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Cross-national analysis of the risk factors of child malnutrition among children made vulnerable by HIV/AIDS in sub-Saharan Africa: evidence from the DHS

Monica A., Monica; Magadi, Monica A.

Authors



Abstract

Objective To examine the risk factors of malnutrition among children whose mothers are infected with HIV in sub-Saharan Africa (SSA). Methods Multilevel logistic regression models applied to Demographic and Health Survey (DHS) data collected during 2003-2008 from 18 countries in SSA, where the DHS included HIV test data for adults of reproductive age. Results Across countries in SSA, the risk of malnutrition among children whose mothers are infected with HIV is particularly high among children aged one, boys, multiple/twin births, those who were smaller than average at birth, or whose mothers had no education, or in poorest or single parent households. Although these risk factors generally apply to all children from the same communities, the higher risk of child malnutrition among those in the poorest households is amplified among children whose mothers are infected with HIV. Also, while in general children who are breastfed for up to 6months are significantly less likely to be malnourished than those who were never breastfed; the benefit of breastfeeding is not evident among children whose mothers are infected with HIV. Conclusion Contextual community/country HIV prevalences show interesting patterns: the risk of malnutrition among children whose mothers are infected with HIV is lower in countries with higher HIV prevalence. These findings have important implications for interventions to address malnutrition among children made vulnerable by HIV/AIDS in the SSA region. © 2011 Blackwell Publishing Ltd.

Journal Article Type Article
Publication Date 2011-05
Journal TROPICAL MEDICINE & INTERNATIONAL HEALTH
Print ISSN 1360-2276
Electronic ISSN 1365-3156
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 16
Issue 5
Pages 570-578
APA6 Citation Magadi, M. A. (2011). Cross-national analysis of the risk factors of child malnutrition among children made vulnerable by HIV/AIDS in sub-Saharan Africa: evidence from the DHS. Tropical medicine & international health : TM & IH, 16(5), 570-578. doi:10.1111/j.1365-3156.2011.02733.x
DOI https://doi.org/10.1111/j.1365-3156.2011.02733.x
Keywords Child malnutrition; Children made vulnerable by HIV; AIDS; Risk factors; Sub-Saharan Africa; Multilevel logistic regression; Demographic and Health Surveys
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