Document Detail


Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India.
MedLine Citation:
PMID:  19161545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Child stunting, an outcome of chronic undernutrition, contributes to poor quality of life, morbidity and mortality. In South Asia, the low status of women is thought to be one of the primary determinants of undernutrition across the lifespan. Low female status can result in compromised health outcomes for women, which in turn are related to lower infant birthweight and may affect the quality of infant care and nutrition. Maternal autonomy (defined as a woman's personal power in the household and her ability to influence and change her environment) is likely an important factor influencing child care and ultimately infant and child health outcomes. To examine the relationship between maternal autonomy and child stunting in Andhra Pradesh, India, we analysed data from National Family Health Survey (NFHS)-2. We used cross-sectional demographic, health and anthropometric information for mothers and their oldest child <36 months (n = 821) from NFHS-2. The main explanatory variables of autonomy are presented by four dimensions - decision making, permission to travel, attitude towards domestic violence and financial autonomy - constructed using seven binary variables. Logistic regression models were used to test associations between indicators of female autonomy and the risk of having a stunted child. Women with higher autonomy {indicated by access to money [odds ratio (OR) = 0.731; 95% confidence interval (CI) 0.546, 0.981] and freedom to choose to go to the market [OR = 0.593; 95% CI 0.376, 0.933]} were significantly less likely to have a stunted child, after controlling for household socio-economic status and mother's education. In this south Indian state, two dimensions of female autonomy have an independent effect on child growth, suggesting the need for interventions that increase women's financial and physical autonomy.
Authors:
Monal Shroff; Paula Griffiths; Linda Adair; Chirayath Suchindran; Margaret Bentley
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Maternal & child nutrition     Volume:  5     ISSN:  1740-8709     ISO Abbreviation:  Matern Child Nutr     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-23     Completed Date:  2009-03-25     Revised Date:  2013-12-26    
Medline Journal Info:
Nlm Unique ID:  101201025     Medline TA:  Matern Child Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  64-74     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anthropometry
Body Height / physiology*
Child Nutrition Disorders / epidemiology*
Child Welfare
Child, Preschool
Cross-Sectional Studies
Decision Making*
Domestic Violence / psychology
Educational Status
Female
Humans
India / epidemiology
Infant
Infant, Newborn
Male
Middle Aged
Mother-Child Relations
Mothers / education,  psychology*
Personal Autonomy*
Social Class
Socioeconomic Factors
Young Adult
Grant Support
ID/Acronym/Agency:
R01 HD042219/HD/NICHD NIH HHS; R01 HD042219-03S1/HD/NICHD NIH HHS; R24 HD050924/HD/NICHD NIH HHS
Comments/Corrections

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