Daniel Hoffman|Thomas Cacciola|Pamela Barrios|James E. Simon
Temporal changes and determinants of childhood nutritional status in Kenya and Zambia
Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey
prevalence undernutrition decreasing many parts developing world challenges remain many countries objective study determine factors influencing childhood nutrition status kenya zambia objective study determine factors associated temporal changes childhood nutritional status two countries subsaharan africadata national demographic health surveys world bank kenya 19982009 zambia 19962014 used select youngest child household complete data variables studied multiple linear regression analyses used data 2902 11335 children kenya zambia respectively year determine relationship social economic factors measures nutritional status including wasting stunting overweightthere decreased prevalence stunting 35 kenya 40 zambia prevalence wasting unchanged 68 countries 1998 2009 protective effect stunting wealthier families households electricity countries finally better educated mothers less likely stunted children girls less likely stunted boysbased data analyzed higher risk stunting kenya zambia lower literacy less education electricity living rural areas formal toilet car ownership overall lower wealth index improving education mothers also significant determinant improving nutritional status children kenya zambia broadbased efforts reduce prevalence undernutrition need focus reducing prevalence undernutrition without promoting excess weight gain future economic advances need consider integrated approaches improving economic standings households without increasing risk overnutrition