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Mother’s education level is associated with anthropometric failure among 3- to 12-year-old rural children in Purba Medinipur, West Bengal, India

Published online by Cambridge University Press:  15 October 2020

Pikli Khanra ,
Kaushik Bose  and
Raja Chakraborty Open the ORCID record for Raja Chakraborty [Opens in a new window]
Pikli Khanra
Affiliation:
Department of Anthropology, Vidyasagar University, Midnapore, West Bengal, India
Kaushik Bose
Affiliation:
Department of Anthropology, Vidyasagar University, Midnapore, West Bengal, India
Raja Chakraborty*
Affiliation:
Department of Anthropology, Dinabandhu Mahavidyalaya, Bongaon, West Bengal, India
*
*Corresponding author. Email: [email protected]
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Abstract

Maternal education plays a central role in children’s health and nutrition. Living conditions and socioeconomic status are linked with mother’s education, which in turn determines the health and development of a child. The Composite Index of Anthropometric Failure (CIAF) is a single indicator that reflects overall rate of three conventional indices of undernutrition: underweight, stunting and wasting. The study was undertaken among 621 rural Bengalee children (308 boys and 313 girls) aged 3–12 years from the Purba Medinipur district of West Bengal, India. Height (cm) and weight (kg) were recorded and NCHS standard values used to calculate z-scores (<–2SD). The same data were used to calculate CIAF as an indicator of ‘anthropometric failure’ (AF) or undernutrition. The prevalence of AF among the children was 59.40%. Chi-squared analysis was employed to evaluate the significance of differences in the prevalence of CIAF between the sexes and the association between nutritional indicators and socioeconomic parameters in the two sexes. Multiple binary logistic regression (MBLR) analyses (including the forward stepwise method) were also performed. Odds ratios with 95% confidence intervals were used to assess the risk of having AF. Results showed that mother’s education was significantly associated with undernutrition (AF) controlling for the other factors considered. A very high prevalence of undernutrition is persisting in this region of India despite national nutritional supplementation programmes being operational. More attention to the improvement of living conditions and hygiene, and more particularly the education of women, in this population might be effective in attaining improved child growth and health.

Keywords

Anthropometric failureCIAFMother’s education
Type
Research Article
Information
Journal of Biosocial Science , Volume 53 , Issue 6 , November 2021 , pp. 856 - 867
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Abbasi, S, Mahmood, H, Zaman, A, Farooq, B, Malik, A and Saga, Z (2018) Indicators of malnutrition in under 5 Pakistani children: a DHS data secondary analysis. Journal of Medical Research and Health Education 2 (3), 1–10.Google Scholar
Abuya, BA, Ciera, J and Kimani-Murage, E (2012) Effect of mother’s education on child’s nutritional status in the slums of Nairobi. BMC Pediatrics 12 (80), 1–10.CrossRefGoogle ScholarPubMed
Acharya, A, Mandal, GC and Bose, K (2013) Overall burden of under-nutrition measured by a composite index in rural pre-school children in Purba Medinipur, West Bengal, India. Anthropological Review 76 (1), 109–116.CrossRefGoogle Scholar
Ahmadi, D, Amarnani, E, Sen, A, Ebadi, N, Cortbaoui, P and Melgar-Quiñonez, H (2018) Determinants of child anthropometric indicators in Ethiopia. BMC Public Health 18 (1), 626.CrossRefGoogle ScholarPubMed
Akresh, R, Lucchetti, L and Thirumurthy, H (2012) Wars and child health: evidence from the Eritrean–Ethiopian conflict. Journal of Development Economics 99 (2), 330–340.CrossRefGoogle ScholarPubMed
Arora, D, Datta, S and Sau, S K (2014) An assessment of socio-economic factors on nutritional status in primary school – a cross sectional study in Purulia of West Bengal. International Journal of Occupational Safety and Health 4 (2), 15–18.CrossRefGoogle Scholar
