Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014.
Introduction Stunting is common among children in many low and middle-income countries, particularly in rural and urban slum settings. Few studies have described child stunting transitions and the associated factors in urban slum settlements. We describe transitions between stunting states and assoc...
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Kabale University
2024
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| Online Access: | http://hdl.handle.net/20.500.12493/2021 |
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| author | Oduro, Michael S. IddiI, Samuel Asiedu, Louis Asiki, Gershim Kadengye, DamazoT. |
| author_facet | Oduro, Michael S. IddiI, Samuel Asiedu, Louis Asiki, Gershim Kadengye, DamazoT. |
| author_sort | Oduro, Michael S. |
| collection | KAB-DR |
| description | Introduction
Stunting is common among children in many low and middle-income countries, particularly in rural and urban slum settings. Few studies have described child stunting transitions and the associated factors in urban slum settlements. We describe transitions between stunting states and associated factors among children living in Nairobi slum settlements.
Methods
This study used data collected between 2010 and 2014 from the Nairobi Urban and Demographic Surveillance System (NUHDSS) and a vaccination study nested within the surveillance system. A subset of 692 children aged 0 to 3 years, with complete anthropometric data, and household socio-demographic data was used for the analysis. Height-for-age Z-
scores (HAZ) were used to define stunting: normal (HAZ � 1), marginally stunted (-2 � HAZ< -1), moderately stunted (-3 � HAZ < -2), and severely stunted (HAZ < -3). Transitions from one stunting level to another and in the reverse direction were computed. The associations between explanatory factors and the transitions between four child stunting states were
modeled using a continuous-time multi-state model.
Results
We observed that 48%, 39%, 41%, and 52% of children remained in the normal, marginally stunted, moderately stunted, and severely stunted states, respectively. About 29% transitioned from a normal to a marginally stunted state, 15% to a moderately stunted state, and 8% to a severely stunted state. Also, 8%, 12%, and 29% back transitioned from severely stunted, moderately stunted, and marginally stunted states, to the normal state, respectively. The shared common factors associated with all transitions to a more severe state include male gender, ethnicity (only for mild and severe transition states), child’s age, and household food insecurity. In Korogocho, children whose parents were married and those whose mothers had attained primary or post-primary education were associated with a transition from a mild state into a moderately stunted state. Children who were breastfed exclusively were less likely to transition from a moderate to severe stunting state.
Conclusion
These findings reveal a high burden of stunting and transitions in urban slums. Context-specific interventions targeting the groups of children identified by the socio-demographic factors are needed. Improving food security and exclusive breastfeeding could potentially reduce stunting in the slums. |
| format | Article |
| id | oai:idr.kab.ac.ug:20.500.12493-2021 |
| institution | KAB-DR |
| language | en_US |
| publishDate | 2024 |
| publisher | Kabale University |
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| spelling | oai:idr.kab.ac.ug:20.500.12493-20212024-08-01T00:03:01Z Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. Oduro, Michael S. IddiI, Samuel Asiedu, Louis Asiki, Gershim Kadengye, DamazoT. Utilizing Multi-Stage Transition Model Analysing Child Stunting Two Urban Slum Settlements Nairobi A Longitudinal Analysis 2011-2014 Introduction Stunting is common among children in many low and middle-income countries, particularly in rural and urban slum settings. Few studies have described child stunting transitions and the associated factors in urban slum settlements. We describe transitions between stunting states and associated factors among children living in Nairobi slum settlements. Methods This study used data collected between 2010 and 2014 from the Nairobi Urban and Demographic Surveillance System (NUHDSS) and a vaccination study nested within the surveillance system. A subset of 692 children aged 0 to 3 years, with complete anthropometric data, and household socio-demographic data was used for the analysis. Height-for-age Z- scores (HAZ) were used to define stunting: normal (HAZ � 1), marginally stunted (-2 � HAZ< -1), moderately stunted (-3 � HAZ < -2), and severely stunted (HAZ < -3). Transitions from one stunting level to another and in the reverse direction were computed. The associations between explanatory factors and the transitions between four child stunting states were modeled using a continuous-time multi-state model. Results We observed that 48%, 39%, 41%, and 52% of children remained in the normal, marginally stunted, moderately stunted, and severely stunted states, respectively. About 29% transitioned from a normal to a marginally stunted state, 15% to a moderately stunted state, and 8% to a severely stunted state. Also, 8%, 12%, and 29% back transitioned from severely stunted, moderately stunted, and marginally stunted states, to the normal state, respectively. The shared common factors associated with all transitions to a more severe state include male gender, ethnicity (only for mild and severe transition states), child’s age, and household food insecurity. In Korogocho, children whose parents were married and those whose mothers had attained primary or post-primary education were associated with a transition from a mild state into a moderately stunted state. Children who were breastfed exclusively were less likely to transition from a moderate to severe stunting state. Conclusion These findings reveal a high burden of stunting and transitions in urban slums. Context-specific interventions targeting the groups of children identified by the socio-demographic factors are needed. Improving food security and exclusive breastfeeding could potentially reduce stunting in the slums. 2024-06-04T16:05:50Z 2024-06-04T16:05:50Z 2024 Article Oduro, M. S. et al. (2024).Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. Kabale: Kabale University. http://hdl.handle.net/20.500.12493/2021 en_US application/pdf Kabale University |
| spellingShingle | Utilizing Multi-Stage Transition Model Analysing Child Stunting Two Urban Slum Settlements Nairobi A Longitudinal Analysis 2011-2014 Oduro, Michael S. IddiI, Samuel Asiedu, Louis Asiki, Gershim Kadengye, DamazoT. Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. |
| title | Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. |
| title_full | Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. |
| title_fullStr | Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. |
| title_full_unstemmed | Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. |
| title_short | Utilizing A Multi-Stage Transition Model for Analysing Child Stunting in Two Urban Slum Settlements of Nairobi: A Longitudinal Analysis, 2011-2014. |
| title_sort | utilizing a multi stage transition model for analysing child stunting in two urban slum settlements of nairobi a longitudinal analysis 2011 2014 |
| topic | Utilizing Multi-Stage Transition Model Analysing Child Stunting Two Urban Slum Settlements Nairobi A Longitudinal Analysis 2011-2014 |
| url | http://hdl.handle.net/20.500.12493/2021 |
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