Maternal profiles and social determinants of malnutrition and the MDGs: What have we learnt?
Identifieur interne : 000541 ( PubMed/Curation ); précédent : 000540; suivant : 000542Maternal profiles and social determinants of malnutrition and the MDGs: What have we learnt?
Auteurs : Edem M A. Tette [Ghana] ; Eric K. Sifah [Ghana] ; Edmund T. Nartey [Ghana] ; Peter Nuro-Ameyaw [Ghana] ; Pricilla Tete-Donkor [Ghana] ; Richard B. Biritwum [Ghana]Source :
- BMC public health [ 1471-2458 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Déterminants sociaux de la santé, Enfant d'âge préscolaire, Facteurs de risque, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (épidémiologie), Jeune adulte, Maladie chronique, Mâle, Mères (), Nourrisson, Parent isolé (), Pauvreté (), Soins de l'enfant (), Troubles nutritionnels de l'enfant (épidémiologie), Études cas-témoins.
- MESH :
- épidémiologie : Ghana, Infections à VIH, Troubles nutritionnels de l'enfant.
- Adulte, Déterminants sociaux de la santé, Enfant d'âge préscolaire, Facteurs de risque, Femelle, Humains, Jeune adulte, Maladie chronique, Mâle, Mères, Nourrisson, Parent isolé, Pauvreté, Soins de l'enfant, Études cas-témoins.
English descriptors
- KwdEn :
- Adult, Case-Control Studies, Child Care (statistics & numerical data), Child Nutrition Disorders (epidemiology), Child, Preschool, Chronic Disease, Female, Ghana (epidemiology), HIV Infections (epidemiology), Humans, Infant, Male, Mothers (statistics & numerical data), Poverty (statistics & numerical data), Risk Factors, Single Parent (statistics & numerical data), Social Determinants of Health, Young Adult.
- MESH :
- epidemiology : Child Nutrition Disorders, Ghana, HIV Infections.
- statistics & numerical data : Child Care, Mothers, Poverty, Single Parent.
- Adult, Case-Control Studies, Child, Preschool, Chronic Disease, Female, Humans, Infant, Male, Risk Factors, Social Determinants of Health, Young Adult.
Abstract
Maternal socio-demographic and health profiles are important determinants of malnutrition in children. In the 1990s, malnutrition was associated with low-birth-weight, young mothers and low maternal socio-economic status at Princess Marie Louise Children's Hospital (PML). It is not known how this has changed by efforts to achieve the Millennium Development Goals. We examined socio-demographic and health profiles of mothers of children with acute malnutrition and those without the condition to identify risk factors for malnutrition and focus on preventive efforts.
DOI: 10.1186/s12889-016-2853-z
PubMed: 26935849
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Tette</name><affiliation wicri:level="1"><nlm:affiliation>Department of Community Health, School of Public Health, University of Ghana, P.O. Box LG 25, Legon, Accra, Ghana. edemenator@googlemail.com.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Community Health, School of Public Health, University of Ghana, P.O. Box LG 25, Legon, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Sifah, Eric K" sort="Sifah, Eric K" uniqKey="Sifah E" first="Eric K" last="Sifah">Eric K. Sifah</name><affiliation wicri:level="1"><nlm:affiliation>Princess Marie Louis Children's Hospital (PML), P.O. Box GP 122, Accra, Ghana. ericsifah@yahoo.com.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Princess Marie Louis Children's Hospital (PML), P.O. Box GP 122, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Nartey, Edmund T" sort="Nartey, Edmund T" uniqKey="Nartey E" first="Edmund T" last="Nartey">Edmund T. Nartey</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Tropical Clinical Pharmacology & Therapeutics, School of Medicine and Dentistry, University of Ghana, P. O. Box GP 4236, Accra, Ghana. etnartey@chs.edu.gh.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Centre for Tropical Clinical Pharmacology & Therapeutics, School of Medicine and Dentistry, University of Ghana, P. O. Box GP 4236, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Nuro Ameyaw, Peter" sort="Nuro Ameyaw, Peter" uniqKey="Nuro Ameyaw P" first="Peter" last="Nuro-Ameyaw">Peter Nuro-Ameyaw</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nutrition, University of Health and Allied Sciences, Ho, Ghana. penuroameyaw@gmail.com.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Nutrition, University of Health and Allied Sciences, Ho</wicri:regionArea></affiliation></author><author><name sortKey="Tete Donkor, Pricilla" sort="Tete Donkor, Pricilla" uniqKey="Tete Donkor P" first="Pricilla" last="Tete-Donkor">Pricilla Tete-Donkor</name><affiliation wicri:level="1"><nlm:affiliation>Princess Marie Louis Children's Hospital (PML), P.O. Box GP 122, Accra, Ghana. ptdonkor@gmail.com.