Bhadra, M, Mukhopadhyay, A, Chakraborty, R, Bose, K, Koziel, S and Ulijaszek, S (2013) Relative fat distribution in relation to menarcheal status among Bengalee Hindu girls of West Bengal, India. Journal of Natural Sciences Biology and Medicine 4, 369–373.Google ScholarPubMed
Bhagowalia, P and Gupta, P (2011) Nutritional status and access to clean fuels: evidence from South Asia. Paper presented at the Agricultural and Applied Economics Association’s 2011 AAEA and NAREA Joint Annual Meeting, Pittsburgh, Pennsylvania, pp. 1–24 Google Scholar
Biswas, S, Bose, K and Koziel, S (2011) Effect of some social factors on nutritional status among rural Bengalee preschool children from Eastern India. Journal of Human Sciences 8 (1), 289–300.Google Scholar
Biswas, S, Bose, K, Mukhopadhyay, A and Bhadra, M (2009) Prevalence of under nutrition among pre-school going children of Chapra, Nadia District, West Bengal, India, measured by composite index of anthropometric failure (CIAF). Anthropologischer Anzeiger 67 (3), 269–279.CrossRefGoogle Scholar
Biswas, S, Giri, SP and Bose, K (2018) Assessment of nutritional status by composite index of anthropometric failure (CIAF): a study among preschool children of Sagar Block, South 24 Parganas District, West Bengal, India. Anthropological Review 81 (3), 269–277.CrossRefGoogle Scholar
Black, RE, Victora, CG, Walker, SP, Bhutta, ZA, Christian, P, de Onis, M etal. (2013) Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet 382 (9890), 427–451.CrossRefGoogle ScholarPubMed
Caldwell, JC (1993). Health transition: the cultural, social and behavioural determinants of health in the Third World. Social Science & Medicine 36 (2), 125–135.CrossRefGoogle ScholarPubMed
Chellamma, P, Chandrasekharan Nair, J, Suresh Lakshmi, S, Jaleel, S, Soman Chellappan, S, Shameena, S etal. (2017) Factors affecting the nutritional status of 3-6-year-old children attending Anganwadis in an urban area in Kerala. Journal of Evolution of Medical and Dental Sciences 6 (56), 4188–4192.CrossRefGoogle Scholar
Cheng, C (2019) Women’s education, intergenerational coresidence, and household decision-making in China. Journal of Marriage and Family 81, 115–132.Google Scholar
Cleland, JG and Van Ginneken, JK (1988). Maternal education and child survival in developing countries: the search for pathways of influence. Social Science & Medicine 27 (12), 1357–1368.CrossRefGoogle ScholarPubMed
CSDH (2008) Closing the Gap in a Generation: Health Equity Through Action on The Social Determinants of Health. Final Report of the Commission on the Social Determinants of Healt. Commission on the Social Determinants of Health, Geneva, p. 247.Google Scholar
Cunningham, K, Ruel, M, Ferguson, E and Uauy, R (2015) Women’s empowerment and child nutritional status in South Asia: a synthesis of the literature. Maternal and Child Nutrition 11, 1–19.Google ScholarPubMed
Dasgupta, A, Sahoo, SK, Taraphdar, P, Preeti, P S, Biswas, D, Kumar, A and Sarkar, I (2015) Composite index of anthropometric failure and its important correlates: a study among under-5 children in slum of Kolkata, West Bengal, India. International Journal of Medical Science and Public Health 4 (3), 414–419.CrossRefGoogle Scholar
Dearden, KA, Schott, W, Crookston, BT, Humphries, DL, Penny, ME and Behrman, JR (2017) Children with access to improved sanitation but not improved water are at lower risk of stunting compared to children without access: a cohort study in Ethiopia, India, Peru, and Vietnam. BMC Public Health 17 (1), 110.CrossRefGoogle Scholar
Desai, S and Alva, S (1998) Maternal education and child health: is there a strong causal relationship? Demography 35 (1), 71.CrossRefGoogle Scholar
Dewan, D, Gupta, R, and Kumar, D (2015) Can we rely solely on conventional measures to estimate under nutrition among under fives? Indian Journal of Community Health 27 (3), 361–365.Google Scholar
Elema, T (2018) Predictors for the prevalence of under-nutrition, wasting and stunting of 3 to 12 years school aged children in the Asella Luther Child Development Project – Oromiyaa, Ethiopia. Journal of Nutrition and Human Health 2 (2), 1–10.Google Scholar
Emina, J, Kandala, N, Inungu, J and Yazoume, Y (2011) Maternal education and child nutritional status in the Democratic Republic of Congo. Journal of Public Health and Epidemiology 3 (12), 576–592.Google Scholar
