & Gutema, B. T. (2018). Prevalence and factors associated with stunting and thinness among school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. PloS One, 13(11), e0206659. https://doi.org/10.1371/journal.pone.0206659
Tariku EZ, et al. Prevalence and Factors Associated With Stunting and Thinness Among School-age Children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. PLoS One. 2018;13(11):e0206659. PubMed PMID: 30388149.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and factors associated with stunting and thinness among school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. AU - Tariku,Eshetu Zerihun, AU - Abebe,Getaneh Alemu, AU - Melketsedik,Zeleke Aschalew, AU - Gutema,Befikadu Tariku, Y1 - 2018/11/02/ PY - 2018/01/03/received PY - 2018/10/17/accepted PY - 2018/11/3/entrez PY - 2018/11/6/pubmed PY - 2019/4/12/medline SP - e0206659 EP - e0206659 JF - PloS one JO - PLoS One VL - 13 IS - 11 N2 - INTRODUCTION: Despite consistent economic growth in the country, malnutrition remains one of the major public health problems in Ethiopia. The prevalence of malnutrition and its associated factors are well studied among under-five children. However, there is a paucity of evidence among older children in developing countries including Ethiopia. The aim of the study was to assess the prevalence of stunting and thinness and their associated factors among school-age children. METHODS: A community-based cross-sectional study was conducted among randomly selected 389 school-age children in Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia, during April and May 2017. Height for age and body mass index for age z scores were calculated using WHO Anthro Plus software as indicators of stunting and thinness respectively. A binary logistic regression model was used to assess the association between independent and outcome variables. RESULTS: The prevalence of stunting and thinness were 41.9% (95% CI: 37-47) and 8.0% (95% CI: 5.4-10.8) respectively. The likelihood of stunting was significantly higher among children within the age group of 12-14 years old (AOR = 2.97, 95% CI: 1.78-4.95); children who were male (AOR = 1.94, 95% CI: 1.21-3.10); children living in households with medium wealth terciles (AOR = 2.90, 95%CI: 1.39-6.04); and children who were non-enrolled in schools (AOR = 2.25, 95% CI: (1.37-3.70). Moreover, thinness was 63% less common among children who had a dietary diversity score of <4 food groups (AOR = 0.37, 95%CI: 0.16-0.89). CONCLUSION: The prevalence of thinness is low when compared to the prevalence reported by a single national school health and nutrition survey in Ethiopia. Stunting is a major public health concern. Therefore, this finding warrants the need to implement school health and nutrition programs to improve the nutritional status of school-age children in the study area. The interventions should focus towards both gender and special emphasis should also be given to increase the enrollment of children in schools. In addition, effort should be taken by stakeholders in different hierarchies to improve the family wealth status. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/30388149/Prevalence_and_factors_associated_with_stunting_and_thinness_among_school_age_children_in_Arba_Minch_Health_and_Demographic_Surveillance_Site_Southern_Ethiopia_ L2 - https://dx.plos.org/10.1371/journal.pone.0206659 DB - PRIME DP - Unbound Medicine ER -