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Princess Marie Louis Children's Hospital (PML), P.O. Box GP 122, Accra</wicri:regionArea></affiliation></author><author><name sortKey="Biritwum, Richard B" sort="Biritwum, Richard B" uniqKey="Biritwum R" first="Richard B" last="Biritwum">Richard B. Biritwum</name><affiliation wicri:level="1"><nlm:affiliation>Department of Community Health, School of Public Health, University of Ghana, P.O. Box LG 25, Legon, Accra, Ghana. biritwum@africaonline.com.gh.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Community Health, School of Public Health, University of Ghana, P.O. Box LG 25, Legon, Accra</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Case-Control Studies</term><term>Child Care (statistics & numerical data)</term><term>Child Nutrition Disorders (epidemiology)</term><term>Child, Preschool</term><term>Chronic Disease</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (epidemiology)</term><term>Humans</term><term>Infant</term><term>Male</term><term>Mothers (statistics & numerical data)</term><term>Poverty (statistics & numerical data)</term><term>Risk Factors</term><term>Single Parent (statistics & numerical data)</term><term>Social Determinants of Health</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Déterminants sociaux de la santé</term><term>Enfant d'âge préscolaire</term><term>Facteurs de risque</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Maladie chronique</term><term>Mâle</term><term>Mères ()</term><term>Nourrisson</term><term>Parent isolé ()</term><term>Pauvreté ()</term><term>Soins de l'enfant ()</term><term>Troubles nutritionnels de l'enfant (épidémiologie)</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Child Nutrition Disorders</term><term>Ghana</term><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Child Care</term><term>Mothers</term><term>Poverty</term><term>Single Parent</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term><term>Troubles nutritionnels de l'enfant</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Case-Control Studies</term><term>Child, Preschool</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Risk Factors</term><term>Social Determinants of Health</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Déterminants sociaux de la santé</term><term>Enfant d'âge préscolaire</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Maladie chronique</term><term>Mâle</term><term>Mères</term><term>Nourrisson</term><term>Parent isolé</term><term>Pauvreté</term><term>Soins de l'enfant</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Maternal socio-demographic and health profiles are important determinants of malnutrition in children. In the 1990s, malnutrition was associated with low-birth-weight, young mothers and low maternal socio-economic status at Princess Marie Louise Children's Hospital (PML). It is not known how this has changed by efforts to achieve the Millennium Development Goals. We examined socio-demographic and health profiles of mothers of children with acute malnutrition and those without the condition to identify risk factors for malnutrition and focus on preventive efforts.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26935849</PMID><DateCreated><Year>2016</Year><Month>03</Month><Day>03</Day></DateCreated><DateCompleted><Year>2016</Year><Month>12</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><PubDate><Year>2016</Year><Month>Mar</Month><Day>02</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Maternal profiles and social determinants of malnutrition and the MDGs: What have we learnt?</ArticleTitle><Pagination><MedlinePgn>214</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12889-016-2853-z</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Maternal socio-demographic and health profiles are important determinants of malnutrition in children. In the 1990s, malnutrition was associated with low-birth-weight, young mothers and low maternal socio-economic status at Princess Marie Louise Children's Hospital (PML). It is not known how this has changed by efforts to achieve the Millennium Development Goals. We examined socio-demographic and health profiles of mothers of children with acute malnutrition and those without the condition to identify risk factors for malnutrition and focus on preventive efforts.