Endris, N, Asefa, H and Dube, L (2017) Prevalence of malnutrition and associated factors among children in rural Ethiopia. BioMed Research International, Article ID 6587853, doi: https://doi.org/10.1155/2017/6587853 CrossRefGoogle Scholar
Fenn, B, Bulti, AT, Nduna, T, Duffield, A and Watson, F (2012) An evaluation of an operations research project to reduce childhood stunting in a food-insecure area in Ethiopia. Public Health Nutrition 15 (9), 1746–1754.CrossRefGoogle Scholar
Frost, MB, Forste, R and Haas, DW (2005) Maternal education and child nutritional status in Bolivia: finding the links. Social Science & Medicine 60 (2), 395–407.CrossRefGoogle ScholarPubMed
Garcia Cruz, L, González Azpeitia, G, Reyes Súarez, D, Santana Rodríguez, A, Loro Ferrer, J and Serra-Majem, L (2017) Factors associated with stunting among children aged 0 to 59 months from the Central region of Mozambique. Nutrients 9 (491), 1–16.CrossRefGoogle Scholar
Giri, SP, Biswas, S and Bose, K (2017) Prevalence of undernutrition among Bengalee preschool children of Sundarban, South 24 Parganas, West Bengal, India. Human Biology Review 6 (4), 284–300.Google Scholar
Glewwe, P (1999) Why does mother’s schooling raise child health in developing countries? Evidence from Morocco. Journal of Human Resources 34 (1), 124–159.CrossRefGoogle Scholar
Groth, D, Scheffler, C and Hermanussen, M (2019) Body height in stunted Indonesian children depends directly on parental education and not via a nutrition mediated pathway – evidence from tracing association chains by St. Nicolas House Analysis. Anthropologischer Anzeiger 76 (5), 445–451.CrossRefGoogle ScholarPubMed
Gwatkin, DR, Rustein, S, Johnson, S, Pande, K and Wagstaff, A (2000) Socio-economic Differences in Health, Nutrition, and Population in Cameroon. World Bank, Washington, DC.Google Scholar
Handa, S (1999) Maternal education and child height. Economic Development and Cultural Change 47 (2), 421–439.CrossRefGoogle Scholar
IFPRI (2016) Global Nutrition Report 2016: From Promise to Impact: Ending Malnutrition by 2030. International Food Policy Research Institute. IFPRI Publications, Washington, DC.Google Scholar
IIPS (2017) National Family Health Survey (NFHS) 2015–2016. International Institute for Population Sciences, Mumbai.Google Scholar
Kamiya, Y (2011) Socioeconomic determinants of nutritional status of children in Lao PDR: effects of household and community factors. Journal of Health, Population and Nutrition 29 (4), 339–348.CrossRefGoogle ScholarPubMed
Kavosi, E, Hassanzadeh Rostami, Z, Nasihatkon, A, Moghadami, M and Heidari, M (2014) Prevalence and determinants of under-nutrition among children under six: a cross-sectional survey in Fars Province, Iran. International Journal of Health Policy and Management 3 (2), 71–76.CrossRefGoogle ScholarPubMed
Keino, S, Plasqui, G, Ettyang, G and van den Borne, B (2014) Determinants of stunting and overweight among young children and adolescents in sub-Saharan Africa. Food and Nutrition Bulletin 35 (2), 167–178.CrossRefGoogle ScholarPubMed
Khanra, P, Biswas, S and Bose, K (2019) Nutritional assessment by composite index of anthropometric failure among school going children of Purba Medinipur, West Bengal, India. Human Biology Review 8 (1), 66–75.Google Scholar
Kraamwinkel, N, Ekbrand, H, Davia, S and DaoudI, A (2019) The influence of maternal agency on severe child undernutrition in conflict-ridden Nigeria: Modeling heterogeneous treatment effects with machine learning. PLoS One 14 (1), 1–16.CrossRefGoogle ScholarPubMed
Kuczmarski, RJ, Ogden, CL, Guo, SS, Grummer-Strawn, LM, Flegal, KM, Mei, Z etal. (2002) 2000 CDC growth charts for the United States: methods and development. Vital and Health Statistics. Series 11: Data from the National Health Survey 11 (246), 1–190.Google Scholar
Kumar, D, Mittal, PC and Sharma, MK (2010) Socio-demographic risk factors of child undernutrition. Journal of Pediatric Science 2, 1–11.Google Scholar
Lohman, TG, Roche, AF and Martorell, R (1988) Anthropometric Standardization Reference Manual. Human Kinetics Books, Chicago, IL.Google Scholar
Makoka, D and Masibo, PK (2015) Is there a threshold level of maternal education sufficient to reduce child undernutrition? Evidence from Malawi, Tanzania and Zimbabwe. BMC Pediatrics 15 (96), 1–10 Google Scholar
