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Jurnal Epidemiologi Kesehatan Indonesia
Published by Universitas Indonesia
ISSN : -     EISSN : 2548513X     DOI : https://doi.org/10.7454/epidkes
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
The article published on this journal can be editorial, research result and article review in public health, specifically epidemiology fields (Epidemiology of Infectious Disease, Epidemiology of Non-Communicable Disease, Epidemiology of Occupational Health and Safety, Epidemiology of Enviromental Health ond Biomarkers, Social and Behavioral Epidemiology, Epidemiology of Health Care, Epidemiology of Injury, Cancer Epidemiology, Epidemiology of Reproductive Health, Nutritional Epidemiology, Perinatal Epidemiology and Disaster Epidemiology). Epidemiology Health Promotion and Behavior Occupational Health and Safety Health Administration & Policy Environmental Health Health Communication Public Health Nutrition Biostatistics Reproductive Health Population Studies Health Informatics
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 151 Documents
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Association of Household Economic Status and Birth Order with Stunting Among Children Aged 24-35 Months: Malawi MICS 2019–20 Ngoma, Sibongire B; Adisasmita, Asri C.; Mahkota, Renti; Choirunisa, Septyana; Nyamukondiwa, Melisa
Jurnal Epidemiologi Kesehatan Indonesia
Publisher : UI Scholars Hub

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Abstract

Stunting remains a major public health concern in Malawi, with a national prevalence of 35.5% among children under five. However, evidence on the independent and combined effects of household economic status and birth order on stunting among Malawian children aged 24-35 months remains limited. This study aimed to examine the independent and combined association of household economic status and birth order with stunting among children aged 24-35 months in Malawi. A secondary data analysis of a cross-sectional 2019-20 Malawi Multiple Indicator Cluster Survey (MICS) was conducted, and the final sample comprised 2,764 children aged 24-35 months with complete data. Stunting was defined as a height-for-age Z-score below -2 SD. Weighted descriptive and bivariate analyses were performed, and potential confounding was assessed using stratified analyses and the change-in-estimate method (≥10% change in prevalence ratio). Multivariable models were specified a priori and included wealth index, birth order, child’s sex, and maternal education level. The weighted prevalence of stunting was 44.2% (95% CI: 41.3-47.1%). Household economic status, birth order, and their four-level combined variable were not independently associated with stunting after adjustment (p≥0.05). However, boys had a significantly higher prevalence ratio of stunting compared with girls (cPR= 1.23; 95% CI: 1.11-1.37; p Keywords: Stunting, Birth Order, Household Economic Status, Children Aged 24-35 Months, Cross-sectional Study, Malawi

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