Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population

Objectives: To examine the effect of parental rural-to-urban internal migration on nutritional status of left-behind children and how this is related to guardianship. Methods: We used UNICEF China’s maternal and child health survey data to investigate stunting prevalence and feeding practices in ch...

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Main Authors: Ban, Lu, Guo, Sufang, Scherpbier, Robert W., Wang, Xiaoli, Zhou, Hong, Tata, Laila J.
Format: Article
Published: Springer 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/34180/
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author Ban, Lu
Guo, Sufang
Scherpbier, Robert W.
Wang, Xiaoli
Zhou, Hong
Tata, Laila J.
author_facet Ban, Lu
Guo, Sufang
Scherpbier, Robert W.
Wang, Xiaoli
Zhou, Hong
Tata, Laila J.
author_sort Ban, Lu
building Nottingham Research Data Repository
collection Online Access
description Objectives: To examine the effect of parental rural-to-urban internal migration on nutritional status of left-behind children and how this is related to guardianship. Methods: We used UNICEF China’s maternal and child health survey data to investigate stunting prevalence and feeding practices in children left behind by rural-to-urban internal migrant parents. We also assessed the effects of primary guardianship which is related closely with parental migration. Results: Of 6,136 children aged 0-3 years, over one third was left behind by one or both parents. About 13% were left behind by mothers, leaving guardianship primarily to grandmothers. Left-behind status was not associated with stunting, yet children who were cared for primarily by their fathers had a 32% increase of stunting compared to children cared for by the mothers (adjusted odds ratio[aOR]=1.32;95% confidence interval=1.04-1.67). Children with migrant mothers were less likely to receive age-appropriate breastfeeding (aOR=0.04;0.02-0.10) and a minimum acceptable diet (aOR=0.56;0.39-0.79) compared with non-left-behind children. Conclusions: Guardian’s feeding behaviours varied, and was inappropriate for both children affected and not affected by parent’s rural-to-urban internal migration. Community-based infant and young child feeding counselling and support should be provided to all caregivers.
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spelling nottingham-341802020-05-04T17:55:55Z https://eprints.nottingham.ac.uk/34180/ Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population Ban, Lu Guo, Sufang Scherpbier, Robert W. Wang, Xiaoli Zhou, Hong Tata, Laila J. Objectives: To examine the effect of parental rural-to-urban internal migration on nutritional status of left-behind children and how this is related to guardianship. Methods: We used UNICEF China’s maternal and child health survey data to investigate stunting prevalence and feeding practices in children left behind by rural-to-urban internal migrant parents. We also assessed the effects of primary guardianship which is related closely with parental migration. Results: Of 6,136 children aged 0-3 years, over one third was left behind by one or both parents. About 13% were left behind by mothers, leaving guardianship primarily to grandmothers. Left-behind status was not associated with stunting, yet children who were cared for primarily by their fathers had a 32% increase of stunting compared to children cared for by the mothers (adjusted odds ratio[aOR]=1.32;95% confidence interval=1.04-1.67). Children with migrant mothers were less likely to receive age-appropriate breastfeeding (aOR=0.04;0.02-0.10) and a minimum acceptable diet (aOR=0.56;0.39-0.79) compared with non-left-behind children. Conclusions: Guardian’s feeding behaviours varied, and was inappropriate for both children affected and not affected by parent’s rural-to-urban internal migration. Community-based infant and young child feeding counselling and support should be provided to all caregivers. Springer 2016-06-18 Article PeerReviewed Ban, Lu, Guo, Sufang, Scherpbier, Robert W., Wang, Xiaoli, Zhou, Hong and Tata, Laila J. (2016) Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population. International Journal of Public Health . ISSN 1661-8564 stunting nutritional status feeding practice rural-to-urban internal migration left-behind children guardianship http://link.springer.com/article/10.1007%2Fs00038-016-0844-6 doi:10.1007/s00038-016-0844-6 doi:10.1007/s00038-016-0844-6
spellingShingle stunting
nutritional status
feeding practice
rural-to-urban internal migration
left-behind children
guardianship
Ban, Lu
Guo, Sufang
Scherpbier, Robert W.
Wang, Xiaoli
Zhou, Hong
Tata, Laila J.
Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population
title Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population
title_full Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population
title_fullStr Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population
title_full_unstemmed Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population
title_short Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population
title_sort child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western chinese population
topic stunting
nutritional status
feeding practice
rural-to-urban internal migration
left-behind children
guardianship
url https://eprints.nottingham.ac.uk/34180/
https://eprints.nottingham.ac.uk/34180/
https://eprints.nottingham.ac.uk/34180/