Nutrition;
Health Equity;
SOCIAL MEDICINE;
UNDERNUTRITION;
COUNTRIES;
D O I:
10.1136/bmjopen-2023-074522
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Objective To study trends in socioeconomic inequalities in underweight children in West Africa, and specifically to analyse the concentration index of underweight inequalities and measure inequalities in the risk of being malnourished by household wealth index. Design Cross-sectional study. Setting The study used 50 Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys conducted between 1999 and 2020 across 14 countries by the DHS and UNICEF. Participants The study included 481 349 children under the age of 5 years. Primary and secondary outcome measures The analysis used three variables: weight-for-age index, household wealth index and household residence. The inequality concentration index for underweight children and the relative risk of being underweight between 2000 and 2020 were calculated. Results The prevalence of underweight in West Africa showed a downward trend from 2000 to 2020. Nonetheless, the prevalence of underweight children under 5 years of age is still very high in West Africa compared with other sub-Saharan African countries, and the sustainable development objective is yet to be achieved. There was a wide disparity among countries and significant socioeconomic inequalities in underweight children within countries. The proportions of underweight children were concentrated in poor households in all countries in West Africa and over all periods. Socioeconomic inequalities in underweight children were more significant in countries where the prevalence of underweight was low. These inequalities were more pronounced in urban areas in West Africa from 2000 to 2020. Conclusions and relevance There is a high concentration of socioeconomic inequalities in underweight children in disadvantaged households in West Africa.
机构:
Dalhousie Univ, Fac Hlth, Sch Hlth Adm, Sir Charles Tupper Med Bldg,5850 Coll St, Halifax, NS B3H 4R2, CanadaDalhousie Univ, Fac Hlth, Sch Hlth Adm, Sir Charles Tupper Med Bldg,5850 Coll St, Halifax, NS B3H 4R2, Canada
Hajizadeh, Mohammad
Charles, Marie
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机构:
Dalhousie Univ, Fac Med, Halifax, NS, CanadaDalhousie Univ, Fac Hlth, Sch Hlth Adm, Sir Charles Tupper Med Bldg,5850 Coll St, Halifax, NS B3H 4R2, Canada
Charles, Marie
Johnston, Grace M.
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h-index: 0
机构:
Dalhousie Univ, Sch Hlth Adm, Nova Scotia Hlth, Canc Care Program, Halifax, NS, CanadaDalhousie Univ, Fac Hlth, Sch Hlth Adm, Sir Charles Tupper Med Bldg,5850 Coll St, Halifax, NS B3H 4R2, Canada
Johnston, Grace M.
Urquhart, Robin
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机构:
Dalhousie Univ, Fac Med, Dept Community Hlth & Epidemiol, Halifax, NS, CanadaDalhousie Univ, Fac Hlth, Sch Hlth Adm, Sir Charles Tupper Med Bldg,5850 Coll St, Halifax, NS B3H 4R2, Canada
机构:
Geneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, SwitzerlandGeneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, Switzerland
Dumont, Shireen
Cullati, Stephane
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机构:
Univ Geneva, Inst Sociol Res, Geneva, Switzerland
Univ Geneva, Dept Readaptat & Geriatr, Geneva, Switzerland
Geneva Univ Hosp, Div Qual Care, Geneva, SwitzerlandGeneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, Switzerland
Cullati, Stephane
Manor, Orly
论文数: 0引用数: 0
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机构:
Hebrew Univ Jerusalem Hadassah Hosp & Med Sch, Sch Publ Hlth & Community Med, Jerusalem, IsraelGeneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, Switzerland
Manor, Orly
Courvoisier, Delphine S.
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机构:
Univ Geneva, Dept Readaptat & Geriatr, Geneva, Switzerland
Geneva Univ Hosp, Div Qual Care, Geneva, SwitzerlandGeneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, Switzerland
Courvoisier, Delphine S.
Bouchardy, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Univ Geneva, Global Hlth Inst, Geneva Canc Registry, Geneva, SwitzerlandGeneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, Switzerland
Bouchardy, Christine
Merat, Rastine
论文数: 0引用数: 0
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机构:
Geneva Univ Hosp, Div Dermatol & Venereol, Geneva, SwitzerlandGeneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, Switzerland
Merat, Rastine
Guessous, Idris
论文数: 0引用数: 0
h-index: 0
机构:
Geneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, SwitzerlandGeneva Univ Hosp, Dept Primary Care Med, Div Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1211 Geneva, Switzerland
机构:
Univ Med & Farm Timisoara, Dept Genet, Timisoara 300011, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Chirita-Emandi, Adela
Barbu, Carmen Gabriela
论文数: 0引用数: 0
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机构:
Carol Davila Univ Med & Pharm, Elias Endocrinol Discipline, Bucharest, Romania
Elias Hosp, Dept Endocrinol, Bucharest, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Barbu, Carmen Gabriela
Cinteza, Elena Eliza
论文数: 0引用数: 0
h-index: 0
机构:
Carol Davila Univ Med & Pharm, Dept Pediat, Bucharest, Romania
Marie Curie Emergency Childrens Hosp Bucharest, Dept Cardiol, Bucharest, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Cinteza, Elena Eliza
Chesaru, Bianca Ioana
论文数: 0引用数: 0
h-index: 0
机构:
Dunarea de Jos Univ Galati, Fac Med & Pharm, Dept Morphol & Funct Sci, Galati, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Chesaru, Bianca Ioana
Gafencu, Mihai
论文数: 0引用数: 0
h-index: 0
机构:
Univ Med & Farm Timisoara, Dept Pediat, P Ta Eftimie Murgu 2, Timisoara 300011, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Gafencu, Mihai
Mocanu, Veronica
论文数: 0引用数: 0
h-index: 0
机构:
Grigore T Popa Univ Med & Pharm, Dept Pathophysiol, Iasi, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Mocanu, Veronica
Pascanu, Ionela M.
