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Objectives: The aim of this study was to assess the socioeconomic inequality in malnutrition in under-5 children in Iran in order to help policymakers reduce such inequality.
Methods: Data on 8443 under-5 children were extracted from the Iran Multiple Indicator Demographic and Health Survey. The wealth index was used as proxy for socioeconomic status. Socioeconomic inequality in stunting, underweight, and wasting was calculated using the concentration index. The concentration index was calculated for the whole sample, as well as for subcategories defined in terms of categories such as area of residence (urban and rural) and the sex of children.
Results: Stunting was observed to be more prevalent than underweight or wasting. The results of the concentration index at the national level, as well as in rural and urban areas and in terms of children’s sex, showed that inequality in stunting and underweight was statistically significant and that children in the lower quintiles were more malnourished. The wasting index was not sensitive to socioeconomic status, and its concentration index value was not statistically significant.
Conclusions: This study showed that it can be misleading to assess the mean levels of malnutrition at the national level without knowledge of the distribution of malnutrition among socioeconomic groups. Significant socioeconomic inequalities in stunting and underweight were observed at the national level and in both urban and rural areas. Regarding the influence of nutrition on the health and economic well-being of preschool-aged children, it is necessary for the government to focus on taking targeted measures to reduce malnutrition and to focus on poorer groups within society who bear a greater burden of malnutrition.
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참고문헌 (26)
참고문헌 신청
Akhlaghi M / 2013 / Malnutrition frequency and its family-related factors among infants in Yasuj City in Iran, 2011 / J Health Sci Surveill Syst 1 (1) : 19 ~ 26
Asaei SE / / Iran’s excellent primary health care system
Black RE / 2008 / Maternal and child undernutrition: global and regional exposures and health consequences / Lancet 371 (9608) : 243 ~ 260
Chalasani S / 2012 / Understanding wealth-based inequalities in child health in India: a decomposition approach / Soc Sci Med 75 (12) : 2160 ~ 2169
Fotso JC / 2006 / Child health inequities in developing countries: differences across urban and rural areas / Int J Equity Health 5 : 9 ~
Asaei SE / / Iran’s excellent primary health care system
Black RE / 2008 / Maternal and child undernutrition: global and regional exposures and health consequences / Lancet 371 (9608) : 243 ~ 260
Chalasani S / 2012 / Understanding wealth-based inequalities in child health in India: a decomposition approach / Soc Sci Med 75 (12) : 2160 ~ 2169
Fotso JC / 2006 / Child health inequities in developing countries: differences across urban and rural areas / Int J Equity Health 5 : 9 ~
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