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Sociocultural and economic determinants of stunting and thinness among adolescent boys and girls in Nepal
Journal of Biosocial Science ( IF 2.148 ) Pub Date : 2020-07-08 , DOI: 10.1017/s0021932020000358
Charlotte J W van Tuijl 1 , Dónya S Madjdian 1 , Hilde Bras 2 , Binaya Chalise 3
Affiliation  

Despite the increasing interest in the determinants of adolescent undernutrition in low- and middle-income countries, a comprehensive multi-level overview at the country level is missing. Using the nationally representative 2014 Nepal Adolescent Nutrition Survey, this study aimed to provide a comprehensive overview of the sociocultural and economic determinants of stunting and thinness of adolescent boys and girls in Nepal. Multivariate logistic regression models were used to estimate the associations between multiple individual, household and community determinants and stunting and thinness among 3773 adolescents aged 10–19 years (1888 boys and 1885 girls). The prevalence rates of stunting and thinness indicated suboptimal nutritional status and an inadequate growth environment in Nepali adolescents. The results highlighted an association of paternal occupation and education, household income, number of earning household members, geographical place of residence, caste/ethnicity and nutritional knowledge with stunting, with higher odds for males and older adolescents. Paternal occupation, education, household income, geographical region, caste/ethnicity and nutrition knowledge were associated with thinness, with higher odds for males and younger adolescents. The findings underscore the importance of involving adolescents, their parents and their communities in interventions. Such interventions should not only be aimed at improving adolescent nutrition but also at optimizing adolescents’ growth environment for better health and development. Future research should focus on context-specific causal pathways and mechanisms through which sociocultural and economic determinants influence nutritional outcomes within broader societal, cultural and political settings. A longitudinal approach, including a range of dietary and nutrition indicators would allow understanding how and when the relative importance of these factors change during adolescence.

中文翻译:

尼泊尔青少年男孩和女孩发育迟缓和消瘦的社会文化和经济决定因素

尽管低收入和中等收入国家对青少年营养不良的决定因素越来越感兴趣,但缺乏国家层面的全面多层次概述。本研究使用具有全国代表性的 2014 年尼泊尔青少年营养调查,旨在全面概述尼泊尔青少年男孩和女孩发育迟缓和瘦弱的社会文化和经济决定因素。多变量逻辑回归模型用于估计 3773 名 10-19 岁青少年(1888 名男孩和 1885 名女孩)的多个个人、家庭和社区决定因素与发育迟缓和瘦弱之间的关联。发育迟缓和瘦弱的患病率表明尼泊尔青少年的营养状况不佳和生长环境不足。结果强调了父亲的职业和教育、家庭收入、有收入的家庭成员人数、居住地、种姓/种族和营养知识与发育迟缓之间的关联,男性和年龄较大的青少年的发病率更高。父亲的职业、教育、家庭收入、地理区域、种姓/种族和营养知识与瘦弱有关,男性和年轻青少年的几率更高。研究结果强调了让青少年、他们的父母和他们的社区参与干预的重要性。此类干预措施不仅应旨在改善青少年营养,还应旨在优化青少年的成长环境,以促进健康和发展。未来的研究应侧重于特定背景的因果途径和机制,社会文化和经济决定因素通过这些途径和机制影响更广泛的社会、文化和政治环境中的营养结果。纵向方法,包括一系列饮食和营养指标,将有助于了解这些因素的相对重要性在青春期如何以及何时发生变化。
更新日期:2020-07-08
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