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Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands Cover

Risk Factors for Stunting in Children under the Age of 5 in Rural Guatemalan Highlands

Open Access
|Feb 2020

Figures & Tables

Table 1

Description of risk factors and categorization of responses.

Risk factorMeasuresCriteriaExample descriptive results
Inadequate prenatal careUtilization of healthcare services during pregnancy and prenatal dietary supplementationDid not seek any prenatal care from clinic or hospital, inadequate nutrition during pregnancyOnly took additional folate and vitamin supplements for 1 month
Did not seek prenatal care from clinic or hospital
Inadequate nutrition24-hour food recall for child’s diet using USDA automated multiple-pass method [33]Infant and Young Child Minimum Acceptable Diet indicator for children under the age of 2 (WHO 2009) OR dietary diversity score ≤4 for children between the ages of 2–5 [34]Did not eat any sources of protein
Did not eat any dairy products
Increased infectious disease riskUtilization of healthcare services, perceived barriers to care, and infectious disease risk factor assessment (clean water practices, soap availability, animal contact, disease vectors)1. Poor access to care: no utilization of healthcare facility, >2 hours travel distance to clinic or hospital, inability to afford medical visit or medication, or description of lack of trust or poor care
and 2. Increased risk of disease: inappropriate soap use, no access to potable water, more than weekly contact with animals, or no toilet in house
Use of a latrine
Animals living in household
Not changing filter on water source
Description of not being able to get medications from public health post
High rate self-report illnessSelf-report of frequent illnessReport by mother of child being sick >1 time a monthFever
Vomiting
Stomach pain
Inadequate breast-feedingOnset and duration of breastfeeding and timing of complementary feeding initiationInappropriate onset or duration of breastfeeding (<birth-2 years) or inadequate timing of transition to other foods (>6 months) [35]Exclusive breastfeeding for longer than 6 months
Table 2

Comparison of ANOVA results summarizing differences in mean HAZs based on risk factors.

GroupMean HAZsStd. Dev.95% CIFP
Adequate prenatal care–2.11.60(–3.58, –0.62)0.0100.921
Inadequate prenatal care–2.21.28(–2.73, –1.59)
Adequate nutrition–1.71.32(–2.33, –1.02)7.0690.013
Inadequate nutrition–2.91.00(–3.58, –2.24)
No increased infectious disease risk–2.10.26(–2.65, –1.57)0.610.807
Increased infectious disease risk–2.30.71(–4.10, –0.43)
Low rate self-report illness–1.61.56(–2.44, –0.71)6.8940.014
High rate self-report illness–2.80.65(–3.13, –2.38)
Adequate breastfeeding–2.241.33(–2.91, –1.58)0.2570.616
Inadequate breastfeeding–1.981.38(–2.91, –1.05)
DOI: https://doi.org/10.5334/aogh.2433 | Journal eISSN: 2214-9996
Language: English
Published on: Feb 3, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Emily A. Kragel, Alexandra Merz, Dylan M. N. Flood, Kelley E. Haven, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.