Explaining Within- vs Between-Population Variation in Child Anthropometry and Hemoglobin Measures in India: A Multilevel Analysis of the National Family Health Survey 2015-2016
DC Field | Value | Language |
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dc.contributor.author | Rodgers, Justin | - |
dc.contributor.author | Kim, Rockli | - |
dc.contributor.author | Subramanian, S., V | - |
dc.date.accessioned | 2021-08-30T09:40:10Z | - |
dc.date.available | 2021-08-30T09:40:10Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2020-11 | - |
dc.identifier.issn | 0917-5040 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/51955 | - |
dc.description.abstract | Background: The complex etiology of child growth failure and anemia-commonly used indicators of child undernutrition-involving proximate and distal risk factors at multiple levels is generally recognized. However, their independent and joint effects are often assessed with no clear conceptualization of inferential targets. Methods: We utilized hierarchical linear modeling and a nationally representative sample of 139,116 children aged 6-59 months from India (2015-2016) to estimate the extent to which a comprehensive set of 27 covariates explained the within- and between-population variation in height-for-age, weight-for-age, weight-for-height, and hemoglobin level. Results: Most of the variation in child anthropometry and hemoglobin measures was attributable to within-population differences (80-85%), whereas between-population differences (including communities, districts, and states) accounted for only 15-20%. The proximate and distal covariates explained 0.2-7.5% of within-population variation and 2.1-34.0% of between-population variation, depending on the indicator of interest. Substantial heterogeneity was observed in the magnitude of within-population variation, and the fraction explained, in child anthropometry and hemoglobin measures across the 36 states=union territories of India. Conclusions: Policies and interventions aimed at reducing between-population inequalities in child undernutrition may require a different set of components than those concerned with within-population inequalities. Both are needed to promote the health of the general population, as well as that of high-risk children. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | JAPAN EPIDEMIOLOGICAL ASSOC | - |
dc.subject | MIDDLE-INCOME COUNTRIES | - |
dc.subject | RELATIVE IMPORTANCE | - |
dc.subject | SICK INDIVIDUALS | - |
dc.subject | IRON-DEFICIENCY | - |
dc.subject | UNDERNUTRITION | - |
dc.subject | ANEMIA | - |
dc.subject | HOUSEHOLD | - |
dc.subject | NUTRITION | - |
dc.subject | INTERVENTIONS | - |
dc.subject | ASSOCIATION | - |
dc.title | Explaining Within- vs Between-Population Variation in Child Anthropometry and Hemoglobin Measures in India: A Multilevel Analysis of the National Family Health Survey 2015-2016 | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Rockli | - |
dc.identifier.doi | 10.2188/jea.JE20190064 | - |
dc.identifier.scopusid | 2-s2.0-85095713585 | - |
dc.identifier.wosid | 000580520400001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF EPIDEMIOLOGY, v.30, no.11, pp.485 - 496 | - |
dc.relation.isPartOf | JOURNAL OF EPIDEMIOLOGY | - |
dc.citation.title | JOURNAL OF EPIDEMIOLOGY | - |
dc.citation.volume | 30 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 485 | - |
dc.citation.endPage | 496 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Public, Environmental & Occupational Health | - |
dc.relation.journalWebOfScienceCategory | Public, Environmental & Occupational Health | - |
dc.subject.keywordPlus | MIDDLE-INCOME COUNTRIES | - |
dc.subject.keywordPlus | RELATIVE IMPORTANCE | - |
dc.subject.keywordPlus | SICK INDIVIDUALS | - |
dc.subject.keywordPlus | IRON-DEFICIENCY | - |
dc.subject.keywordPlus | UNDERNUTRITION | - |
dc.subject.keywordPlus | ANEMIA | - |
dc.subject.keywordPlus | HOUSEHOLD | - |
dc.subject.keywordPlus | NUTRITION | - |
dc.subject.keywordPlus | INTERVENTIONS | - |
dc.subject.keywordPlus | ASSOCIATION | - |
dc.subject.keywordAuthor | child undernutrition | - |
dc.subject.keywordAuthor | child growth | - |
dc.subject.keywordAuthor | anemia | - |
dc.subject.keywordAuthor | multilevel modeling | - |
dc.subject.keywordAuthor | variation | - |
dc.subject.keywordAuthor | inequalities | - |
dc.subject.keywordAuthor | India | - |
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