Nunoo, Jacob and Nyanzu, Frederick (2017): Dietary pattern, socioeconomic status and child health outcomes in Ghana: application of multilevel analysis.
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Abstract
Introduction – Child welfare, especially issues bordering on child health, continues to be one of the core issues of development. Over the years, appreciable progress has been made, but the levels are still not good enough. Objective - This paper investigates the effects of mothers’ socioeconomic characteristics and regional effect on the health of the child. Also, the paper employs a multilevel estimation technique, a methodology that distinguishes this study from previous studies to investigate in detail, the sources of variation in child health for appropriate policy recommendations Design/methodology/approach - This study revisits the issue on the determinants of child health using the 2012 Ghana version of the Multiple Indicator Cluster Survey, with a sample size of 7364, to investigate how infant diet practices impact child health in Ghana. We estimate the impact of dietary pattern and other socioeconomic characteristics and regional effect on child anthropometric indicators using the multilevel estimation technique to control for clustering effect. Results - We found a dietary pattern to have a positive impact on child health. In addition, we realised that both mother characteristics and regional effect play a role in the growth of the child, but mother characteristics seem the most driving force when mother effects and regional effect are set at play. Conclusion - It is recommended that parents should adhere to the appropriate diet requirement for their children to better health outcome. Also, it is imperative for policies to be geared towards parents as a first step in ensuring a better child health. In addition, policies and programmes directed to the three Northern regions of Ghana are very crucial in supporting a positive child health development for children in Ghana.
Item Type: | MPRA Paper |
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Original Title: | Dietary pattern, socioeconomic status and child health outcomes in Ghana: application of multilevel analysis |
Language: | English |
Keywords: | Child Health Outcome, Dietary Pattern, Socioeconomic Status, Multilevel Analysis, Ghana |
Subjects: | I - Health, Education, and Welfare > I0 - General I - Health, Education, and Welfare > I1 - Health I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior |
Item ID: | 80663 |
Depositing User: | Jacob Nunoo |
Date Deposited: | 11 Aug 2017 17:03 |
Last Modified: | 27 Sep 2019 12:02 |
References: | 1. Baingana FK, Bos ER. Changing patterns of disease and mortality in Sub-Saharan Africa: an overview. 2006 [cited 2017 Jul 11]; Available from: https://www.ncbi.nlm.nih.gov/books /NBK2281/ 2. Guillbert J. The world health report-reducing risk, promoting health life. Educ Health. 2012;16(2):230. 3. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. The Lancet. 2006;367(9524):1747–57. 4. Raihan MJ, Farzana FD, Sultana S, Haque MA, Rahman AS, Waid JL, et al. Examining the relationship between socio-economic status, WASH practices and wasting. PloS One. 2017;12(3):e0172134. 5. Bloss E, Wainaina F, Bailey RC. Prevalence and predictors of underweight, stunting, and wasting among children aged 5 and under in western Kenya. J Trop Pediatr. 2004;50(5):260–70. 6. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year? The lancet. 2003;361(9376):2226–34. 7. Bryce J, Boschi-Pinto C, Shibuya K, Black RE, Group WCHER, others. WHO estimates of the causes of death in children. The Lancet. 2005;365(9465):1147–52. 8. UNICEF. Improving child nutrition: The achievable imperative for global progress. 2013. 9. Unicef, others. Improving child nutrition. The achievable imperative for global progress. 2013. N Y U N Child Fund Google Sch. 2016; 10. Ghana Statistical Service (GSS), Ghana Health Service (GHS), ICF International. Ghana Demographic and Health Survey 2014. Rockville, Maryland, USA: GSS, GHS, and ICF International; 2015. 11. Frempong RB, Annim SK. Dietary diversity and child malnutrition in Ghana. Heliyon. 2017;3(5):e00298. 12. Sika S, Ahorlu, K. Infant feeding practises in Cape Coast, Ghana: A sociological perspe ctive. Oguaa J Soc Sci. 2015;7(2):11–24. 