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">An unmatched case-control study was conducted in 2013 at PML, the largest facility for treating malnourished children in Ghana in 2013. Mothers of children with moderate and severe acute malnutrition were compared with mothers of well-nourished children. Weight-for-height was used to classify malnutrition. Record forms and a semi-structured questionnaire were used for data collection. An analysis was done with Stata 11.0 software.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Altogether, 371 mothers were studied consisting of 182 mothers of malnourished children and 189 mothers of well-nourished children. Mothers of malnourished children were more likely to be unmarried or cohabiting, have lower family incomes, HIV infection and chronic disease. They were less likely to stay with or provide alternative care for their child. Awareness and use of social services, health insurance and a cash transfer programme were low. A remarkable reduction in the number of malnourished children occurred when families earned more than $250 USD a month. Over-nutrition was present in both groups of mothers.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Low family income, unmarried status and type of child care were the main social determinants of malnutrition. There appears to be a reduction in the number of other poor socio-demographic characteristics in both the study and control groups compared to results from a previous study at the same centre, probably because of efforts toward attaining the MDGs. These findings suggest that prevention and optimum management need to involve multidisciplinary teams consisting of health professionals, social workers and/or key workers to enable families at risk to access social care and social protection interventions (MDG 1). This will make the management of malnutrition more effective, prevent relapse, protect the next child and address maternal over-nutrition.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tette</LastName><ForeName>Edem M A</ForeName><Initials>EM</Initials><AffiliationInfo><Affiliation>Department of Community Health, School of Public Health, University of Ghana, P.O. Box LG 25, Legon, Accra, Ghana. edemenator@googlemail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Princess Marie Louis Children's Hospital (PML), P.O. Box GP 122, Accra, Ghana. edemenator@googlemail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sifah</LastName><ForeName>Eric K</ForeName><Initials>EK</Initials><AffiliationInfo><Affiliation>Princess Marie Louis Children's Hospital (PML), P.O. Box GP 122, Accra, Ghana. ericsifah@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nartey</LastName><ForeName>Edmund T</ForeName><Initials>ET</Initials><AffiliationInfo><Affiliation>Centre for Tropical Clinical Pharmacology & Therapeutics, School of Medicine and Dentistry, University of Ghana, P. O. Box GP 4236, Accra, Ghana. etnartey@chs.edu.gh.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nuro-Ameyaw</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Nutrition, University of Health and Allied Sciences, Ho, Ghana. penuroameyaw@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tete-Donkor</LastName><ForeName>Pricilla</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Princess Marie Louis Children's Hospital (PML), P.O. Box GP 122, Accra, Ghana. ptdonkor@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Biritwum</LastName><ForeName>Richard B</ForeName><Initials>RB</Initials><AffiliationInfo><Affiliation>Department of Community Health, School of Public Health, University of Ghana, P.O. Box LG 25, Legon, Accra, Ghana. biritwum@africaonline.com.gh.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>03</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2013 Aug 10;382(9891):536-51</RefSource><PMID Version="1">23746780</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2008 Feb 2;371(9610):417-40</RefSource><PMID Version="1">18206226</PMID></CommentsCorrections><CommentsCorrections 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data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015362" MajorTopicYN="N">Child Nutrition Disorders</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009035" MajorTopicYN="N">Mothers</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011203" MajorTopicYN="N">Poverty</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015406" MajorTopicYN="N">Single Parent</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D064890" MajorTopicYN="Y">Social Determinants of Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" 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