首页|Population estimates and determinants of severe maternal thinness in India

Population estimates and determinants of severe maternal thinness in India

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  • NSTL
  • Wiley
Objective To examine prevalence, risk factors, and consequences of maternal severe thinness in India. Methods This mixed methods study analyzed data from the Indian National Family Health Survey (NFHS)-4 (2015-2016) to estimate the prevalence of and risk factors for severe thinness, followed by a desk review of literature from India. Results Prevalence of severe thinness (defined by World Health Organization as body mass index [BMI] Z score SD in adolescents) was higher among pregnant adolescents (4.3%) compared with pregnant adult women (1.9%) and among postpartum adolescent women (6.3%) than postpartum adult women (2.4%) 2-6 months after delivery. Identified research studies showed prevalence of 4%-12% in pregnant women. Only 13/640 districts had at least three cases of severely thin pregnant women; others had lower numbers. Three or more postpartum women aged >= 20 years were severely thin in 32 districts. Among pregnant adolescents, earlier parity increased odds (OR 1.96; 95% CI, 1.18-3.27) of severe thinness. Access to household toilet facility reduced odds (OR 0.72; 95% CI, 0.52-0.99]. Among mothers aged >= 20 years, increasing education level was associated with decreasing odds of severe thinness (secondary: OR 0.74; 95% CI, 0.57-0.96 and Higher: OR 0.54; 95% CI, 0.32-0.91, compared with no education); household wealth and caste were also associated with severe thinness. Conclusion This paper reveals the geographic pockets that need priority focus for managing severe thinness among pregnant women and mothers in India to limit the immediate and intergenerational adverse consequences emanating from these deprivations.

consequences of severe thinnessIndiapostpartumpregnancyprevalencerisk factors for severe thinnesssevere thinness

Choedon, Tashi、Sethi, Vani、Chowdhury, Ranadip、Bhatia, Neena、Dinachandra, Konsam、Murira, Zivai、Bhanot, Arti、Baswal, Dinesh、de Wagt, Arjan、Bhargava, Madhavi、Meshram, Indrapal Ishwarji、Babu, Giridhara R.、Kulkarni, Bharati、Divakar, Hema、Jacob, Chandni Maria、Killeen, Sarah Louise、McAuliffe, Fionnuala、Alambusha, Ruby、Joe, William、Hanson, Mark

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Inst Econ Growth, New Delhi, India

United Nations Childrens Fund, Nutr Sect, New Delhi, India

Soc Appl Studies, Ctr Hlth Res & Dev, New Delhi, India

Govt India, NITI Aayog, New Delhi, India

UNICEF, Reg Off South Asia, Kathmandu, Nepal

Mamta Hlth Inst Mother & Child, New Delhi, India

Yenepoya Med Coll, Dept Community Med, Mangalore, India

Indian Council Med Res, Natl Inst Nutr, Hyderabad, India

Indian Inst Publ Hlth, Dept Epidemiol, Bengaluru, India

Divakars Specialty Hosp, Bengaluru, India

Univ Hosp Southampton, NIHR Southampton Biomed Res Ctr, Southampton, Hants, England

Univ Coll Dublin, Natl Matern Hosp, UCD Perinatal Res Ctr, Sch Med, Dublin, Ireland

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2021

10.1002/ijgo.13940

International journal of gynaecology and obstetrics:

International journal of gynaecology and obstetrics:

ISSN：0020-7292
年,卷(期)：2021.155(3)
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