Evidence map›Paper›PMID 36169906›Full record

ArticleMaternal and child health journal2023

Household Food Insecurity and Demographic Factors, Low Birth Weight and Stunting in Early Childhood: Findings from a Longitudinal Study in South Africa.

Abigail Harper, Alan Rothberg, Esnat Chirwa, Winnie Sambu, Sumaya Mall

Open access · hybridAbstract read
In one paragraph

Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 9% of its field
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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Abigail HarperDepartment of Epidemiology and Biostatistics, University of the Witwatersrand, Johannesburg, 2193, South Africa. abijoan@gmail.com.ORCID http://orcid.org/0000-0002-0655-1108
Alan RothbergSchool of Therapeutic Sciences, University of the Witwatersrand, Johannesburg, 2193, South Africa.
Esnat ChirwaMedical Research Council Gender and Health Research Unit, Pretoria, 0002, South Africa.
Winnie SambuSchool of Economics, University of Cape Town, Cape Town, 7701, South Africa.
Sumaya MallDepartment of Epidemiology and Biostatistics, University of the Witwatersrand, Johannesburg, 2193, South Africa.
University of the Witwatersrand · ZASouth African Medical Research Council · ZAUniversity of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow birthweight (LBW) as well as early childhood stunting are risk factors for increased childhood morbidity in low-and middle-income countries (LMIC). The Covid 19 pandemic has exacerbated food insecurity and unemployment globally, prompting concerns for maternal and child health.

objectivesWe used data from the great recession of 2008 to examine the relationship between household food security and other risk factors with LBW and stunting using a longitudinal sample of South African women and their offspring.

methodsFood security indicators, alcohol use, blood pressure and other characteristics were examined in relation to LBW (≤ 2500 g), stunting (height for age ≤ 2SD) and severe stunting (height for age ≤ 3SD). Regression modelling with clustering at maternal ID level were employed to adjust for maternal characteristics and women who gave birth more than once during the reference period.

resultsBirthweight data were available for 1173 children and height for age 1216 children. The prevalence of LBW was 14.7% while stunting and severe stunting was 17.8% and 14.5%. Child hunger in the household, maternal hypertension and alcohol use were associated with low birthweight. Food expenditure below the Stats SA poverty line and low dietary diversity was associated with stunting and severe stunting respectively. Maternal height and low birthweight were associated with both stunting and severe stunting. CONCLUSIONS FOR PRACTICE: Interventions that can improve household food security and nutritional status during the periconceptional and antenatal period may reduce the prevalence of low birthweight and subsequent stunting in low- and middle-income countries.

Indexed as

COVID-19Food SupplyBirth WeightChildChild, PreschoolFemaleFood InsecurityGrowth DisordersHumansInfant, Low Birth WeightInfant, NewbornLongitudinal StudiesNutritional StatusPregnancySouth AfricaDietary diversityFood expenditureFood insecurityLMICLow birthweightPericonceptional nutritional statusStunting

Identifiers

PMID36169906
PMCPMC9516515
OpenAlexW4297459449

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.