DOI: 10.1101/19006759Feb 11, 2020Paper

Correlates of better linear growth among children in sub-Saharan Africa: Cross sectional survey analysis of positive deviants in poor households

MedRxiv : the Preprint Server for Health Sciences
Dickson A AmugsiElizabeth W Kimani-Murage


Objectives: To examine the sociodemographic correlates associated with better linear growth among children under 5 years living in poor households Design: Cross-sectional Setting: Ghana, Kenya, Democratic Republic of Congo (DRC), Nigeria and Mozambique Participants: Singleton children aged 0 to 59 months, born to mothers aged 15 to 49 years. Information on children was obtained through face-to-face interviews with mothers. Primary outcome measure: Child height-for-age Z-scores (HAZ), categorised into HAZ[≥]-2 standard deviations (SD) (better growth/not stunted) and HAZ[≤]-2 SD (stunted/poor growth). Results: A unit change in maternal years of education was associated with increased odds of better growth among children living in poor households in DRC [adjusted odds ratio (aOR)= 1.03, 95% CI=1.01,1.07)], Ghana (aOR=1.06, 95% CI=1.01,1.11), Kenya (aOR=1.03, 95% CI= 1.01, 1.05) and Nigeria (aOR=1.08, 95%=1.06,1.10). Maternal antenatal attendance of at least four visits was associated positively with better child growth in DRC (aOR=1.32, 95% CI=1.05, 1.67) and Ghana (aOR=1.67, 95% CI=1.19, 2.33). The association did not reach statistical significance in the remaining three countries. In Ghana, Mozambique and DRC, breastfeedin...Continue Reading

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