Contextual Factors and Spatial Patterns of Childhood Malnutrition in Provinces of Burkina Faso

Ying-Chih Chuang, Ting-Wu Chuang, Hsing Jasmine Chao, Kuo-Chien Tseng, Owen Nkoka, Sri Sunaringsih, Kun-Yang Chuang

研究成果: 雜誌貢獻文章

摘要

Approximately 45\% of all children\s deaths are associated with malnutrition, and sub-Saharan Africa is hardest hit by this phenomenon. However, information on geographical variations of malnutrition in developing countries is limited. This study examined the geographical distribution and community characteristics associated with child malnutrition in Burkina Faso.Data from the 2011 Burkina Faso Demographic Health Survey were analyzed. A general Kriging interpolation method was used to generate spatial malnutrition patterns. The global Moran\s I test was used to identify significant malnutrition spatial patterns. Generalized estimating equations (GEEs) were fitted to examine the association between community level factors and malnutrition.Average rates of stunting and wasting in the communities were 32.48\% and 15.05\ respectively. Stunting hotspots were observed in the eastern and northeastern parts of Burkina Faso (i.e. Oudolan, S\éno and Yagha, among others), while high rates of wasting were observed in the north-central part. The GEE results revealed lower stunting rates in communities with a higher percentage of households with improved sanitation. Communities with higher rates of professionally assisted births were associated with low wasting rates, while communities with higher rates of households with a low wealth index reported higher rates of wasting.Spatial statistical models of malnutrition prevalence are useful for indicating hotspots over wide areas and hence, for guiding intervention strategies. This study revealed significant geographical patterns and community factors associated with childhood malnutrition. These factors should be considered in future programs aimed at reducing malnutrition in Burkina Faso.
原文未定義
期刊Journal of Tropical Pediatrics
DOIs
出版狀態已發佈 - 五月 13 2019

引用此文

@article{eb42eabbd0e141d7aab4cbd26b4852cf,
title = "Contextual Factors and Spatial Patterns of Childhood Malnutrition in Provinces of Burkina Faso",
abstract = "Approximately 45\{\%} of all children\s deaths are associated with malnutrition, and sub-Saharan Africa is hardest hit by this phenomenon. However, information on geographical variations of malnutrition in developing countries is limited. This study examined the geographical distribution and community characteristics associated with child malnutrition in Burkina Faso.Data from the 2011 Burkina Faso Demographic Health Survey were analyzed. A general Kriging interpolation method was used to generate spatial malnutrition patterns. The global Moran\s I test was used to identify significant malnutrition spatial patterns. Generalized estimating equations (GEEs) were fitted to examine the association between community level factors and malnutrition.Average rates of stunting and wasting in the communities were 32.48\{\%} and 15.05\ respectively. Stunting hotspots were observed in the eastern and northeastern parts of Burkina Faso (i.e. Oudolan, S\{\'e}no and Yagha, among others), while high rates of wasting were observed in the north-central part. The GEE results revealed lower stunting rates in communities with a higher percentage of households with improved sanitation. Communities with higher rates of professionally assisted births were associated with low wasting rates, while communities with higher rates of households with a low wealth index reported higher rates of wasting.Spatial statistical models of malnutrition prevalence are useful for indicating hotspots over wide areas and hence, for guiding intervention strategies. This study revealed significant geographical patterns and community factors associated with childhood malnutrition. These factors should be considered in future programs aimed at reducing malnutrition in Burkina Faso.",
author = "Ying-Chih Chuang and Ting-Wu Chuang and Chao, {Hsing Jasmine} and Kuo-Chien Tseng and Owen Nkoka and Sri Sunaringsih and Kun-Yang Chuang",
year = "2019",
month = "5",
day = "13",
doi = "10.1093/tropej/fmz031",
language = "未定义",
journal = "Journal of Tropical Pediatrics",
issn = "0142-6338",
publisher = "Oxford University Press",

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TY - JOUR

T1 - Contextual Factors and Spatial Patterns of Childhood Malnutrition in Provinces of Burkina Faso

AU - Chuang, Ying-Chih

AU - Chuang, Ting-Wu

AU - Chao, Hsing Jasmine

AU - Tseng, Kuo-Chien

AU - Nkoka, Owen

AU - Sunaringsih, Sri

AU - Chuang, Kun-Yang

PY - 2019/5/13

Y1 - 2019/5/13

N2 - Approximately 45\% of all children\s deaths are associated with malnutrition, and sub-Saharan Africa is hardest hit by this phenomenon. However, information on geographical variations of malnutrition in developing countries is limited. This study examined the geographical distribution and community characteristics associated with child malnutrition in Burkina Faso.Data from the 2011 Burkina Faso Demographic Health Survey were analyzed. A general Kriging interpolation method was used to generate spatial malnutrition patterns. The global Moran\s I test was used to identify significant malnutrition spatial patterns. Generalized estimating equations (GEEs) were fitted to examine the association between community level factors and malnutrition.Average rates of stunting and wasting in the communities were 32.48\% and 15.05\ respectively. Stunting hotspots were observed in the eastern and northeastern parts of Burkina Faso (i.e. Oudolan, S\éno and Yagha, among others), while high rates of wasting were observed in the north-central part. The GEE results revealed lower stunting rates in communities with a higher percentage of households with improved sanitation. Communities with higher rates of professionally assisted births were associated with low wasting rates, while communities with higher rates of households with a low wealth index reported higher rates of wasting.Spatial statistical models of malnutrition prevalence are useful for indicating hotspots over wide areas and hence, for guiding intervention strategies. This study revealed significant geographical patterns and community factors associated with childhood malnutrition. These factors should be considered in future programs aimed at reducing malnutrition in Burkina Faso.

AB - Approximately 45\% of all children\s deaths are associated with malnutrition, and sub-Saharan Africa is hardest hit by this phenomenon. However, information on geographical variations of malnutrition in developing countries is limited. This study examined the geographical distribution and community characteristics associated with child malnutrition in Burkina Faso.Data from the 2011 Burkina Faso Demographic Health Survey were analyzed. A general Kriging interpolation method was used to generate spatial malnutrition patterns. The global Moran\s I test was used to identify significant malnutrition spatial patterns. Generalized estimating equations (GEEs) were fitted to examine the association between community level factors and malnutrition.Average rates of stunting and wasting in the communities were 32.48\% and 15.05\ respectively. Stunting hotspots were observed in the eastern and northeastern parts of Burkina Faso (i.e. Oudolan, S\éno and Yagha, among others), while high rates of wasting were observed in the north-central part. The GEE results revealed lower stunting rates in communities with a higher percentage of households with improved sanitation. Communities with higher rates of professionally assisted births were associated with low wasting rates, while communities with higher rates of households with a low wealth index reported higher rates of wasting.Spatial statistical models of malnutrition prevalence are useful for indicating hotspots over wide areas and hence, for guiding intervention strategies. This study revealed significant geographical patterns and community factors associated with childhood malnutrition. These factors should be considered in future programs aimed at reducing malnutrition in Burkina Faso.

UR - http://www.mendeley.com/research/contextual-factors-spatial-patterns-childhood-malnutrition-provinces-burkina-faso

U2 - 10.1093/tropej/fmz031

DO - 10.1093/tropej/fmz031

M3 - 文章

JO - Journal of Tropical Pediatrics

JF - Journal of Tropical Pediatrics

SN - 0142-6338

ER -