Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population
Ban, Lu; Guo, Sufang; Scherpbier, Robert W.; Wang, Xiaoli; Zhou, Hong; Tata, Laila J.
Robert W. Scherpbier
Dr LAILA TATA email@example.com
Professor of Epidemiology
Objectives: To examine the effect of parental rural-to-urban internal migration on nutritional status of left-behind children and how this is related to guardianship.
Methods: We used UNICEF China’s maternal and child health survey data to investigate stunting prevalence and feeding practices in children left behind by rural-to-urban internal migrant parents. We also assessed the effects of primary guardianship which is related closely with parental migration.
Results: Of 6,136 children aged 0-3 years, over one third was left behind by one or both parents. About 13% were left behind by mothers, leaving guardianship primarily to grandmothers. Left-behind status was not associated with stunting, yet children who were cared for primarily by their fathers had a 32% increase of stunting compared to children cared for by the mothers (adjusted odds ratio[aOR]=1.32;95% confidence interval=1.04-1.67). Children with migrant mothers were less likely to receive age-appropriate breastfeeding (aOR=0.04;0.02-0.10) and a minimum acceptable diet (aOR=0.56;0.39-0.79) compared with non-left-behind children.
Conclusions: Guardian’s feeding behaviours varied, and was inappropriate for both children affected and not affected by parent’s rural-to-urban internal migration. Community-based infant and young child feeding counselling and support should be provided to all caregivers.
Ban, L., Guo, S., Scherpbier, R. W., Wang, X., Zhou, H., & Tata, L. J. (in press). Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population. International Journal of Public Health, https://doi.org/10.1007/s00038-016-0844-6
|Journal Article Type||Article|
|Acceptance Date||Jun 7, 2016|
|Online Publication Date||Jun 18, 2016|
|Deposit Date||Jul 18, 2016|
|Publicly Available Date||Jul 18, 2016|
|Journal||International Journal of Public Health|
|Peer Reviewed||Peer Reviewed|
|Keywords||stunting, nutritional status, feeding practice, rural-to-urban internal migration, left-behind children, guardianship|
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
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