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Social determinants of inequalities in child undernutrition in Bangladesh: A decomposition analysis.
- Source :
- Maternal & Child Nutrition; Jan2018, Vol. 14 Issue 1, pn/a-1, 12p
- Publication Year :
- 2018
-
Abstract
- Socioeconomic inequalities in child undernutrition remain one of the main challenges in Bangladesh. The social determinants of health are mostly responsible for such inequalities across different population groups. However, no study has examined the relative contribution of different social determinants to the socioeconomic inequality in child undernutrition in Bangladesh. Our objective is to measure the extent of socioeconomic-related inequalities in childhood stunting and identify the key social determinants that potentially explain these inequalities in Bangladesh. We used data for children younger than 5 years of age for this analysis from 2 rounds of Bangladesh Demographic and Health Surveys conducted in 2004 and 2014. We examined the socioeconomic inequality in stunting using the concentration curve and concentration index. We then decomposed the concentration index into the contributions of individual social determinants. We found significant inequality in stunting prevalence. The negative concentration index of stunting indicated that stunting was more concentrated among the poor than among the well-off. Our results suggest that inequalities in stunting increased between 2004 and 2014. Household economic status, maternal and paternal education, health-seeking behavior of the mothers, sanitation, fertility, and maternal stature were the major contributors to the disparity in stunting prevalence in Bangladesh. Equity is a critical component of sustainable development goals. Health policymakers should work together across sectors and develop strategies for effective intersectoral actions to adequately address the social determinants of equity and reduce inequalities in stunting and other health outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
CHILD development deviations
CONFIDENCE intervals
FERTILITY
HUMAN growth
MEDICAL care use
MOTHERS
NUTRITION disorders in children
POVERTY
PROBABILITY theory
SANITATION
STATURE
SURVEYS
LOGISTIC regression analysis
SOCIOECONOMIC factors
STATISTICAL significance
EDUCATIONAL attainment
HEALTH equity
DATA analysis software
HEALTH & social status
DESCRIPTIVE statistics
ODDS ratio
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 14
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 126849341
- Full Text :
- https://doi.org/10.1111/mcn.12440