- Socioeconomic Inequality in Malnutrition in Under-5 Children in Iran: Evidence From the Multiple Indicator Demographic and Health Survey, 2010
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Abdollah Almasian Kia, Aziz Rezapour, Ardeshir Khosravi, Vajiheh Afzali Abarghouei
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J Prev Med Public Health. 2017;50(3):201-209. Published online May 10, 2017
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DOI: https://doi.org/10.3961/jpmph.17.028
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Abstract
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- Objectives
The aim of this study was to assess the socioeconomic inequality in malnutrition in under-5 children in Iran in order to help policymakers reduce such inequality.
Methods Data on 8443 under-5 children were extracted from the Iran Multiple Indicator Demographic and Health Survey. The wealth index was used as proxy for socioeconomic status. Socioeconomic inequality in stunting, underweight, and wasting was calculated using the concentration index. The concentration index was calculated for the whole sample, as well as for subcategories defined in terms of categories such as area of residence (urban and rural) and the sex of children.
Results Stunting was observed to be more prevalent than underweight or wasting. The results of the concentration index at the national level, as well as in rural and urban areas and in terms of children’s sex, showed that inequality in stunting and underweight was statistically significant and that children in the lower quintiles were more malnourished. The wasting index was not sensitive to socioeconomic status, and its concentration index value was not statistically significant.
Conclusions This study showed that it can be misleading to assess the mean levels of malnutrition at the national level without knowledge of the distribution of malnutrition among socioeconomic groups. Significant socioeconomic inequalities in stunting and underweight were observed at the national level and in both urban and rural areas. Regarding the influence of nutrition on the health and economic well-being of preschool-aged children, it is necessary for the government to focus on taking targeted measures to reduce malnutrition and to focus on poorer groups within society who bear a greater burden of malnutrition.
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Summary
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Citations
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Carla Ibrahim, Khlood Bookari, Yonna Sacre, Lara Hanna-Wakim, Maha Hoteit Nutrients.2022; 14(19): 4201. CrossRef - Trends in inequalities in childhood stunting in Ethiopia from 2000 to 2016: a cross sectional study
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Razieh Shenavar, Mohsen Moghaddami, Soheila Shaghaghian, Mohsen Ali Akbarpoor, Mansore Nowrospour, Mahdieh Farid Shiraz E-Medical Journal.2021;[Epub] CrossRef - Economic inequality in malnutrition: a global systematic review and meta-analysis
Rotimi Alao, Hayaan Nur, Emily Fivian, Bhavani Shankar, Suneetha Kadiyala, Helen Harris-Fry BMJ Global Health.2021; 6(12): e006906. CrossRef - The prevalence of stunting among children and adolescents living in the Middle East and North Africa region (MENA): A systematic review and meta-analysis
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Xiaohua Liang, Lun Xiao, Yetao Luo, Jiapei Xu Journal of Human Hypertension.2020; 34(2): 151. CrossRef - Smartphone-Based Maternal Education for the Complementary Feeding of Undernourished Children Under 3 Years of Age in Food-Secure Communities: Randomised Controlled Trial in Urmia, Iran
Navisa Seyyedi, Bahlol Rahimi, Hamid Reza Farrokh Eslamlou, Hadi Lotfnezhad Afshar, Armin Spreco, Toomas Timpka Nutrients.2020; 12(2): 587. CrossRef - Effect of a newly developed ready-to-use supplementary food on growth indicators in children with mild to moderate malnutrition
F. Azimi, A. Esmaillzadeh, E. Alipoor, M. Moslemi, M. Yaseri, M.J. Hosseinzadeh-Attar Public Health.2020; 185: 290. CrossRef - Measurement components of socioeconomic status in health-related studies in Iran
Sediqe Shafiei, Shahram Yazdani, Mohammad-Pooyan Jadidfard, A. Hamid Zafarmand BMC Research Notes.2019;[Epub] CrossRef - Determinants of stunting among under-five children in Ethiopia: a multilevel mixed-effects analysis of 2016 Ethiopian demographic and health survey data
K. Fantay Gebru, W. Mekonnen Haileselassie, A. Haftom Temesgen, A. Oumer Seid, B. Afework Mulugeta BMC Pediatrics.2019;[Epub] CrossRef - Prevalence of underweight and wasting in Iranian children aged below 5 years: a systematic review and meta-analysis
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