Characterisation and correlates of stunting among Malaysian children and adolescents aged 6–19 years

Partap, Uttara, Young, Elizabeth H., Allotey, Pascale, Sandhu, Manjinder S. and Reidpath, Daniel D., (2019). Characterisation and correlates of stunting among Malaysian children and adolescents aged 6–19 years. Global Health, Epidemiology and Genomics, 4 1-11

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  • Sub-type Journal article
    Author Partap, Uttara
    Young, Elizabeth H.
    Allotey, Pascale
    Sandhu, Manjinder S.
    Reidpath, Daniel D.
    Title Characterisation and correlates of stunting among Malaysian children and adolescents aged 6–19 years
    Appearing in Global Health, Epidemiology and Genomics
    Volume 4
    Publication Date 2019-03-04
    Place of Publication Cambridge, UK
    Publisher Cambridge university press
    Start page 1
    End page 11
    Language eng
    Abstract Background Despite emerging evidence regarding the reversibility of stunting at older ages, most stunting research continues to focus on children below 5 years of age. We aimed to assess stunting prevalence and examine the sociodemographic distribution of stunting risk among older children and adolescents in a Malaysian population. Methods We used cross-sectional data on 6759 children and adolescents aged 6–19 years living in Segamat, Malaysia. We compared prevalence estimates for stunting defined using the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) references, using Cohen's κ coefficient. Associations between sociodemographic indices and stunting risk were examined using mixed-effects Poisson regression with robust standard errors. Results The classification of children and adolescents as stunted or normal height differed considerably between the two references (CDC v. WHO; κ for agreement: 0.73), but prevalence of stunting was high regardless of reference (crude prevalence: CDC 29.2%; WHO: 19.1%). Stunting risk was approximately 19% higher among underweight v. normal weight children and adolescents (p = 0.030) and 21% lower among overweight children and adolescents (p = 0.001), and decreased strongly with improved household drinking water sources [risk ratio (RR) for water piped into house: 0.35, 95% confidence interval (95% CI) 0.30–0.41, p < 0.001). Protective effects were also observed for improved sanitation facilities (RR for flush toilet: 0.41, 95% CI 0.19–0.88, p = 0.023). Associations were not materially affected in multiple sensitivity analyses.
    Copyright Holder Authors
    Copyright Year 2019
    Copyright type All rights reserved
    DOI 10.1017/gheg.2019.1
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    Created: Thu, 25 Apr 2019, 10:58:12 JST by Nur Madihah Mat Latip on behalf of UNU IIGH