Lee, C;
Lakhanpaul, M;
Maza Stern, B;
Parikh, P;
(2021)
Associations between the household environment and stunted child growth in rural India: a cross-sectional analysis.
UCL Open: Environment
, 2021
(2)
, Article 02. 10.14324/111.444/000015.v1.
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Abstract
Stunting is a major unresolved and growing health issue for India. Yet there remains scant evidence for the development and application of integrated, multifactorial child health interventions across Indias most rural communities. We examine the associations between household environmental characteristics and stunting in children under 5 years across rural Rajasthan, India. We used DHS-3 India data from 1194 children living across 109,041 interviewed households. Multiple logistic regression analyses independently examined the association between (1) main source of drinking water, (2) main type of sanitation facilities, (3) main cooking fuel type, and (4) agricultural land ownership and stunting adjusting for child age. After adjusting for child age, household access to (1) improved drinking water source was associated with a 23% reduced odds (OR=077, 95% CI 05 to 100), (2) improved sanitation facility was associated with 41% reduced odds (OR=051, 95% CI 03 to 082), and (3) agricultural land ownership was associated with a 30% reduced odds of childhood stunting (OR 070, 95% CI 051 to 094). Cooking fuel source was not associated with stunting. Although further research is needed, intervention programmes should consider shifting from nutrition-specific to nutrition-sensitive solutions to address Indias childhood malnutrition crisis. Results and implications are discussed.
| Type: | Article |
|---|---|
| Title: | Associations between the household environment and stunted child growth in rural India: a cross-sectional analysis |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.14324/111.444/000015.v1 |
| Publisher version: | https://doi.org/10.14324/111.444/000015.v1 |
| Language: | English |
| Additional information: | This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY) 4.0 https://creativecommons.org/licenses/by/4.0/, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited. |
| Keywords: | Environment, water, sanitation, agriculture, fuel, malnutrition, stunting, growth, India, rural, Sanitation, health, and the environment, People and their environment |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10070334 |
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