Linkages between Consanguineous Marriages and Childhood Stunting: Evidence from a cross-sectional study in India

Author(s):  
Deepanjali Vishwakarma ◽  
Santosh Kumar Sharma ◽  
Parul Puri
2019 ◽  
Vol 3 (1) ◽  
pp. e000549 ◽  
Author(s):  
Md. Shabab Hossain ◽  
Subhasish Das ◽  
Md. Amran Gazi ◽  
Md. Ashraful Alam ◽  
Nur Muhammad Shahedul Haque ◽  
...  

BackgroundGut microbiota plays an important role in the growth of children. The gut of children with optimum growth is enriched in certain species, especially Bifidobacteria and Clostridia. Bifidobacteria and commensal Clostridia both contribute to formation of acidic stool, and an elevated faecal pH indicates reduction of these species in the gut. The purpose of the study was to investigate the association of faecal pH with childhood stunting.MethodsIn this cross-sectional study, 100 children with length-for-age Z score (LAZ) <−1 aged between 12 and 18 months were enrolled from the ongoing Bangladesh Environmental Enteric Dysfunction study conducted in Dhaka, Bangladesh. LAZ was measured by anthropometry and data on factors affecting linear growth were recorded. Faecal pH measurement was done using pH metre on freshly collected non-diarrhoeal faecal samples following standard procedure. Multiple quantile regression was done to quantify the relation between faecal pH and LAZ scores.ResultsThe mean LAZ and faecal pH of the children were −2.12±0.80 and 5.84±1.11, respectively. Pearson correlation analysis showed a statistically significant negative correlation between stool pH and the LAZ scores (p<0.01). After inclusion of other factors affecting linear growth into the regression model, a statistically significant inverse association was observed between faecal pH and LAZ score (p<0.01).ConclusionElevated faecal pH was found to have a significant association with stunted growth. As an indicator of gut microbiota status, faecal pH might have emerged as a possible indirect determinant of childhood stunting.Trial registration numberNCT02812615


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Balew Sema ◽  
Muluken Azage ◽  
Mulat Tirfie

Abstract Background Stunting is a critical public health problem of developing countries like Ethiopia. Different interventions like irrigation activity have been carried out by the government of Ethiopia to improve the nutritional status of the community. However, there is scanty of data on childhood stunting and its associated factors between irrigation user and non-irrigation user. Objective To assess the magnitude of childhood stunting and its associated factors between irrigation and non-irrigation user in North Mecha District, Northwest Ethiopia. Methods A community-based comparative cross-sectional study design was employed from October to November 2019. A systematic sampling was used to draw mothers with children age 6–59 months (582 irrigated and 582 non- irrigated household users). Data were collected using questionnaire and anthropometric measurement tools. Multivariable logistic regression was used to identify the predictors of stunting. Adjusted odds ratios with 95% CI were used to determine the degree of association between independent and outcome variable. A-p-value < 0.05 was used as cutoff point to declare statistically significant variables with the outcome variable. Results The prevalence of childhood stunting (6–59 months) among irrigation users [32.8% at 95%CI [29.1%-36.7%]] was slightly lower than non-users [40.2% at 95%CI [[36.3%-44.2%]]]. However, the difference did not show significant variation. The odds of childhood stunting were higher among a child from a mother had no antenatal visit, a child whose age was between 12 and 47 months, a child from a mother who did not use water and soap always for washing hands, and a child who had fever. Conclusion The prevalence of childhood stunting was high and did not show significant variation between irrigation and non-irrigation users. A child from mother had no antenatal visit, whose age was between 12 and 47 months, a mother who did not use water and soap always for washing hands, and who had fever were factors associated with higher child stunting. Thus, the identified modifiable factors should be strengthened to reduce stunting.


