Evidence map›Paper›PMID 37369407›Full record

ArticleBMJ open2023

High-risk fertility behaviour and undernutrition among children under-five in sub-Saharan Africa: a cross-sectional study.

Abdul-Aziz Seidu, John Elvis Hagan Jnr, Eugene Budu, Richard Gyan Aboagye, Joshua Okyere, Barbara Sakyi, Collins Adu, Bright Opoku Ahinkorah

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

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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

5 citing papers in PubMed.

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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

8 authors.

Abdul-Aziz SeiduCentre for Gender and Advocacy, Takoradi Technical University, Takoradi, Ghana.ORCID 0000-0001-9734-9054
John Elvis Hagan JnrDepartment of Health, Physical Education, and Recreation, University of Cape Coast, Cape Coast, Ghana.ORCID 0000-0003-3530-6133
Eugene BuduKorle Bu Teaching Hospital, Accra, Ghana.
Richard Gyan AboagyeDepartment of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Ho, Ghana.ORCID 0000-0002-3498-2909
Joshua OkyereDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana joshuaokyere54@gmail.com.ORCID 0000-0003-4080-7522
Barbara SakyiDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Collins AduDepartment of Health Promotion, Education and Disability Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-1300-6327
Bright Opoku AhinkorahSchool of Public Health, Faculty of Health, University of Technology Sydney, Broadway, New South Wales, Australia.ORCID 0000-0001-7415-895X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study examined high-risk fertility behaviour and its association with under-five undernutrition in sub-Saharan Africa (SSA).

designWe conducted a cross-sectional analysis of data from 32 sub-Saharan African countries' Demographic and Health Surveys. A weighted sample of 110 522 mother-child pairs was included in final analysis. Multilevel binary logistic regression was used to examine the association between high-risk fertility behaviour and undernutrition. The results were presented using adjusted odds ratio (aOR) with their respective 95% confidence intervals (CIs).

settingThirty-two countries in SSA. OUTCOME MEASURE: Stunting, wasting, and underweight.

resultsThe pooled prevalence of stunting was 31.3%, ranging from 15.0% in Gabon to 51.7% in Burundi. Wasting was highest among children from Burkina Faso (19.1%) and lowest among those from South Africa (1.6%). The overall prevalence of wasting was 8.1%. The prevalence of underweight was 17.0%, with the highest among children in Niger (37.1%) and lowest in South Africa (4.8%). Mothers who gave birth at the age less than 18 years and those with short birth interval were more likely to have their children being stunted, wasted, and underweight. The odds of stunting and wasting were high among children born to women with high parity. However, maternal age at birth more than 34 was associated with lower odds of childhood underweight as against those with age at birth less than 34.

conclusionCountries in SSA are encouraged to address the issue of maternal age at birth less than 18, high parity, and shorter birth intervals in order to meet the Global Nutrition targets, which aim to achieve a 40% reduction in the number of stunted children under the age of 5 and to reduce and maintain childhood wasting to less than 5% by 2025.

Indexed as

MalnutritionThinnessAdolescentBurkina FasoCachexiaCross-Sectional StudiesFemaleGrowth DisordersHumansInfantInfant, NewbornPrevalenceCommunity child healthNutritionPUBLIC HEALTH

Identifiers

PMID37369407
PMCPMC10410834

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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.