Spatiotemporal Variations and Determinants of Under-Five Stunting in Ethiopia
dc.contributor.author | Bitew, Fikrewold H. | |
dc.contributor.author | Sparks, Corey S. | |
dc.contributor.author | Nyarko, Samuel H. | |
dc.contributor.author | Apgar, Lauren | |
dc.creator.orcid | https://orcid.org/0000-0001-7222-145X | en_US |
dc.date.accessioned | 2023-05-11T17:07:12Z | |
dc.date.available | 2023-05-11T17:07:12Z | |
dc.date.issued | 2023-02-23 | |
dc.description.abstract | Background: Stunting has been a major concern in sub-Saharan Africa. However, little evidence exists on the spatiotemporal variations in under-five stunting within a national context. Objective: This paper examines the spatiotemporal variations in under-five stunting and determinants using data from the Ethiopia Demographic and Health Surveys (2000-2016). Methods: Spatial autocorrelation and multilevel logistic regression models were used to conduct the analyses. Results: The stunting prevalence has decreased from 51% to 37%, while the prevalence of severe stunting has decreased by more than half (from 28% to 12%). Wide regional variations in stunting have been consistently observed over the years, which exhibited a higher level of stunting in Tigray (48%), Afar (42%), and Amhara (42%). The results show considerable local and regional variations in under-five stunting levels with diverse patterns of improvements in regional stunting levels over time. Stunting levels were associated with child-level factors such as the sex of a child, birth size, age of a child, birth order, preceding birth interval, and place of birth. Maternal educational attainment, nutritional status, household wealth, toilet facility type, and place of residence were linked to under-five stunting. The regional-level infant mortality rate was associated with under-five stunting. Conclusions: Specially tailored policies and interventions should be devised to address persistent spatial inequalities in stunting by focusing on higher risk populations. | en_US |
dc.description.department | Demography | en_US |
dc.identifier.citation | Bitew, F. H., Sparks, C. S., Nyarko, S. H., & Apgar, L. Spatiotemporal Variations and Determinants of Under-Five Stunting in Ethiopia. Food and Nutrition Bulletin, 0(0), 03795721231158503. doi:10.1177/03795721231158503 | en_US |
dc.identifier.issn | 1564-8265 | |
dc.identifier.other | https://doi.org/10.1177/03795721231158503 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12588/1836 | |
dc.language.iso | en_US | en_US |
dc.publisher | SAGE Publications | en_US |
dc.rights | Attribution 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/us/ | * |
dc.subject | spatial | en_US |
dc.subject | temporal | en_US |
dc.subject | under-five stunting | en_US |
dc.subject | Ethiopia | en_US |
dc.title | Spatiotemporal Variations and Determinants of Under-Five Stunting in Ethiopia | en_US |
dc.type | Article | en_US |
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