ArticleMaternal & child nutrition2018
Individual, household, and community level risk factors of stunting in children younger than 5 years: Findings from a national surveillance system in Nepal.
Article in Maternal & child nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Drivers of stunting reduction in Nepal: a country case study.The American journal of clinical nutrition · 2020Pooled it
- A multilevel analysis of factors associated with stunting among children under five years in Lesotho: a study of the lesotho multiple cluster indicator survey 2018.Journal of health, population, and nutrition · 2025Article
- Unraveling the complexity of selected adverse neonatal outcomes in India: a multilevel analysis using data from a nationally representative sample survey.BMC pregnancy and childbirth · 2025Article
- Effects of mothers' water, sanitation and hygiene habits on diarrhoea and malnutrition among children under 5 years in Nepal.BMJ public health · 2025Article
- Measuring Community Urbanicity and Its Influence on Household Food Security Across Nepal's Agroecological Zones.Current developments in nutrition · 2024Article
- Analysis of traditional feeding practices and stunting among children aged 6 to 59 months in Karanganyar District, Central Java Province, Indonesia.BMC pediatrics · 2024Article
- Analyzing determinants from both compositional and contextual level impeding desired linear growth of children in Indian context.BMC nutrition · 2023Article
- Nutritional health status: association of stunted and wasted children and their mothers.BMC pediatrics · 2022Article
- Socioeconomic and demographic correlates of child nutritional status in Nepal: an investigation of heterogeneous effects using quantile regression.Globalization and health · 2022Article
- Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China.Nutrients · 2022Article
- Child-sensitive water, sanitation, and hygiene composite score and its association with child nutritional outcomes in St. Martin's Island, Bangladesh.SAGE open medicine · 2022Article
- To see, hear, and live: 25 years of the vitamin A programme in Nepal.Maternal & child nutrition · 2022Article
- Effective nutrition governance is correlated with better nutrition outcomes in Nepal.BMC pediatrics · 2021Article
- Are children in female-headed households at a disadvantage? An analysis of immunization coverage and stunting prevalence: in 95 low- and middle-income countries.SSM - population health · 2021Article
- Urban-Rural Disparities in the Magnitude and Determinants of Stunting among Children under Five in Tanzania: Based on Tanzania Demographic and Health Surveys 1991-2016.International journal of environmental research and public health · 2021Article
- Changes in socio-economic inequality in nutritional status among children in EAG states, India.Public health nutrition · 2021Article
- Why under five children are stunted in Pakistan? A multilevel analysis of Punjab Multiple indicator Cluster Survey (MICS-2014).BMC public health · 2020Article
- Water, sanitation and hygiene practices associated with improved height-for-age, weight-for-height and weight-for-age z-scores among under-five children in Nepal.BMC pediatrics · 2020Article
- Small-Scale Livestock Production in Nepal Is Directly Associated with Children's Increased Intakes of Eggs and Dairy, But Not Meat.Nutrients · 2020Article
- Predictors of stunting among children 6-59 months of age in Sodo Zuria District, South Ethiopia: a community based cross-sectional study.BMC nutrition · 2019Article
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6 authors.
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Abstract
Despite substantial reductions in recent years in Nepal, stunting prevalence in children younger than 5 years remains high and represents a leading public health concern. To identify factors contributing to the stunting burden, we report multilevel risk factors associated with stunting in 4,853 children aged 6-59 months in a nationally and agroecologically representative random sample from the first year of the Policy and Science for Health, Agriculture, and Nutrition Community Studies, a community-based observational, mixed-panel study. Mixed effects logistic regressions controlling for multilevel clustering in the study design were used to examine the association of individual-, household-, and community-level factors associated with stunting. Stunting prevalence was 38% in our sample. After adjustment for potential confounding variables, maternal factors, including maternal height and education, were generally the strongest individual-level risk factors for stunting, adjusted odds ratio (AOR) = 2.52, 95% CI [1.96, 3.25], short (<145 cm) versus not short mothers; AOR = 2.09, 95% CI [1.48, 2.96], uneducated mothers versus secondary school graduates. Among the household- and community-level factors, household expenditure and community infrastructure (presence of paved roads, markets, or hospitals) were strongly, inversely associated with increased stunting risk, AOR = 1.68, 95% CI [1.27, 2.24], lowest versus highest household expenditure quintile; AOR = 2.38, 95% CI [1.36, 4.14], less developed (lacking paved roads, markets, or hospitals) versus more developed communities. Although most factors associated with stunting are not rapidly modifiable, areas for future research and possible interventions emerged.
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