Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.

Socioeconomic inequalities are known to negatively impact anthropometric outcomes among children, particularly in developing countries. This study, therefore, assesses the gap in anthropometric outcomes of children 6-59 months along the ethnicity-based social groups in India using the National Famil...

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Main Authors: Sakshi Pandey, Dil Bahadur Rahut, Tetsuya Araki
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0311092
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author Sakshi Pandey
Dil Bahadur Rahut
Tetsuya Araki
author_facet Sakshi Pandey
Dil Bahadur Rahut
Tetsuya Araki
author_sort Sakshi Pandey
collection DOAJ
description Socioeconomic inequalities are known to negatively impact anthropometric outcomes among children, particularly in developing countries. This study, therefore, assesses the gap in anthropometric outcomes of children 6-59 months along the ethnicity-based social groups in India using the National Family Heath Survey 2015-16 and 2019-21. The paper utilizes logistic regression models, the exogenous switching treatment effect regression (ESTER) model, and the Blinder-Oaxaca Model to disentangle the role of ethnicity (referred to as caste in India) in influencing child anthropometric outcomes while accounting for socio/economic factors. Approximately 35% of children in the sample were stunted and 20% wasted. Result indicates that despite the progress made in reducing child undernutrition between the two survey periods, there is a higher risk of chronic growth faltering (stunting) and underweight in socially disadvantageous groups, and these ethnicity-based disparities exist independent of education and household economic status. To improve children's nutritional status, India needs to develop new nutrition strategies prioritizing double-duty action due to the persistence of undernutrition and rising overweight/obesity among children. The study suggests a need for a distinguished understanding of the underlying causes of chronic and acute forms of malnourishment, and separate interventions are required to reduce the disparities among disadvantaged groups, particularly in tribal communities.
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spelling doaj-art-65e68232f6a84fefa7744dcbe64fd7f62025-01-08T05:33:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031109210.1371/journal.pone.0311092Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.Sakshi PandeyDil Bahadur RahutTetsuya ArakiSocioeconomic inequalities are known to negatively impact anthropometric outcomes among children, particularly in developing countries. This study, therefore, assesses the gap in anthropometric outcomes of children 6-59 months along the ethnicity-based social groups in India using the National Family Heath Survey 2015-16 and 2019-21. The paper utilizes logistic regression models, the exogenous switching treatment effect regression (ESTER) model, and the Blinder-Oaxaca Model to disentangle the role of ethnicity (referred to as caste in India) in influencing child anthropometric outcomes while accounting for socio/economic factors. Approximately 35% of children in the sample were stunted and 20% wasted. Result indicates that despite the progress made in reducing child undernutrition between the two survey periods, there is a higher risk of chronic growth faltering (stunting) and underweight in socially disadvantageous groups, and these ethnicity-based disparities exist independent of education and household economic status. To improve children's nutritional status, India needs to develop new nutrition strategies prioritizing double-duty action due to the persistence of undernutrition and rising overweight/obesity among children. The study suggests a need for a distinguished understanding of the underlying causes of chronic and acute forms of malnourishment, and separate interventions are required to reduce the disparities among disadvantaged groups, particularly in tribal communities.https://doi.org/10.1371/journal.pone.0311092
spellingShingle Sakshi Pandey
Dil Bahadur Rahut
Tetsuya Araki
Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.
PLoS ONE
title Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.
title_full Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.
title_fullStr Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.
title_full_unstemmed Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.
title_short Ethnicity/caste and child anthropometric outcomes in India using the National Family Heath Survey 2015-16 and 2019-21.
title_sort ethnicity caste and child anthropometric outcomes in india using the national family heath survey 2015 16 and 2019 21
url https://doi.org/10.1371/journal.pone.0311092
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AT dilbahadurrahut ethnicitycasteandchildanthropometricoutcomesinindiausingthenationalfamilyheathsurvey201516and201921
AT tetsuyaaraki ethnicitycasteandchildanthropometricoutcomesinindiausingthenationalfamilyheathsurvey201516and201921