Mandal, S, Prabhakar, VP, Pal, J, Parthasarathi, R and Biswas, R (2014) An assessment of nutritional status of children aged 0–14 years in a slum area of Kolkata. International Journal of Medicine and Public Health 4 (2), 159–162.Google Scholar
Mansur, DI, Haque, MK, Sharma, K, Mehta, DK and Shakya, R (2015) A study on nutritional status of rural school going children in Kavre District. Kathmandu University Medical Journal 13 (2), 146–151.CrossRefGoogle Scholar
Meshram, II, Arlappa, N, Balakrishna, N, Laxmaiah, A, Mallikarjun Rao, K etal. (2012) Prevalence and determinants of undernutrition and its trends among pre-school tribal children of Maharashtra State, India. Journal of Tropical Pediatrics 58 (2), 125–132.CrossRefGoogle ScholarPubMed
Mishra, V and Retherford, R. (2007) Does biofuel smoke contribute to anaemia and stunting in early childhood? International Journal of Epidemiology 36 (1), 117–119.CrossRefGoogle ScholarPubMed
Mohammad, K, Kassab, M, Gamble, J, Creedy, DK and Foster, J (2014) Factors associated with birth weight inequalities in Jordan. International Nursing Review 61 (3), 435–440.CrossRefGoogle ScholarPubMed
Nandy, S, Irving, M, Gordon, D, Subramanian, SV and Smith, GD (2005) Poverty, child undernutrition and morbidity: new evidence from India. Bulletin of the World Health Organization 83 (3), 210–216.Google ScholarPubMed
Nguyen, HT, Eriksson, B, Petzold, M, Bondjers, G, Tran, TK, Nguyen, LT and Ascher, H (2013) Factors associated with physical growth of children during the first two years of life in rural and urban areas of Vietnam. BMC Pediatrics 13 (149), 1–10 CrossRefGoogle Scholar
Owoaje, E, Onifade, O and Desmennu, A (2014) Family and socioeconomic risk factors for undernutrition among children aged 6 to 23 months in Ibadan, Nigeria. Pan African Medical Journal 17 (161), 1–7.CrossRefGoogle ScholarPubMed
Pal, A, Pari, AK, Sinha, A and Dhara, PC (2017) Prevalence of undernutrition and associated factors: a cross-sectional study among rural adolescents in West Bengal, India. International Journal of Pediatrics and Adolescent Medicine 4 (1), 9–18.Google ScholarPubMed
Phengxay, M, Ali, M, Yagyu, F, Soulivanh, P, Kuroiwa, C and Ushijima, H (2007) Risk factors for protein–energy malnutrition in children under 5 years: study from Luangprabang province, Laos. Pediatrics International 49 (2), 260–265.CrossRefGoogle ScholarPubMed
Pramanik, P, Bose Banerjee, S and Dey, S (2015) Prevalence of under nutrition and poor health status among primary school children in Burdwan West Bengal. Scholars Journal of Applied Medical Sciences 3 (5A), 1851–1857.Google Scholar
Ramesh, S, Sundari, S and Ramesh, J (2017) Assessment of nutritional status by Composite Index of Anthropometric Failure (CIAF): a study among under-5 children in Chennai, Tamil Nadu, India. Research Journal of Pharmaceutical, Biological and Chemical Sciences 8 (3), 1495–1499.Google Scholar
Ray, I and Chandra, A (2013) An anthropometric study on the children of Tripura: nutritional and health coverage and redefining WHO percentile cut-off points. International Journal of Scientific and Research Publications 3 (5), 1–8.Google Scholar
Rengma, MS, Bose, K and Mondal, N (2016) Socio-economic and demographic correlates of stunting among adolescents of Assam, North-east India. Anthropological Review 79 (4), 409–425.CrossRefGoogle Scholar
Roy, K, Dasgupta, A, Roychoudhury, N, Bandyopadhyay, L, Mandal, S and Paul, B (2018) Assessment of under nutrition with composite index of anthropometric failure (CIAF) among under-five children in a rural area of West Bengal, India. International Journal of Contemporary Pediatrics 5 (4), 1651–1656.CrossRefGoogle Scholar
Sarkar, S (2016) Cross-sectional study of child malnutrition and associated risk factors among children aged under five in West Bengal, India. International Journal of Population Studies 2 (1), 89–102.CrossRefGoogle Scholar
Sen, J, Dey, S and Mondal, N (2011) Conventional nutritional indices and Composite Index of Anthropometric Failure: which seems more appropriate for assessing under-nutrition among children? A cross-sectional study among school children of the Bengalee Muslim Population of North Bengal, India. Italian Journal of Public Health 8 (2), 172–185.Google Scholar
