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A case-control study of maternal knowledge of malnutrition and health-care-seeking attitudes in rural South India.
Yale J Biol Med 1997 Mar-Apr; 70(2):149-60YJ

Abstract

INTRODUCTION

In India, approximately 20 percent of children under the age of four suffer from severe malnutrition, while half of all the children suffer from undernutrition. The contributions of knowledge and attitudes of nutrition-conscious behaviors of the mothers to childhood malnutrition has been unclear. The purpose of this study was to explore maternal knowledge of the causes of malnutrition, health-care-seeking attitudes and socioeconomic risk factors in relation to children's nutritional status in rural south India.

METHODS

A case-controlled study was conducted in a rural area in Tamil Nadu, India. Thirty-four cases and 34 controls were selected from the population of approximately 97,000 by using the local hospital's list of young children. A case was defined as a mother of a severely malnourished child under four years of age. Severe malnutrition was defined as having less than 60 percent of expected median weight-for-age. A control had a well-nourished child and was matched by the location and the age of the child. Interviews obtained: (1) socioeconomic information on the family, (2) knowledge of the cause of malnutrition and (3) health-care-seeking attitudes for common childhood illnesses, including malnutrition.

RESULTS

Poor nutritional status was associated with socioeconomic variables such as sex of the child and father's occupation. Female gender (OR = 3.44, p = .02) and father's occupation as a laborer (OR = 2.98, p = .05) were significant risk factors for severe malnutrition. The two groups showed a significant difference in nutrition-related knowledge of mild mixed malnutrition (OR = 2.62, p = .05). No significant difference was apparent in health-care-seeking attitudes. Based on their traditional beliefs, the mothers did not believe that medical care was an appropriate intervention for childhood illnesses such as malnutrition or measles.

DISCUSSION

The results suggested that the gender of the child and socioeconomic factors were stronger risk factors for malnutrition than health-care availability and health-care-seeking attitudes. The father's occupation was a more accurate indicator for malnutrition than household income. These results suggest a need for intensive nutritional programs targeted toward poor female children and their mothers.

Authors+Show Affiliations

School of Epidemiology and Public Health, Yale University, New Haven, Connecticut, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

9493847

Citation

Saito, K, et al. "A Case-control Study of Maternal Knowledge of Malnutrition and Health-care-seeking Attitudes in Rural South India." The Yale Journal of Biology and Medicine, vol. 70, no. 2, 1997, pp. 149-60.
Saito K, Korzenik JR, Jekel JF, et al. A case-control study of maternal knowledge of malnutrition and health-care-seeking attitudes in rural South India. Yale J Biol Med. 1997;70(2):149-60.
Saito, K., Korzenik, J. R., Jekel, J. F., & Bhattacharji, S. (1997). A case-control study of maternal knowledge of malnutrition and health-care-seeking attitudes in rural South India. The Yale Journal of Biology and Medicine, 70(2), pp. 149-60.
Saito K, et al. A Case-control Study of Maternal Knowledge of Malnutrition and Health-care-seeking Attitudes in Rural South India. Yale J Biol Med. 1997;70(2):149-60. PubMed PMID: 9493847.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case-control study of maternal knowledge of malnutrition and health-care-seeking attitudes in rural South India. AU - Saito,K, AU - Korzenik,J R, AU - Jekel,J F, AU - Bhattacharji,S, PY - 1997/3/1/pubmed PY - 1998/3/11/medline PY - 1997/3/1/entrez KW - Age Factors KW - Asia KW - Attitude KW - Behavior KW - Case Control Studies KW - Child KW - Child Nutrition KW - Child, Female KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Economic Factors KW - Family And Household KW - Family Characteristics KW - Family Relationships KW - Health KW - Health Services KW - India KW - Knowledge KW - Malnutrition KW - Mothers KW - Nutrition KW - Nutrition Disorders KW - Parents KW - Population KW - Population Characteristics KW - Psychological Factors KW - Research Methodology KW - Research Report KW - Socioeconomic Factors KW - Southern Asia KW - Studies KW - Youth SP - 149 EP - 60 JF - The Yale journal of biology and medicine JO - Yale J Biol Med VL - 70 IS - 2 N2 - INTRODUCTION: In India, approximately 20 percent of children under the age of four suffer from severe malnutrition, while half of all the children suffer from undernutrition. The contributions of knowledge and attitudes of nutrition-conscious behaviors of the mothers to childhood malnutrition has been unclear. The purpose of this study was to explore maternal knowledge of the causes of malnutrition, health-care-seeking attitudes and socioeconomic risk factors in relation to children's nutritional status in rural south India. METHODS: A case-controlled study was conducted in a rural area in Tamil Nadu, India. Thirty-four cases and 34 controls were selected from the population of approximately 97,000 by using the local hospital's list of young children. A case was defined as a mother of a severely malnourished child under four years of age. Severe malnutrition was defined as having less than 60 percent of expected median weight-for-age. A control had a well-nourished child and was matched by the location and the age of the child. Interviews obtained: (1) socioeconomic information on the family, (2) knowledge of the cause of malnutrition and (3) health-care-seeking attitudes for common childhood illnesses, including malnutrition. RESULTS: Poor nutritional status was associated with socioeconomic variables such as sex of the child and father's occupation. Female gender (OR = 3.44, p = .02) and father's occupation as a laborer (OR = 2.98, p = .05) were significant risk factors for severe malnutrition. The two groups showed a significant difference in nutrition-related knowledge of mild mixed malnutrition (OR = 2.62, p = .05). No significant difference was apparent in health-care-seeking attitudes. Based on their traditional beliefs, the mothers did not believe that medical care was an appropriate intervention for childhood illnesses such as malnutrition or measles. DISCUSSION: The results suggested that the gender of the child and socioeconomic factors were stronger risk factors for malnutrition than health-care availability and health-care-seeking attitudes. The father's occupation was a more accurate indicator for malnutrition than household income. These results suggest a need for intensive nutritional programs targeted toward poor female children and their mothers. SN - 0044-0086 UR - https://www.unboundmedicine.com/medline/citation/9493847/A_case_control_study_of_maternal_knowledge_of_malnutrition_and_health_care_seeking_attitudes_in_rural_South_India_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/9493847/ DB - PRIME DP - Unbound Medicine ER -