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Child stunting is associated with child, maternal, and environmental factors in Vietnam

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Title Child stunting is associated with child, maternal, and environmental factors in Vietnam
 
Creator Beal, Ty
Tuyen, Le Danh
Thi Huong, Trinh
Burra, Dharani Dhar
Huynh, Tuyen
Duong, Thanh Thi
Mai, Truong Tuyet
Son, Nguyen Duy
Nguyen, Kien Tri
Haan, Stef de
Jones, Andrew D.
 
Subject diet
children
etiology
 
Description Child stunting in Vietnam has reduced substantially since the turn of the century but has remained relatively high for several years. We analyzed data on children 6–59 months (n = 85932) from the Vietnam Nutritional Surveillance System, a nationally representative cross‐sectional survey. Multivariable Poisson regression models were used to estimate relative risk of stunting, stratified by child age and ecological region. Covariates at the child, maternal, household, and environmental levels were included based on available data and the WHO conceptual framework on child stunting. Among children 6–23 months, the strongest associations with child stunting were child age in years (RR: 2.49; 95% CI: 2.26, 2.73), maternal height < 145 cm compared to ≥ 150 cm (RR: 2.04; 95% CI: 1.85, 2.26), living in the Northeast compared to the Southeast (RR: 2.01; 95% CI: 1.69, 2.39), no maternal education compared to a graduate education (RR: 1.77; 95% CI: 1.44, 2.16), and birthweight < 2500 g (RR: 1.75; 95% CI: 1.55, 1.98). For children 24–59 months, the strongest associations with child stunting were no maternal education compared to a graduate education (RR: 2.07; 95% CI: 1.79, 2.40), living in the Northeast compared to the Southeast (RR: 1.94; 95% CI: 1.74, 2.16), and maternal height < 145 cm compared to ≥ 150 cm (RR: 1.81; 95% CI: 1.69, 1.94). Targeted approaches that address the strongest stunting determinants among vulnerable populations are needed and discussed. Multifaceted approaches outside the health sector are also needed to reduce inequalities in socioeconomic status.
 
Date 2019-10
2019-04-22T14:05:59Z
2019-04-22T14:05:59Z
 
Type Journal Article
 
Identifier Beal, Ty ; Tuyen, Le Danh ; Thi Huong, Trinh ; Burra, Dharani ; Huynh, Tuyen ; Duong, Thanh Thi ; Mai, Truong Tuyet ; Son, Nguyen Duy ; Nguyen, Kien Tri ; de Haan, Stef & Jones, Andrew D (2019). Child stunting is associated with child, maternal, and environmental factors in Vietnam. Maternal & Child Nutrition, e12826
1740-8709
https://hdl.handle.net/10568/100865
https://doi.org/10.1111/mcn.12826
 
Language en
 
Rights Copyrighted; all rights reserved
Open Access
 
Format e12826
application/pdf
 
Publisher Wiley
 
Source Maternal and Child Nutrition