ArticlePublic health nutrition2023
Do dietary practices and household environmental quality mediate socio-economic inequalities in child undernutrition risk in West Africa?
Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 12 citations in OpenAlex.
- Spatial variability in the association of ambient PMEnvironmental research · 2026Article
- Rural health inequalities in perceived HIV vulnerability and nutritional status: a cross-comparison of rural communities in West and Southern Africa.BMC public health · 2026Article
- Do minimum acceptable diet and family caregiving mediate the associations of maternal education and household wealth with childhood stunting and wasting in Sri Lanka?Public health nutrition · 2026Article
- Spatial variability in the association of ambient PMEnvironment international · 2026Article
- Household wealth index is associated with stunting among children under 5: a cross-sectional analysis of the Lao Social Indicator Survey II.Journal of physiological anthropology · 2025Article
- Determinants of Child Growth in Palestine (Ages 5-17): A Structural Equation Modeling Approach to Food Insecurity, Nutrition, and Socioeconomic Factors.Children (Basel, Switzerland) · 2025Article
- A structural equation modeling approach to examine determinants of nutritional status in Palestinian children 6-59 months.PloS one · 2025Article
- Birth weight mediates the association of maternal undernutrition with child undernutrition prevalence in West Africa.European journal of clinical nutrition · 2024Article
- Prevalence of the Double Burden of Malnutrition among Adolescents: Associations with Lifestyle Behaviors and Clusters of Social Determinants.Children (Basel, Switzerland) · 2024Article
- Editorial: Public health in Africa: role of nutrition and environment.Frontiers in public health · 2024Article
- Maternal knowledge on nutritional-focused nurturing care and associated factors among women with stunted children aged 6-23 months in Yogyakarta, Indonesia: A cross-sectional study.Belitung nursing journal · 2024Article
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Authors and funding
6 authors at 2 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe investigated the relationship between socio-economic status and child undernutrition in West Africa (WA), and further examined the mediating role of dietary practices (measured as minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD)) and household environmental quality (HEQ) in the observed relationship.
designThirteen countries were included in the study. We leveraged the most recent Demographic and Health Surveys datasets ranging from 2010 to 2019. Poisson regression model with robust standard errors was used to estimate prevalence ratios and their corresponding 95 % CI. Structural equation modelling was used to conduct the mediation analysis.
settingWest Africa.
participants132 448 under-five children born within 5 years preceding the survey were included.
resultsOverall, 32·5 %, 8·2 %, 20·1 % and 71·7 % of WA children were stunted, wasted, underweight and anaemic, respectively. Prevalence of undernutrition decreased with increasing maternal education and household wealth (Trend
conclusionsThe study findings enables an evaluation and improvement of existing intervention strategies through a socio-economic lens to help address the high burden of child undernutrition in WA and other developing regions.
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