Seetharaman, N, Chacko, TV, Shankar, S and Mathew, AC (2007) Measuring malnutrition – the role of Z scores and the composite index of anthropometric failure (CIAF). Indian Journal of Community Medicine 32 (1), 35–39.CrossRefGoogle Scholar
Shafiq, A, Hussain, A, Asif, M, Hwang, J, Jameel, A and Kanwel, S (2019) The effect of “women’s empowerment” on child nutritional status in Pakistan. International Journal of Environmental Research and Public Health 16, 4499.CrossRefGoogle ScholarPubMed
Sinha, NK and Maiti, S (2014) Prevalence of undernutrition among under-privileged pre-school children (2–6 yrs) of Midnapore town, India. Malaysian Journal of Paediatrics and Child Health 18, 58–69.Google Scholar
Smith, HA, Hourihane, JOB, Kenny, LC, Kiely, M, Leahy-Warren, P and Murray, DM (2016) Infant Formula feeding practices in a prospective population based study. BMC Pediatrics 16 (205), 1–7 CrossRefGoogle Scholar
Smith, KR (2000) National burden of disease in India from indoor air pollution. Proceedings of the National Academy of Sciences of the USA 97 (24), 13286–13293.CrossRefGoogle ScholarPubMed
Stamenkovic, Z, Djikanovic, B, Laaser, U and Bjegovic-Mikanovic, V (2016) The role of mother’s education in the nutritional status of children in Serbia. Public Health Nutrition 19 (15), 2734–2742.CrossRefGoogle ScholarPubMed
Sunil, T (2009) Effects of socio-economic and behavioural factors on childhood malnutrition in Yemen. Maternal and Child Nutrition 5, 251–259.CrossRefGoogle ScholarPubMed
Svedberg, P (2000) Poverty and Undernutrition. Theory, Measurement, and Policy : A Study Prepared for the World Institute for Development Economics Research of the United Nations University (UNU/WIDER). Oxford University Press, Oxford.CrossRefGoogle Scholar
Teshome, B, Kogi-Makau, W, Getahun, Z and Taye, G (2009) Magnitude and determinants of stunting in children under five years of age in food surplus region of Ethiopia: the case of West Gojam Zone. Ethiopian Journal of Health Development 23 (2), 98–106 Google Scholar
Ulijaszek, S J and Kerr, DA (1999) Anthropometric measurement error and the assessment of nutritional status. British Journal of Nutrition 82 (3), 165–177.CrossRefGoogle ScholarPubMed
UNICEF (2011) Gender Influences on Child Survival, Health and Nutrition: A Narrative Review. United Nations Children’s Fund, Geneva.Google Scholar
UNICEF (2019) UNICEF–WHO–The World Bank: Joint Child Malnutrition Estimates – Levels and Trends – 2019 Edition. UNICEF Data. URL: https://data.unicef.org/resources/jme/ (accessed 1st July 2019).Google Scholar
Victora, CG, Adair, L, Fall, C, Hallal, PC, Martorell, R, Richter, L and Sachdev, HS (2008) Maternal and child undernutrition: consequences for adult health and human capital. The Lancet 371 (9609), 340–357.CrossRefGoogle ScholarPubMed
Vikram, K and Vanneman, R (2019) Maternal education and the multidimensionality of child health outcomes in India. Journal of Biosocial Science 51 (1), 1–21.Google Scholar
Vollmer, S, Harttgen, K, Kupka, R and Subramanian, SV (2017) Levels and trends of childhood undernutrition by wealth and education according to a Composite Index of Anthropometric Failure: evidence from 146 Demographic and Health Surveys from 39 countries. BMJ Global Health 2 (2), e000206.CrossRefGoogle ScholarPubMed
Walker, CLF, Rudan, I, Liu, L, Nair, H, Theodoratou, E, Bhutta, ZA etal. (2013) Global burden of childhood pneumonia and diarrhoea. The Lancet 381 (9875), 1405–1416.CrossRefGoogle ScholarPubMed
WHO (2006) Child Growth Standards. Length/Height for age, Weight for Age, Weight for Length, Weight for Height and Body Mass Index for Age. Methods and Development. World Health Organization, Geneva.Google Scholar
WHO (2010) Nutrition Landscape Information System (NLIS) Country Profile Indicators: Interpretation Guide. World Health Organization, Geneva.Google Scholar
Yadav, AK, Kotwal, A, Vaidya, R and Yadav, J (2016) Anthropometric indices and its socio-demographic determinants among primary school children of an urban school in Pune, India. International Journal of Medicine and Public Health 6 (4), 160–164.CrossRefGoogle Scholar