A community-based cross-sectional study was conducted.

Abstract

Dessie G, Tsegaye GW, Mekonnen BA, Bayih MT, Nigussie ZM. Change in stunting and its associated factors among children aged less than 5 years in Ethiopia using Ethiopia Demographic and Health Survey data from 2005 to 2019: a multivariate decomposition analysis. BMJ Open. 2022 Nov 11;12(11):e061707.

Objective: The aim of this study is to assess change in stunting and its associated factors among children aged less than 5 years in Ethiopia using Ethiopia Demographic and Health Survey data from 2005 to 2019.

Design: A community-based cross-sectional study was conducted.

Setting: The study was conducted in Ethiopia.

Participants: In 2005, 4586 individuals were examined, followed by 10 282 in 2011, 9462 in 2016 and 4937 in 2019.

Primary and secondary outcomes: The primary outcome of the study was stunting, and the secondary outcome was factors associated with stunting and its change. A multilevel logistic regression model was fitted to identify individual and community-level factors associated with stunting among children aged less than 5 years. Multivariate decomposition analysis was also carried out to assess the role of compositional characteristics and behavioural change for decline in stunting among children aged less than 5 years in Ethiopia.

Results: Over the study period, the prevalence rate of stunting in children aged less than 5 years decreased from 47% to 37% in 2019. Differences in behavioural change among children under the age of 5 years account for 76.69% of the overall decline in stunting prevalence rate in the years 2005-2011, 86.53% in the years 2005-2016, 98.9% in the years 2005-2019, 70.34% in the years 2011-2016 and 73.77% in the years 2011-2019. Behavioural adjustments among breastfed children, diet diversity, place of delivery, ANC follow-up and region have all had a major effect on stunting prevalence rate. The wealth index, parenteral education, child’s age in months, length of breast feeding and area were among the compositional change factors.

Conclusion: A large percentage of children aged less than 5 years remains stunted in Ethiopia. Stunting was associated with alterations in the compositional and behavioural characteristics of children. Stimulating existing nutritional measures and improving the wealth index will make a significant difference in reducing stunting among Ethiopian children aged less than 5 years.

Objective: The aim of this study is to assess change in stunting and its associated factors among children aged less than 5 years in Ethiopia using Ethiopia Demographic and Health Survey data from 2005 to 2019. Design: A community-based cross-sectional study was conducted. Setting: The study was conducted in Ethiopia. Participants: In 2005, 4586 individuals were examined, followed by 10 282 in 2011, 9462 in 2016 and 4937 in 201.9. Primary and secondary outcomes: The primary outcome of the study was stunting, and the secondary outcome was factors associated with stunting and its change. A multilevel logistic regression model was fitted to identify individual and community-level factors associated with stunting among children aged less than 5 years. Multivariate decomposition analysis was also carried out to assess the role of compositional characteristics and behavioural change for decline in stunting among children aged less than 5 years in Ethiopia. Results: Over the study period, the prevalence rate of stunting in children aged less than 5 years decreased from 47% to 37% in 2019. Differences in behavioural change among children under the age of 5 years account for 76.69% of the overall decline in stunting prevalence rate in the years 2005-2011, 86.53% in the years 2005-2016, 98.9% in the years 2005-2019, 70.34% in the years 20] l- 2016 and 73.77% in the years 2011-2019. Behavioural adjustments among breastfed children, diet diversity, place of delivery, ANC follow-up and region have all had a major effect on stunting prevalence rate. The wealth index, parenteral education, child’s age in months, length of breast feeding and area were among the compositional change factors. Conclusion: A large percentage of children aged less than 5 years remains stunted in Ethiopia. Stunting was associated with alterations in the compositional and behavioural characteristics of children. Stimulating existing nutritional measures and improving the wealth index will make a significant difference in reducing stunting among Ethiopian children aged less than 5 years.

1R. Your colleagues asked you to review their abstract (Dcssie et al. 203?. ). Based on your knowledge of study designs and their associated measures of occurrence. what edit would you make. to better align those two concepts in the abstract? Abstract Dessie G. Tscgaye (3W. Mckonncn BA. Bayih MT. Nigussie ZM. Change in stunting and its associated factors among children aged less than 5 years in Ethiopia using Ethiopia Demographic and Health Survey data from 2005 to 2019: a multivariate decomposition analysis. BM] Open, 2022 Nov 1 l:l2t{ll):e()61?07_ Objective: The aim ofthis study is to assess change in stunting attd its associated factors among children aged less than 5 years in Ethiopia using Ethiopia Demographic and Health Survey data from 2005 to 201% Design: A community—based cross—sectional study was conducted. Setting: The study was conducted in Ethiopia Participants: In 2005. 4586 individuals were examined. followed by It] 282 in 20 l l. 9462 in 2016 and 493′? in 2019. Primary and secondary outcomes: The primary outcome of the study was stunting. and the secondary outcome was factors associated with stunting and its change. A multilevel logistic regression model was fitted to identify individual and connnunity-Ievel factors associated with stunting among children aged less than 5 years. Multivariate decomposition analysis was also carried out to assess the role ofcomposilional characteristics and behavioural change for decline in stunting among children aged less than 5 years in Ethiopia. Results: Over the study period. the prevalence rate of stunting in children aged less than 5 years decreased from 4 “xi; to 37% in 20] 9. Differences in behavioural change among children under the age ol’S years account for 76.69% ofthe overall decline in stunting prevalence rate in the years 2005—20] 1. 86.53% in the years 2005—2016. 98.9% in the years 2005-2019. 70.34% in the years 201 l- 2016 and BETH; in the years 2011-20”). Behavioural adjustments among breastfed children, diet diversity. place ofdelivery. ANL’ follow—up and region have all had a major effect on stunting prevalence rate. The wealth index. parenteral education. child’s age in months. length ot’breast leediiig and area were among the compositional change factors. Conclusion: A large percentage ofchildren aged less than 5 years remains stunted in Ethiopia, Stunting was associated with alterations in the compositional and behavioural characteristics of children. Stimulating existing nutritional measures and improving the wealth index will make a significant difference in reducing stunting among Ethiopian children aged less than 5 years.

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