Ethnicity and anthropometric deficits in children in Sub-Saharan Africa
2024

Ethnicity and Growth Issues in African Children

Sample size: 138312 publication 10 minutes Evidence: high

Author Information

Author(s): Tusting Lucy S., Mishra Swapnil, Gibson Harry S., Lindsay Steven W., Weiss Daniel J., Flaxman Seth, Bhatt Samir

Primary Institution: London School of Hygiene & Tropical Medicine

Hypothesis

Are there significant differences in anthropometric deficits among children aged <5 years belonging to different ethnic groups across sub-Saharan Africa?

Conclusion

The study found significant ethnic disparities in stunting, wasting, and underweight among children in sub-Saharan Africa.

Supporting Evidence

  • Child anthropometric deficits are a major public health problem in sub-Saharan Africa.
  • 37% of children aged <5 years were stunted in sub-Saharan Africa in 2015.
  • Ethnicity is closely associated with child anthropometric deficits, with differences of up to 1.30 SD in height-for-age z-scores.

Takeaway

This study shows that children from different ethnic groups in Africa grow differently, with some groups being much shorter or lighter than others.

Methodology

Data were extracted from 37 Demographic and Health Surveys across 18 countries, analyzing anthropometric data for children aged <5 years using a generalised linear hierarchical mixed-effects model.

Potential Biases

Potential residual confounding by social and environmental factors.

Limitations

The study is observational and cannot determine causality; residual confounding may exist, and nutritional intake was not adjusted for.

Participant Demographics

Children aged <5 years from 45 ethnic groups across 18 countries in sub-Saharan Africa.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI 0.27–0.35

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1371/journal.pgph.0003067

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