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Trends in underweight, stunting, and wasting prevalence and inequality among children under three in Indian states, 1993-2016

Karlsson, Omar LU ; Kim, Rockli ; Sarwal, Rakesh ; James, K S and Subramanian, S V (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.

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author
; ; ; and
organization
publishing date
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
2024-06-29 14:29:32
@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 &amp; 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}},
}