Environmental predictors of stunting among children under-five in Somalia: cross-sectional studies from 2007 to 2010Reportar como inadecuado




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BMC Public Health

, 16:654

Energy balance-related behaviors

Abstract

BackgroundStunting among children under five years old is associated with long-term effects on cognitive development, school achievement, economic productivity in adulthood and maternal reproductive outcomes. Accurate estimation of stunting and tools to forecast risk are key to planning interventions. We estimated the prevalence and distribution of stunting among children under five years in Somalia from 2007 to 2010 and explored the role of environmental covariates in its forecasting.

MethodsData from household nutritional surveys in Somalia from 2007 to 2010 with a total of 1,066 clusters covering 73,778 children were included. We developed a Bayesian hierarchical space-time model to forecast stunting by using the relationship between observed stunting and environmental covariates in the preceding years. We then applied the model coefficients to environmental covariates in subsequent years. To determine the accuracy of the forecasting, we compared this model with a model that used data from all the years with the corresponding environmental covariates.

ResultsRainfall OR = 0.994, 95 % Credible interval CrI: 0.993, 0.995 and vegetation cover OR = 0.719, 95 % CrI: 0.603, 0.858 were significant in forecasting stunting. The difference in estimates of stunting using the two approaches was less than 3 % in all the regions for all forecast years.

ConclusionStunting in Somalia is spatially and temporally heterogeneous. Rainfall and vegetation are major drivers of these variations. The use of environmental covariates for forecasting of stunting is a potentially useful and affordable tool for planning interventions to reduce the high burden of malnutrition in Somalia.

KeywordsMalnutrition Stunting Somalia Forecasting Electronic supplementary materialThe online version of this article doi:10.1186-s12889-016-3320-6 contains supplementary material, which is available to authorized users.

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Autor: Damaris K. Kinyoki - James A. Berkley - Grainne M. Moloney - Elijah O. Odundo - Ngianga-Bakwin Kandala - Abdisalan M. N

Fuente: https://link.springer.com/



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