Nutritional characterisation of low-income households of Nairobi: Socioeconomic, livestock and gender considerations and predictors of malnutrition from a cross-sectional survey

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cg.authorship.typesCGIAR and developing country instituteen
cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationRoyal Veterinary College, United Kingdomen
cg.contributor.affiliationInternational Livestock Research Instituteen
cg.contributor.affiliationLeverhulme Centre for Integrated Research on Agriculture and Healthen
cg.contributor.affiliationUniversity of Prince Edward Islanden
cg.contributor.affiliationUniversity of Floridaen
cg.contributor.affiliationAfrican Population and Health Research Centeren
cg.contributor.affiliationLondon School of Hygiene and Tropical Medicineen
cg.contributor.affiliationUniversity of Liverpoolen
cg.contributor.crpAgriculture for Nutrition and Health
cg.contributor.donorMedical Research Council, United Kingdomen
cg.contributor.donorNatural Environment Research Council, United Kingdomen
cg.contributor.donorEconomic and Social Research Council, United Kingdomen
cg.contributor.donorBiotechnology and Biological Sciences Research Council, United Kingdomen
cg.coverage.countryKenya
cg.coverage.iso3166-alpha2KE
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.creator.identifierDelia Grace: 0000-0002-0195-9489
cg.creator.identifierAlarcon, P.: 0000-0001-9040-7629
cg.creator.identifierSilvia Alonso: 0000-0002-0565-536X
cg.creator.identifierEric M. Fèvre: 0000-0001-8931-4986
cg.creator.identifierJonathan Rushton: 0000-0001-5450-4202
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1186/s40795-016-0086-2en
cg.isijournalISI Journalen
cg.issn2055-0928en
cg.issue1en
cg.journalBMC Nutritionen
cg.reviewStatusPeer Reviewen
cg.subject.ilriGENDERen
cg.subject.ilriHEALTHen
cg.subject.ilriLIVESTOCKen
cg.subject.ilriNUTRITIONen
cg.volume2en
dc.contributor.authorDomínguez Salas, Paulaen
dc.contributor.authorAlarcón, Pabloen
dc.contributor.authorHäsler, Barbaraen
dc.contributor.authorDohoo, I.R.en
dc.contributor.authorColverson, Kathleen E.en
dc.contributor.authorKimani-Murage, E.W.en
dc.contributor.authorAlonso, Silviaen
dc.contributor.authorFerguson, E.en
dc.contributor.authorFèvre, Eric M.en
dc.contributor.authorRushton, Jonathanen
dc.contributor.authorGrace, Deliaen
dc.date.accessioned2016-08-16T08:33:43Zen
dc.date.available2016-08-16T08:33:43Zen
dc.identifier.urihttps://hdl.handle.net/10568/76488
dc.titleNutritional characterisation of low-income households of Nairobi: Socioeconomic, livestock and gender considerations and predictors of malnutrition from a cross-sectional surveyen
dcterms.abstractBackground In sub-Saharan Africa, urban informal settlements are rapidly expanding, leading to overcrowding and constituting challenging environments for food and water supplies, health and nutrition. The study objectives were to characterise and compare two low-income areas of Nairobi according to socioeconomic (including livestock and gender) indicators and the nutritional status of non-pregnant women of reproductive age and 1 to 3 year-old children; and to investigate socioeconomic predictors of malnutrition in these areas. Methods In this cross-sectional survey 205 low-income households in deprived areas of Dagoretti and Korogocho (Nairobi) were randomly selected. Socioeconomic data were collected via an interviewer-administered questionnaire. Maternal and child dietary data were collected by a 24-h dietary recall. Maternal and child anthropometric and haemoglobin measurements were taken. Chi-square, t-test and Wilcoxon-Mann–Whitney test were used to compare groups and multivariable linear regression to assess predictors of malnutrition. Results Dagoretti consistently showed better socioeconomic indicators including: income, education and occupation of household head, land ownership, housing quality and domestic asset ownership. Animal ownership was more than twice as high in Dagoretti as in Korogocho (53.0 % vs 22.9 % of households; p-value < 0.0001). A double burden of malnutrition existed: 41.5 % of children were stunted, and 29.0 % of women were overweight. In addition, 74.0 % of the children and 25.9 % of the women were anaemic, and were at risk of inadequate intakes for a number of micronutrients. Nutritional status and nutrient intakes were consistently better in Dagoretti than Korogocho; height-for-age (0.47 Z-scores higher; p-value = 0.004), the minimum dietary diversity (80.0 % vs 57.7 % in children, p-value = 0.001) and intakes of several nutrients were significantly higher. Positive predictors of maternal nutritional status were income, age and not having a premature delivery. Positive predictors of child nutritional status were area, household head education, mother not being married, female animal ownership and child’s sex (female). Conclusions Malnutrition is prevalent in these settings, which could be partly due to low nutrient intakes, and to socioeconomic factors (including poverty), thus requiring comprehensive approaches that include increased accessibility and affordability of nutrient-dense foods. This study indicates that differences among low-income areas may need consideration for prioritisation and design of interventions.en
dcterms.accessRightsOpen Access
dcterms.audienceScientistsen
dcterms.available2016-08-05
dcterms.bibliographicCitationDominguez-Salas, P., Alarcón, P., Häsler, B., Dohoo, I.R., Colverson, K., Kimani-Murage, E.W., Alonso, S., Ferguson, E., Fèvre, E.M., Rushton, J. and Grace, D. 2016. Nutritional characterisation of low-income households of Nairobi: Socioeconomic, livestock and gender considerations and predictors of malnutrition from a cross-sectional survey. BMC Nutrition 2: 47.en
dcterms.issued2016-12
dcterms.languageen
dcterms.licenseCopyrighted; all rights reserved
dcterms.publisherSpringeren
dcterms.subjectgenderen
dcterms.subjecthealthen
dcterms.typeJournal Article

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