Evidence map›Paper›PMID 30744614›Full record

ArticleBMC public health2019

Risk factors for stunting among children under five years: a cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey.

Alphonse Nshimyiryo, Bethany Hedt-Gauthier, Christine Mutaganzwa, Catherine M Kirk, Kathryn Beck, Albert Ndayisaba, Joel Mubiligi, Fredrick Kateera, Ziad El-Khatib

Abstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alphonse NshimyiryoPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda. anshimyiryo@pih.org.ORCID http://orcid.org/0000-0003-0756-7280
Bethany Hedt-GauthierPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.
Christine MutaganzwaPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.
Catherine M KirkPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.
Kathryn BeckPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.
Albert NdayisabaPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.
Joel MubiligiPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.
Fredrick KateeraPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.
Ziad El-KhatibPartners In Health / Inshuti Mu Buzima, Kigali, Rwanda.

Funding

Harvard Medical School Global Health Equity Research Fellowship, funded by Jonathan M. Goldstein and Kaia Miller Goldstein NAHarvard Medical School Global Health Research Core NA
6 · The paper itself

Abstract

backgroundChild growth stunting remains a challenge in sub-Saharan Africa, where 34% of children under 5 years are stunted, and causing detrimental impact at individual and societal levels. Identifying risk factors to stunting is key to developing proper interventions. This study aimed at identifying risk factors of stunting in Rwanda.

methodsWe used data from the Rwanda Demographic and Health Survey (DHS) 2014-2015. Association between children's characteristics and stunting was assessed using logistic regression analysis.

resultsA total of 3594 under 5 years were included; where 51% of them were boys. The prevalence of stunting was 38% (95% CI: 35.92-39.52) for all children. In adjusted analysis, the following factors were significant: boys (OR 1.51; 95% CI 1.25-1.82), children ages 6-23 months (OR 4.91; 95% CI 3.16-7.62) and children ages 24-59 months (OR 6.34; 95% CI 4.07-9.89) compared to ages 0-6 months, low birth weight (OR 2.12; 95% CI 1.39-3.23), low maternal height (OR 3.27; 95% CI 1.89-5.64), primary education for mothers (OR 1.71; 95% CI 1.25-2.34), illiterate mothers (OR 2.00; 95% CI 1.37-2.92), history of not taking deworming medicine during pregnancy (OR 1.29; 95%CI 1.09-1.53), poorest households (OR 1.45; 95% CI 1.12-1.86; and OR 1.82; 95%CI 1.45-2.29 respectively).

conclusionFamily-level factors are major drivers of children's growth stunting in Rwanda. Interventions to improve the nutrition of pregnant and lactating women so as to prevent low birth weight babies, reduce poverty, promote girls' education and intervene early in cases of malnutrition are needed.

Indexed as

Child, PreschoolCross-Sectional StudiesFemaleGrowth DisordersHealth SurveysHumansInfantInfant, NewbornMalePregnancyRisk FactorsRwandaChild growth stuntingChild malnutritionRwandaSub-Saharan Africa

Identifiers

PMID30744614
PMCPMC6371425

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.