Meta Analysis: Effects of Household Size, Maternal Education, and Family Income on Stunting
DOI:
https://doi.org/10.26911/jepublichealth.2023.08.03.04Abstract
Background: Nutrition is a requirement for every toddler. Inadequate nutritional intake will cause stunting problems. Stunting is a condition of failure to thrive in children where toddlers are shorter in age. This study aims to examine the effect of the number of family members, mother's education and family income on stunting by using meta-analysis.
Subjects and Method: This was a systematic review and meta-analysis. Population was infants aged 6-59 months. Intervention: high number of family members, high mother's education, high family income. Comparison: low number of family members, low mother's education and low family income. Outcome: stunting. The online databases used are PubMed, Google Scholar, springerlink, and Science Direct with the keywords Stunting AND (“Family Size OR “Household Size”) AND (“Maternal Education” OR “Mother's Education”) AND “Wealth Status” OR “Household income”) AND “Cross sectional” AND aOR. There were 13 published cross-sectional studies from 2016-2022 that met the inclusion criteria. Analysis was performed using RevMan 5.4.
Results: A meta-analysis was carried out on 13 articles with a cross-sectional study design originating from Ethiopia, Nigeria and Zambia and involving 63,888 aged 6-59 months. The results of the meta-analysis show that toddlers with a high number of family members have a risk of stunting 1.43 times compared to a low number of family members (aOR = 1.43; 95% CI = 1.17 to 1.75; p<0.001), toddlers with low maternal education can reduce stunting 0.65 times compared to mothers with high education (aOR= 0.65; 95% CI= 0.48 to 0.88; p= 0.005) and toddlers with low family income can reduce the risk of stunting 0.53 times compared to high family income (aOR= 0.53; 95% CI= 0.47 to 0.59; p<0.001).
Conclusion: Toddlers with a high number of family members can increase the risk of stunting while high maternal education and low family income can reduce the risk of stunting.
Keywords: number of family members, mother's education, family income, stunting
Correspondence:
Septa Decelita Wahyuni, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: septadeclita@gmail.com. Mobile: +6281373083322.
References
Afework, E, Mengesha S, Wachamo D (2021). Stunting and associated factors among under-five-age children in west guji zone, oromia, ethiopia. J Nutr Metab. doi: 10.1155/2021/8890725.
Azmeraw Y, Akalu, TY, Boke M, Gelaye K (2021). The effect of Socioeconomic and Behavioral Factors on Childhood Stunting in Janamora District, Ethiopia. Nutr Diet Suppl. 13: 91–101. doi: 10.2147/nds.s314-411.
Chowdhury TR, Chakrabarty S, Rakib M, Winn S, Bennie J (2022). Risk factors for child stunting in Bangla-desh: an analysis using MICS 2019 data. Arch Public Heal. 80(1). doi: 10.1186/s13690-022-00870-x.
Dake SK, Solomon FB, Bobe TM, Tekle HA, Tufa EG (2019). Predictors of stunting among children 6-59 months of age in Sodo Zuria District, South Ethiopia: A community based cross-sectional study. BMC Nutr. 5(23): 1-7. doi: 10.1186/s40795-019-0287-6.
Farah AM, Nour TY, Endris BS, Gebre-yesus SH (2021) Concurrence of stunting and overweight/ obesity among children: Evidence from Ethiopia. PLoS One 16(1):1-17. doi: 10.1371/journal.pone.0245456.
Geberselassie SB, Abebe SM, Melsew YA, Mutuku SM, Wassie MM (2018). Prevalence of stunting and its associated factors among children 6-59 months of age in Libo-Kemekem district, Northwest Ethiopia; A community based cross sectional study. PLoS One. 13. doi: 10.1371/journal.pone.0195361.
Gebrie M, Benti A (2021). Feeding practice and its associated factors among children age from 6-59 months in Ziway Dugda Woreda, Arsi Zone, Oromia Region, Ethiopia. J Nutr Metab 13: 1–15. doi: 10.5897/IJNAM2020.0279.
Gelu A, Edris M, Derso T, Abebe Z (2018). Undernutrition and associated factors among children aged 6-59 months living in slum areas of Gondar city, northwest Ethiopia: a cross-sectional study. Pediatric Health Med Ther. 9: 81–88. doi: 10.2147/phmt.s172317.
Kemenkes RI (2022). Indonesian Nutri-tional Status Survey (SSGI). Jakarta: Health Ministry of Indonesia.
Mela FD, Zulkefli NAM, Shukri NHM. (2021). Maternal and household predictors of malnutrition among under-five children in internally displaced person camps of Adamawa and Yobe States, Nigeria. J Food Nutr Res. 9: 449–456. doi: 10.12691/jfnr-9-9-1.
Mengesha A, Hailu S, Birhane M, Belay MM. (2021). The prevalence of stunting and associated factors among children under five years of age in southern ethiopia: Community based cross-sectional study. Ann Glob Healt. 87. doi: 10.5334/aogh.3432.
Muche A, Gezie LD, Baraki AG, Amsalu ET. (2021). Predictors of stunting among children age 6–59 months in Ethiopia using Bayesian multi-level analysis. Sci Rep 11. doi: 10.1038/s41598-021-82755-7.
Muktiyo W, Wiryanta, Indarto M, Anggraeni SD, Nuroctaviani E, Octama CI (2020). Stunting communication book: strategy & action. Ministry of Communication and Information of the Republic of Indonesia. doi: 10.29239/j.agrikan.9.2.iiii.
Nkhoma B, Ng’ambi WF, Chipimo PJ, Zambwe (2021). Determinants of stunting among children <5 years of age: Evidence from 2018-2019 Zambia Demographic and Health Survey. doi: 10.1101/2021.05.19.21257389.
Oktaviani NPW, Lusiana SA, Sinaga TR, Simanjuntak RR, Louis SL, Adriani R, Putri RN, et al. (2022). Stunting alert in Indonesia. Sumatera Utara: Yayasan Kita Menulis.
Shine S, Tadesse F, Shiferaw Z, Mideksa, L, Seifu W (2017). Prevalence and associated factors of stunting among 6-59 months children in Pastoral Community of Korahay Zone, Somali Regional State, Ethiopia 2016. J Nutr Disord Ther. doi: 10.4172/2161-0509.1000208.
Tariku A, Biks GA, Derso T, Wassie MM, Abebe SM. (2017). Stunting and its determinant factors among children aged 6-59 months in Ethiopia. Ital J Pediatr 43. doi: 10.1186/s13052-017-0433-1.
TNP2K (2017). 100 priority districts/ cities for stunting (stunting). Jakarta: Tim Nasional Percepatan Penanggulan Kemiskinan.
UNICEF (2021). Early childhood Nutrion. United Nations Children's Fund.
Wahyudi, Kuswati A, Sumedi T (2022). The relationship between family
income, the number of family members to stunting in toddlers aged 24-59 months: a literature review. J Bionurs. 4(1): 63-69.
Yazew T (2022). Risk factors of stunting and wasting among children aged 6-59 months in household food insecurity of Jima Geneti District, Western Oromia, Ethiopia: An Observational Study. J Nutr Metab. doi: 10.1155/2022/3981417.
Downloads
Published
2023-07-16
Issue
Vol. 8 No. 3 (2023)
Section
Articles