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      One in three adolescent schoolgirls in urban northwest Ethiopia is stunted

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          Abstract

          Background

          Poor nutritional status of adolescent girls has a negative effect on the next generation as undernourished adolescents enter pregnancy with poor nutrient reserve. However, there is scarcity of evidence showing the burden of stunting among adolescent girls in Ethiopia. Therefore, the objective of this study aimed to assess prevalence of stunting and associated factors among school adolescent girls in Gondar City Administration, northwest Ethiopia.

          Methods

          Cross-sectional study was conducted from March to April, 2017. A multi-stage sampling technique was used to select812 school adolescent girls. World Health Organization Anthro-plus software was used to analyze anthropometric data into Height for Age Z-score. A multivariable logistic regression analysis was employed to identify the factors associated with stunting. Adjusted Odds Ratio (AOR) with 95% confidence interval was used to show the strength of association, while a P-value< 0.05 of was used to declare the significance of association.

          Results

          The overall prevalence of stunting among adolescent girls was 33.1% (95% CI: 29.9, 36.5). Middle age of adolescence (AOR = 0.22, 95% CI: 0.15, 0.34), unsatisfactory media exposure (AOR = 1.69, 95% CI: 1.01, 2.84) and poor mother’s education (AOR = 2.84, 95% CI: 1.07, 7.94) were significantly associated with stunting.

          Conclusions

          One-third of adolescent girls are stunted in Gondar City which suggests the serious public health importance of the problem. Enhancing mother’s education and media exposure are critical to address the high burden of stunting.

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          Most cited references18

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          Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?

          The Lancet, 382(9890), 452-477
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            Prevalence of and Risk factors for Stunting among School Children and Adolescents in Abeokuta, Southwest Nigeria

            Stunting adversely affects the physical and mental outcome of children. The objectives of the study were to determine the prevalence of and risk factors associated with stunting among urban school children and adolescents in Abeokuta, Nigeria. Five hundred and seventy children aged 5-19 years were selected using the multi-stage random-sampling technique. Stunting was defined as height-for-age z-score (HAZ) of <-2 standard deviation (SD) of the National Center for Health Statistics reference. Severe stunting was defined as HAZ of <-3 SD. The mean age of the children was 12.2+3.41 years, and 296 (51.5%) were males. Ninety-nine (17.4%) children were stunted. Of the stunted children, 20 (22.2%) were severely stunted. Identified risk factors associated with stunting were attendance of public schools (p<0.001), polygamous family setting (p=0.001), low maternal education (p=0.001), and low social class (p=0.034). Following multivariate analysis with logistic regression, low maternal education (odds ratio=2.4; 95% confidence interval 1.20-4.9; p=0.015) was the major contributory factor to stunting. Encouraging female education may improve healthcare-seeking behaviour and the use of health services and ultimately reduce stunting and its consequences.
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              World Health Organization. Comprehensive Implementation Plan on Maternal, Infant, and Young Child Nutrition. Geneva, Switzerland, 2014.

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                Author and article information

                Contributors
                samuelmersha09@gmail.com
                aysheshim121@gmail.com
                amaretariku15@yahoo.com
                Journal
                Ital J Pediatr
                Ital J Pediatr
                Italian Journal of Pediatrics
                BioMed Central (London )
                1824-7288
                7 March 2018
                7 March 2018
                2018
                : 44
                : 32
                Affiliations
                [1 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Gondar University Teaching and Referral Hospital, University of Gondar, ; Gondar, Ethiopia
                [2 ]ISNI 0000 0000 8539 4635, GRID grid.59547.3a, Department of Human Nutrition, Institute of Public Health, , University of Gondar, ; Gondar, Ethiopia
                Article
                459
                10.1186/s13052-018-0459-z
                5842615
                29514659
                c4b250ef-494f-4f40-b60c-ef107fe4982a
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 28 July 2017
                : 29 January 2018
                Categories
                Research
                Custom metadata
                © The Author(s) 2018

                Pediatrics
                stunting,adolescent girls,media exposure,urban settlement,ethiopia
                Pediatrics
                stunting, adolescent girls, media exposure, urban settlement, ethiopia

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