IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0229011.html
   My bibliography  Save this article

Dynamics of stunting from childhood to youthhood in Ethiopia: Evidence from the Young Lives panel data

Author

Listed:
  • Ayalew Astatkie

Abstract

Introduction: Stunting continues to be a public health challenge with grave health, cognitive and economic consequences. Yet, its dynamics along the life course remain not well investigated in Ethiopia and beyond. Methods: Longitudinal data generated by following two (younger and older) cohorts of about 3000 children for nearly 15 years were analyzed to investigate the longitudinal dynamics of stunting in Ethiopia. The cross-sectional prevalence of stunting in each round, longitudinal prevalence, and transition probabilities were determined. Multilevel mixed effects ordinal regression was applied to identify the determinants of stunting accounting for child-level and cluster-level variations. Results: The cross-sectional prevalence of severe stunting for the younger cohort fluctuated between 21% and 6%, while for the older cohort it fluctuated between 12% and 3%. Moderate stunting fluctuated between 23% and 16% for the younger cohort and between 22% and 8% for the older cohort. The longitudinal prevalence of severe stunting was 10% in both the younger and older cohorts, whereas that of moderate stunting was 20% for the younger cohort and 18% for the older cohort. Children not stunted at baseline had very high probabilities of remaining not stunted through youthhood (87% for the younger and 90% for the older cohorts). Conversely, children with moderate stunting at baseline had high probabilities either remaining moderately stunted or progressing to severe stunting. Furthermore, children who had severe stunting at baseline had high probabilities of either remaining severely stunted or transitioning to moderate stunting. In both cohorts, older age of the child, female sex, having an educated mother, and being from a household with educated head significantly reduced the risk of stunting. Children from households in the top wealth tertile had a significantly lower risk of stunting in the younger cohort, but not in the older cohort. Similarly, Productive Safety Net Programme reduced the risk of stunting in the younger cohort, but not in the older cohort. Conclusion: Children not stunted early in life are highly likely to grow into non-stunted adults while children stunted early in life are highly likely to grow into stunted adults. Several child-level, maternal, household and programmatic factors affect the risk of stunting. Efforts to prevent stunting shall commence early in life.