2020 ◽  
Author(s):  
Balew Sema ◽  
Muluken Azage ◽  
Mulat Tirfie

Abstract Background: Stunting is a critical public health problem of developing countries like Ethiopia. Different interventions like irrigation activity have been carried out by the government of Ethiopia to improve the nutritional status of the community. However, there is scanty of data on childhood stunting and its associated factors between irrigation user and non-irrigation user. Objective: To assess the magnitude of childhood stunting and its associated factors between irrigation and non-irrigation user in North Mecha District, Northwest Ethiopia. Methods: A community-based comparative cross-sectional study design was employed from October to November 2019. A systematic sampling was used to draw mothers with children age 6-59 months (582 irrigated and 582 non- irrigated household users). Data were collected using questionnaire and anthropometric measurement tools. Multivariable logistic regression was used to identify the predictors of stunting. Adjusted odds ratios with 95% CI were used to determine the degree of association between independent and outcome variable. A-p-value <0.05 was used as cutoff point to declare statistically significant variables with the outcome variable. Results: The prevalence of childhood stunting (6-59 months) among irrigation users [32.8% at 95%CI (29-37)] was slightly higher than non-usurers [40.2% at 95%CI (36-44)]. However, the difference did not show significant variation. The odds of childhood stunting were higher among a child from a mother had no antenatal visit, a child whose age was between 12 and 47 months, a child from a mother who did not use water and soap always for washing hands, and a child who had fever. Conclusion: The prevalence of childhood stunting was high and did not show significant variation between irrigation and non-irrigation users. A child from mother had no antenatal visit, whose age was between 12 and 47 months, a mother who did not use water and soap always for washing hands, and who had fever were factors associated with higher child stunting. Thus, the identified modifiable factors should be strengthened to reduce stunting.


PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0233615 ◽  
Author(s):  
Paddy Ssentongo ◽  
Djibril M. Ba ◽  
Anna E. Ssentongo ◽  
Claudio Fronterre ◽  
Andrew Whalen ◽  
...  

2012 ◽  
Vol 45 (6) ◽  
pp. 799-805 ◽  
Author(s):  
MOSTAFA SAADAT ◽  
KHADIJEH TAJBAKHSH

SummaryThe prevalence of consanguinity in eight provinces of Afghanistan has recently been reported by Saify & Saadat (2012). The present cross-sectional study was done in order to illustrate the prevalence and types of consanguineous marriages among other populations of Afghanistan. Data on types of marriages were collected using a simple questionnaire. The total number of couples in this study was 5200 from the following provinces: Farah, Ghazni, Herat, Hilmand, Kabul, Kandahar, Logar, Parwan and Wardak. Consanguineous marriages were classified by the degree of relationship between couples: double first cousins, first cousins, first cousins once removed, second cousins and beyond second cousins. The coefficient of inbreeding (F) was calculated for each couple and the mean coefficient of inbreeding (α) estimated for each population. The α in the country was 0.0226, ranging from 0.0203 in Farah province to 0.0246 in Herat province. There were significant differences between provinces for frequencies of different types of marriages (p<0.001). First cousin marriages (21.7%) were the most common type of consanguineous marriages, followed by second cousins (16.0%), first cousins once removed (14.0%), beyond second cousins (6.9%) and double first cousins (1.6%). There was significant difference between ethnic groups for the types of marriages (p<0.001). Tajiks (Soni) and Sadats showed the lowest (α=0.0215) and highest (α=0.0242) levels of consanguinity among ethnic groups in Afghanistan, respectively. The present study shows that the Afghani populations, the same as other Islamic populations, have high levels of consanguinity.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250138
Author(s):  
Paddy Ssentongo ◽  
Djibril M. Ba ◽  
Anna E. Ssentongo ◽  
Claudio Fronterre ◽  
Andrew Whalen ◽  
...  

2020 ◽  
Author(s):  
Balew Sema ◽  
Muluken Azage ◽  
Mulat Tirfie

Abstract Background Stunting is a critical public health problem of developing countries like Ethiopia. Different interventions like irrigation activity have been carried out by the government of Ethiopia to improve the nutritional status of the community. However, there is scanty of data on childhood stunting and its associated factors between irrigation user and non-irrigation user. Objective To assess the magnitude of childhood stunting and its associated factors between irrigation and non-irrigation user in north Mecha District, Northwest Ethiopia. Methods A community-based comparative cross-sectional study design was employed from October to November 2019. A systematic sampling was used to draw mothers with children age 6–59 months (582 irrigated and 582 non- irrigated household users). Data were collected using questionnaire and anthropometric measurement tools. Multivariable logistic regression was used to identify the predictors of stunting. Adjusted odds ratios with 95% CI were used to determine the degree of association between independent and outcome variable. A-p-value < 0.05 was used as cutoff point to declare statistically significant variables with the outcome variable. Results The prevalence of childhood stunting among age 6–59 months children did not show significant variation between Irrigation user 32.8% at 95%CI (29–37) and non-irrigation user 40.2% at 95%CI (36–44). The odds of childhood stunting were higher among children from mother had no antenatal visit, children whose age was between 12 and 47 months, children from mothers who did not use water and soap always for washing hands, and children who had fever. Conclusion The prevalence of childhood stunting was high and did not show significant variation between irrigation and non-irrigation users. Children from mother had no antenatal visit, children whose age was between 12 and 47 months, children from mothers who did not use water and soap always for washing hands, and children who had fever were factors associated with higher child stunting. Thus, the identified modifiable factors are the area of intervention in reduce stunting.


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