13. Simister J, Piesse J. Household consumption decisions and nutrition in South Africa. In: Centre for the Study of African Economies Conference [Internet]. 2002 [cited 2017 Jul 26]. Available from: http://www.academia.edu/download/41402199/Simister-csae2002.pdf 14. Novignon J, Nonvignon J, Mussa R. The poverty and inequality nexus in Ghana: a decomposition analysis of household expenditure components. 2015 [cited 2016 Aug 15]; Available from: https://mpra.ub.uni-muenchen.de/63017/ 15. Santika O, Februhartanty J, Ariawan I. Feeding practices of young children aged 12–23 months in different socio-economic settings: a study from an urban area of Indonesia. Br J Nutr. 2016;116(S1):S1–7. 16. Urke HB, Bull T, Mittelmark MB. Socioeconomic status and chronic child malnutrition: wealth and maternal education matter more in the Peruvian Andes than nationally. Nutr Res. 2011;31(10):741–7. 17. Ghana Statistical Service. Ghana Multiple Indicator Cluster Survey with an Enhanced Malaria Module and Biomarker, 2011. Accra, Ghana; 2011. 18. Swindale A, Bilinsky P. Household dietary diversity score (HDDS) for measurement of household food access: indicator guide. Wash DC Food Nutr Tech Assist Proj Acad Educ Dev. 2006; 19. Annim SK, Awusabo-Asare K, Amo-Adjei J, ICF International. Household Nucleation, Dependency and Child Health Outcomes in [Internet]. DHS Working Papers; 2013. Available from: http://www.measuredhs.com/publications/publication-wp98-working-papers.cfm 20. Annim SK. Mother’s Role in Spending Decisions and Child Malnutrition: Evidence from Ghana. Afr Econ Res Consortium’s Brief Pap. 2012; 21. Rosenzweig MR, Schultz TP. Estimating a household production function: Heterogeneity, the demand for health inputs, and their effects on birth weight. J Polit Econ. 1983;91(5):723–46. 22. Behrman JR, Skoufias E. Correlates and determinants of child anthropometrics in Latin America: background and overview of the symposium. Econ Hum Biol. 2004;2(3):335–51. 23. Thomas D, Strauss J. Prices, infrastructure, household characteristics and child height. J Dev Econ. 1992;39(2):301–31. 24. Multiple Indicator Cluster Survey (MICS). Multiple Indicator Cluster Survey with an enhanced Malaria Module and Biomarker (Final Report). Accra, Ghana: Ghana Statistical Service; 2012. 25. Moerbeek M. The consequence of ignoring a level of nesting in multilevel analysis. Multivar Behav Res. 2004;39(1):129–49. 26. Van den Noortgate W, Opdenakker M-C, Onghena P. The effects of ignoring a level in multilevel analysis. Sch Eff Sch Improv. 2005;16(3):281–303. 27. Tranmer M, Steel DG. Ignoring a level in a multilevel model: evidence from UK census data. Environ Plan A. 2001;33(5):941–8. 28. Skrondal A, Rabe-Hesketh S. Generalized latent variable modeling: Multilevel, longitudinal, and structural equation models [Internet]. Crc Press; 2004 [cited 2017 Jul 11]. Available from: https://books.google.com/books26+Rabe-Hesketh,+S.+Generalized+latent+variable+ modeling:+Multilevel,+longitudinal,+and+structural+equation+models.+Crc+Press. 29. Nti CA, Lartey A. Effect of caregiver feeding behaviours on child nutritional status in rural Ghana. Int J Consum Stud. 2007;31(3):303–9. 30. Arimond M, Ruel MT. Dietary diversity is associated with child nutritional status: evidence from 11 demographic and health surveys. J Nutr. 2004;134(10):2579–85. 31. Amugsi DA, Mittelmark MB, Lartey A. An analysis of socio-demographic patterns in child malnutrition trends using Ghana demographic and health survey data in the period 1993–2008. BMC Public Health. 2013;13(1):960. 32. Fuse K. Variations in attitudinal gender preferences for children across 50 less-developed countries. Demogr Res. 2010;23(36):1031–48. 33. Annim SK, Imai KS, others. Nutritional Status of Children, Food Consumption Diversity and Ethnicity in Lao PDR [Internet]. Research Institute for Economics and Business Administration, Kobe University; 2014 [cited 2017 Jul 19]. Available from: http://www.rieb.kobe-u.ac.jp/academic/ra/dp/English/DP2014-17.pdf 34. Pastor PN, Reuben CA, Duran C. Reported Child Health Status, Hispanic Ethnicity, and Language of Interview: United States, 2011-2012 [Internet]. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2015 [cited 2017 Jul 18]. Available from: https://pdfs.semanticscholar.org/ 5d22/9411b1c75d435ca4948cfe3c40e6a1344029.pdf 35. Ghana Statistical Service. Ghana Poverty Mapping Report. Accra; 2015. |
URI: | https://mpra.ub.uni-muenchen.de/id/eprint/80663 |