The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana

摘要

BackgroundUndernutrition among preschool children in Northern region is the highest in Ghana. However, there is scarcity of data on the factors that determine undernutrition in these children. This study investigated the effect of maternal and child factors on undernutrition among preschool children in Northern Ghana. MethodsThis study was a community based analytical cross-sectional survey on a sample of 425 mother- child pairs drawn from 25 clusters. A semi- structured questionnaire was used to collect data on maternal and child socio-demographic characteristics, feeding practices and anthropometry. Anthropometric indices of Height-for-age Z-scores (HAZ), Weight-for-height Z-scores (WHZ) and Weight-for – age Z-scores (WAZ) were used to classify child stunting, wasting and underweight respectively. Bivariate and multivariate analyses were performed to determine associations between explanatory variables and undernutrition. ResultsThe prevalence of stunting, wasting and underweight were 28.2, 9.9 and 19.3% respectively. Multiple logistic regression analysis showed that, the odds of stunting was higher among male children [AOR?=?1.99; 95% CI (1.26–3.13); p =?0.003], children of mothers less than 150?cm in height [AOR?=?3.87; 95% CI (1.34–11.20); p =?0.01], mothers 155–159?cm tall [AOR?=?2.21; 95% CI (1.34–3.66); p =?0.002], and older children aged 12–23 months [AOR 9.81; 95% CI (2.85–33.76); p p =?0.015], consumption of less than four food groups [AOR?=?3.733; 95% CI (1.889–7.376); p p =?0.009]. Male children [AOR?=?2.685; 95% CI (1.205–5.98); p =?0.016] and having low birth weight [AOR?=?3.778; 95% CI (1.440–9.911); p ConclusionMaternal height associated negatively with stunting but not wasting. Factors that affect low height –for-age z-score (HAZ) may not necessarily be the same as stunting. Infant and child feeding practices as measured by dietary diversity score associated positively with weight-for-height Z-scores than length-for-age Z-scores of young children. Surprisingly, consumption of some specific food groups including, animal source foods, legumes, staples and eggs were associated with lower HAZ but with increased likelihood of higher WHZ among children 6–59 months.