论文数: 0引用数: 0
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机构:
Univ Med & Pharm, Dept Endocrinol, Targu Mures, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Pascanu, Ionela M.
Tatar, Simona Alexandra
论文数: 0引用数: 0
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机构:
Iuliu Hatieganu Univ Med & Pharm, Pediat Clin 3, Cluj Napoca, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Tatar, Simona Alexandra
Balgradean, Mihaela
论文数: 0引用数: 0
h-index: 0
机构:
Carol Davila Univ Med & Pharm, Dept Pediat, Bucharest, Romania
Marie Curie Emergency Childrens Hosp Bucharest, Dept Nephrol, Bucharest, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Balgradean, Mihaela
Dobre, Michaela
论文数: 0引用数: 0
h-index: 0
机构:
Dunarea de Jos Univ Galati, Fac Med & Pharm, Dept Morphol & Funct Sci, Galati, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Dobre, Michaela
Fica, Simona Vasilica
论文数: 0引用数: 0
h-index: 0
机构:
Carol Davila Univ Med & Pharm, Elias Endocrinol Discipline, Bucharest, Romania
Elias Hosp, Dept Endocrinol, Bucharest, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Fica, Simona Vasilica
Ichim, Gabriela Edita
论文数: 0引用数: 0
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机构:
Iuliu Hatieganu Univ Med & Pharm, Pediat Clin 3, Cluj Napoca, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Ichim, Gabriela Edita
Pop, Raluca
论文数: 0引用数: 0
h-index: 0
机构:
Univ Med & Pharm, Res Methodol Dept, Targu Mures, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Pop, Raluca
Puiu, Maria
论文数: 0引用数: 0
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机构:
Univ Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
Emergency Hosp Children Louis Turcanu, Dept Genet, Pediat Clin 3, Timisoara, RomaniaUniv Med & Farm Timisoara, Dept Genet, Timisoara 300011, Romania
机构:
Kermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth, Kermanshah, IranKermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth, Kermanshah, Iran
Rezaei, Satar
Ghahramani, Esmail
论文数: 0引用数: 0
h-index: 0
机构:
Kurdistan Univ Med Sci, Environm Hlth Res Ctr, Sanandaj, IranKermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth, Kermanshah, Iran
Ghahramani, Esmail
Hajizadeh, Mohammad
论文数: 0引用数: 0
h-index: 0
机构:
Dalhousie Univ, Sch Hlth Adm, Fac Hlth Profess, Halifax, NS, CanadaKermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth, Kermanshah, Iran
Hajizadeh, Mohammad
Nouri, Bijan
论文数: 0引用数: 0
h-index: 0
机构:
Kurdistan Univ Med Sci, Social Determinants Hlth Res Ctr, Sanandaj, IranKermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth, Kermanshah, Iran
Nouri, Bijan
Bayazidi, Sheno
论文数: 0引用数: 0
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机构:
Kurdistan Univ Med Sci, Student Res Comm, Sanandaj, IranKermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth, Kermanshah, Iran
Bayazidi, Sheno
Khezrnezhad, Fatemah
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机构:
Kurdistan Univ Med Sci, Student Res Comm, Sanandaj, IranKermanshah Univ Med Sci, Res Ctr Environm Determinants Hlth, Kermanshah, Iran
机构:
Fdn Agnelli, Via Giuseppe Giacosa 38, I-10125 Turin, ItalyGeneva Univ Hosp, Div Primary Care Med, Unit Populat Epidemiol, Rue Jean Violette 29, CH-1205 Geneva, Switzerland
Piumatti, Giovanni
Pullen, Nick
论文数: 0引用数: 0
h-index: 0
机构:
Geneva Univ Hosp, Div Primary Care Med, Unit Populat Epidemiol, Rue Jean Violette 29, CH-1205 Geneva, SwitzerlandGeneva Univ Hosp, Div Primary Care Med, Unit Populat Epidemiol, Rue Jean Violette 29, CH-1205 Geneva, Switzerland
Pullen, Nick
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机构:
Lorthe, Elsa
Guessous, Idris
论文数: 0引用数: 0
h-index: 0
机构:
Univ Geneva, Fac Med, Dept Hlth & Community Med, Rue Michel Servet 1, CH-1211 Geneva, Switzerland
Geneva Univ Hosp, Div & Dept Primary Care Med, Rue Gabrielle Perret Gentil 4, CH-1205 Geneva, SwitzerlandGeneva Univ Hosp, Div Primary Care Med, Unit Populat Epidemiol, Rue Jean Violette 29, CH-1205 Geneva, Switzerland
Guessous, Idris
Cantoreggi, Nicola
论文数: 0引用数: 0
h-index: 0
机构:
Univ Geneva, Inst Global Hlth, Chemin Mines 9, CH-1202 Geneva, SwitzerlandGeneva Univ Hosp, Div Primary Care Med, Unit Populat Epidemiol, Rue Jean Violette 29, CH-1205 Geneva, Switzerland
Cantoreggi, Nicola
Stringhini, Silvia
论文数: 0引用数: 0
h-index: 0
机构:
Geneva Univ Hosp, Div Primary Care Med, Unit Populat Epidemiol, Rue Jean Violette 29, CH-1205 Geneva, Switzerland
Univ Lausanne, Univ Ctr Gen Med & Publ Hlth, Rue Bugnon 44, CH-1011 Lausanne, SwitzerlandGeneva Univ Hosp, Div Primary Care Med, Unit Populat Epidemiol, Rue Jean Violette 29, CH-1205 Geneva, Switzerland