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Higher household expenditure on animal-source and nongrain foods lowers the risk of stunting among children 0-59 months old in Indonesia: Implications of food prices

The Journal of Nutrition Sari, M., De Pee, S., Bloem, M., Sun, K., Thorne-Lyman, A., Moench-Pfanner, R., Akhter, N., Kramer, K., Semba, R. 2009-11-25
Article on the relationship between stunting and nongrain food expenditure at the household level among children 0–59 months old in Indonesia's rural and urban poor population. Expenditure and height-for-age data were obtained from a population-based sample of 446,473 children in rural and 143,807 in urban poor areas in Indonesia. Expenditure on food was grouped into categories: animal, plant, total nongrain, and grain. The prevalence of stunting in rural and urban poor areas was 33.8 and 31.2%, respectively. In rural areas, the odds ratios (OR) (5th vs. first quintile) for stunting were similar for proportion of household expenditure on animal (0.87; 95% CI = 0.85–0.90; P < 0.0001), plant (0.86; 95% CI = 0.84–0.88; P < 0.0001), and total nongrain (0.85; 95% CI = 0.83–0.87; P < 0.0001). In urban poor areas, the relationship between stunting and proportion of household expenditure on animal sources was stronger than in rural areas (OR 0.78; 95% CI = 0.74–0.81; P < 0.0001), whereas the relationship with nongrain was similar to rural areas (OR 0.88; 95% CI = 0.85–0.92; P < 0.0001) and no relationship was observed with plant sources (OR 0.97; 95% CI = 0.93–1.01; P = 0.13). For grain expenditure, OR for stunting in highest vs. lowest quintile was 1.21 (95% CI = 1.18–1.24; P < 0.0001) in rural and 1.09 (95%CI = 1.04–1.13; P < 0.0001) in urban poor areas. Thus, households that spent a greater proportion on nongrain foods, in particular animal source foods, had a lower prevalence of child stunting. This suggests potential increased risk of malnutrition associated with reductions of household expenditure due to the current global crises.
  • Economic
  • Food Insecurity
  • Health
  • Nutrition
  • Other Crises
  • Women and/or Girls
  • Asia
  • Indonesia
  • Southeast Asia
  • Low- and Middle-Income Countries (LMICs)
  • Children (boys and/or girls 1-10 years old)
  • Children <5 years old
  • Households
  • Mothers
  • Women (adults and/or adolescents)
  • Research
  • Article
  • Case study
  • Scientific Publication/Journal article

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