Suggested Citation

  • Ayalew Astatkie, 2020. "Dynamics of stunting from childhood to youthhood in Ethiopia: Evidence from the Young Lives panel data," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-20, February.
    • Handle: RePEc:plo:pone00:0229011
    DOI: 10.1371/journal.pone.0229011
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229011
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0229011&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0229011?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Porter, Catherine & Goyal, Radhika, 2016. "Social protection for all ages? Impacts of Ethiopia’s Productive Safety Net Program on child nutrition," Social Science & Medicine, Elsevier, vol. 159(C), pages 92-99.
    2. Güneş, Pınar Mine, 2015. "The role of maternal education in child health: Evidence from a compulsory schooling law," Economics of Education Review, Elsevier, vol. 47(C), pages 1-16.
    3. Petrou, Stavros & Kupek, Emil, 2010. "Poverty and childhood undernutrition in developing countries: A multi-national cohort study," Social Science & Medicine, Elsevier, vol. 71(7), pages 1366-1373, October.
    4. Janet Currie & Enrico Moretti, 2003. "Mother's Education and the Intergenerational Transmission of Human Capital: Evidence from College Openings," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(4), pages 1495-1532.
    5. Sonalde Desai & Soumya Alva, 1998. "Maternal education and child health: Is there a strong causal relationship?," Demography, Springer;Population Association of America (PAA), vol. 35(1), pages 71-81, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chris Desmond & Kathryn Watt & Sara Naicker & Jere Behrman & Linda Richter, 2024. "Girls' schooling is important but insufficient to promote equality for boys and girls in childhood and across the life course," Development Policy Review, Overseas Development Institute, vol. 42(1), January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Marshall Makate, 2016. "Education Policy and Under-Five Survival in Uganda: Evidence from the Demographic and Health Surveys," Social Sciences, MDPI, vol. 5(4), pages 1-17, October.
    2. Makate, Marshall & Makate, Clifton, 2016. "The causal effect of increased primary schooling on child mortality in Malawi: Universal primary education as a natural experiment," Social Science & Medicine, Elsevier, vol. 168(C), pages 72-83.
    3. Le, Kien & Nguyen, My, 2020. "Shedding light on maternal education and child health in developing countries," World Development, Elsevier, vol. 133(C).
    4. Okada, Keisuke, 2012. "The effects of female HIV/AIDS status on fertility and child health in Cambodia," Journal of Asian Economics, Elsevier, vol. 23(5), pages 560-570.
    5. Akgündüz, Yusuf Emre & Akyol, Pelin & Aydemir, Abdurrahman B. & Demirci, Murat & Kirdar, Murat Güray, 2023. "Maternal Education and Early Child Development: The Roles of Parental Support for Learning, Learning Materials, and Father Characteristics," IZA Discussion Papers 16328, Institute of Labor Economics (IZA).
    6. Chen, Yuyu & Li, Hongbin, 2009. "Mother's education and child health: Is there a nurturing effect?," Journal of Health Economics, Elsevier, vol. 28(2), pages 413-426, March.
    7. Tom S. Vogl, 2012. "Education and Health in Developing Economies," Working Papers 1453, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    8. Hasan,Amer & Nakajima,Nozomi & Rangel,Marcos A., 2020. "Mama Knows (and Does) Best : Maternal Schooling Opportunities and Child Development in Indonesia," Policy Research Working Paper Series 9355, The World Bank.
    9. repec:pri:rpdevs:vogl_ed_health_review is not listed on IDEAS
    10. Paul, Sohini & Paul, Sourabh & Gupta, Ashish Kumar & James, K.S., 2022. "Maternal education, health care system and child health: Evidence from India," Social Science & Medicine, Elsevier, vol. 296(C).
    11. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    12. De Neve, Jan-Walter & Kawachi, Ichiro, 2017. "Spillovers between siblings and from offspring to parents are understudied: A review and future directions for research," Social Science & Medicine, Elsevier, vol. 183(C), pages 56-61.
    13. Diane Coffey & Ashwini Deshpande & Jeffrey Hammer & Dean Spears, 2019. "Local Social Inequality, Economic Inequality, and Disparities in Child Height in India," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1427-1452, August.
    14. Arnaud Chevalier & Colm Harmon & Vincent O’ Sullivan & Ian Walker, 2013. "The impact of parental income and education on the schooling of their children," IZA Journal of Labor Economics, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 2(1), pages 1-22, December.
    15. Jungho Kim, 2023. "Female education and its impact on fertility," IZA World of Labor, Institute of Labor Economics (IZA), pages 228-228, May.
    16. John C. Bluedorn & Elizabeth U. Cascio, 2005. "Education and Intergenerational Mobility: Evidence from a Natural Experiment in Purerto Rico," Economics Papers 2005-W21, Economics Group, Nuffield College, University of Oxford.
    17. Meng, Xin & Zhao, Guochang, 2021. "The long shadow of a large scale education interruption: The intergenerational effect," Labour Economics, Elsevier, vol. 71(C).
    18. de Walque, Damien, 2007. "How does the impact of an HIV/AIDS information campaign vary with educational attainment? Evidence from rural Uganda," Journal of Development Economics, Elsevier, vol. 84(2), pages 686-714, November.
    19. Patrick Lehnert & Madison Dell & Uschi Backes-Gellner & Eric Bettinger, 2024. "The Effect of Postsecondary Educational Institutions on Local Economies: A Bird's-Eye View," Economics of Education Working Paper Series 0210, University of Zurich, Department of Business Administration (IBW).
    20. Amin, Vikesh & Lundborg, Petter & Rooth, Dan-Olof, 2015. "The intergenerational transmission of schooling: Are mothers really less important than fathers?," Economics of Education Review, Elsevier, vol. 47(C), pages 100-117.
    21. Martin Schlotter & Guido Schwerdt & Ludger Woessmann, 2011. "Econometric methods for causal evaluation of education policies and practices: a non-technical guide," Education Economics, Taylor & Francis Journals, vol. 19(2), pages 109-137.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0229011. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.