Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993-2016
(2021) In Scientific Reports 11.- Abstract
Child undernutrition remains high in India with far-reaching consequences for child health and development. Anthropometry reflects undernutrition. We examined the state-level trends in underweight, stunting, and wasting prevalence and inequality by living standards using four rounds of the National Family Health Surveys in 26 states in India, conducted in 1992-1993, 1998-1999, 2005-2006, and 2015-2016. The average annual reduction (AAR) for underweight ranged from 0.04 percentage points (pp) (95% CI - 0.12, 0.20) in Haryana to 1.05 pp (95% CI 0.88, 1.22) in West Bengal for underweight; 0.35 pp (95% CI 0.11, 0.59) in Manipur to 1.47 (95% CI 1.19, 1.75) in Himachal Pradesh for stunting; and - 0.65 pp (95% CI - 0.77, - 0.52) in Haryana to... (More)
Child undernutrition remains high in India with far-reaching consequences for child health and development. Anthropometry reflects undernutrition. We examined the state-level trends in underweight, stunting, and wasting prevalence and inequality by living standards using four rounds of the National Family Health Surveys in 26 states in India, conducted in 1992-1993, 1998-1999, 2005-2006, and 2015-2016. The average annual reduction (AAR) for underweight ranged from 0.04 percentage points (pp) (95% CI - 0.12, 0.20) in Haryana to 1.05 pp (95% CI 0.88, 1.22) in West Bengal for underweight; 0.35 pp (95% CI 0.11, 0.59) in Manipur to 1.47 (95% CI 1.19, 1.75) in Himachal Pradesh for stunting; and - 0.65 pp (95% CI - 0.77, - 0.52) in Haryana to 0.36 pp (95% CI 0.22, 0.51) in Bihar & Jharkhand for wasting. We find that change in the pp difference between children with the poorest and richest household living standards varied by states: statistically significant decline (increase) was observed in 5 (3) states for underweight, 5 (4) states for stunting, and 2 (1) states for wasting. Prevalence of poor anthropometric outcomes as well as disparities by states and living standards remain a problem in India.
(Less)
- author
- Karlsson, Omar LU ; Kim, Rockli ; Sarwal, Rakesh ; James, K S and Subramanian, S V
- organization
- publishing date
- 2021-07-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- undernutrition, india, living standards
- in
- Scientific Reports
- volume
- 11
- article number
- 14137
- publisher
- Nature Publishing Group
- external identifiers
-
- scopus:85109770152
- pmid:34238988
- ISSN
- 2045-2322
- DOI
- 10.1038/s41598-021-93493-1
- language
- English
- LU publication?
- yes
- id
- ce0fc519-fa47-42fb-a049-61af39305202
- date added to LUP
- 2021-07-12 15:56:28
- date last changed
- 2024-09-07 21:27:51
@article{ce0fc519-fa47-42fb-a049-61af39305202, abstract = {{<p>Child undernutrition remains high in India with far-reaching consequences for child health and development. Anthropometry reflects undernutrition. We examined the state-level trends in underweight, stunting, and wasting prevalence and inequality by living standards using four rounds of the National Family Health Surveys in 26 states in India, conducted in 1992-1993, 1998-1999, 2005-2006, and 2015-2016. The average annual reduction (AAR) for underweight ranged from 0.04 percentage points (pp) (95% CI - 0.12, 0.20) in Haryana to 1.05 pp (95% CI 0.88, 1.22) in West Bengal for underweight; 0.35 pp (95% CI 0.11, 0.59) in Manipur to 1.47 (95% CI 1.19, 1.75) in Himachal Pradesh for stunting; and - 0.65 pp (95% CI - 0.77, - 0.52) in Haryana to 0.36 pp (95% CI 0.22, 0.51) in Bihar & Jharkhand for wasting. We find that change in the pp difference between children with the poorest and richest household living standards varied by states: statistically significant decline (increase) was observed in 5 (3) states for underweight, 5 (4) states for stunting, and 2 (1) states for wasting. Prevalence of poor anthropometric outcomes as well as disparities by states and living standards remain a problem in India.</p>}}, author = {{Karlsson, Omar and Kim, Rockli and Sarwal, Rakesh and James, K S and Subramanian, S V}}, issn = {{2045-2322}}, keywords = {{undernutrition; india; living standards}}, language = {{eng}}, month = {{07}}, publisher = {{Nature Publishing Group}}, series = {{Scientific Reports}}, title = {{Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993-2016}}, url = {{http://dx.doi.org/10.1038/s41598-021-93493-1}}, doi = {{10.1038/s41598-021-93493-1}}, volume = {{11}}, year = {{2021}}, }