Influence of maternal and neonatal continuum of care on the risk of intergenerational cycle of stunting: a cross-sectional study.

BMJ Open

Health Research Organization, National Research and Innovation Agency Republic of Indonesia, Bogor, Indonesia.

Published: April 2024

Objectives: This study aimed to analyse the influence of the continuum of care during pregnancy and neonatal periods on the risk of intergenerational cycle of stunting.

Design: This study was a cross-sectional study, with data analysed from the 2018 Basic Health Research in Indonesia.

Settings: Basic Health Research 2018 was conducted throughout 513 cities/regencies in 34 provinces in Indonesia. The households were selected through two-stage sampling methods. First, census blocks (CB) were selected using probability proportional to size methods in each urban/rural stratum from each city/regency. Ten households were then selected from each CB using systematic sampling methods. All family members of the selected households were measured and interviewed.

Participants: This study analyses 31 603 children aged 0-24 months.

Outcomes Measures: The dependent variable was the risk of the intergenerational cycle of stunting. Mothers who had a height less than 150.1 cm (short stature mothers) and had children (≤ 24 months of age) with length-for-age Z-score less than -2 Standard Deviation (SD) of the WHO Child Growth Standard (stunted children) were defined as at risk of the intergenerational cycle of stunting.

Results: Mothers with incomplete maternal and neonatal care visits were 30% more likely to be at risk on the intergenerational cycle of stunting (OR (95% CI): 1.3 (1.00 to 1.63)) after adjusting for economic status.

Conclusion: The continuum of maternal and neonatal healthcare visits could potentially break the intergenerational cycle of stunting, especially in populations where stunted mothers are prevalent.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033657PMC
http://dx.doi.org/10.1136/bmjopen-2023-081774DOI Listing

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