| Title |
Social and environmental determinants of child health in Mongolia across years of rapid economic growth: 2000-2010
|
|---|---|
| Published in |
International Journal for Equity in Health, October 2017
|
| DOI | 10.1186/s12939-017-0684-x |
| Pubmed ID | |
| Authors |
Nehal Joshi, Bolormaa Bolorhon, Indermohan Narula, Shihua Zhu, Semira Manaseki-Hollan |
| Abstract |
To understand the effect of economic growth on health, we investigated the trend in socio-economic and regional determinants of child health in Mongolia. This Central Asian country had the fastest economic growth amongst low and middle-income countries (LMICs) from 2000 to 2010 and a healthcare system in transition. Data was from Mongolian multiple indicator cluster surveys (MICS) in 2000, 2005 and 2010. Child nutrition/growth was measured by height-for-age z-score (HAZ), weight-for-age z-score (WAZ), prevalence of stunted (HAZ < -2) and underweight (WAZ < -2) children. Access to health care was measured by prevalence of fully immunised children <5 years. Multivariate multi-level logistic mixed modelling was used to estimate the effect of socio-economic and environmental health determinants on each outcome in each year; 2000, 2005 and 2010. T-tests were used to measure significant change in HAZ and WAZ over the decade. Overall, from 2000 to 2010, there was a significant improvement (p < 0.001) in all three outcomes, but the effect of socio-economic factors increased on both stunting and weight. In 2000, region was a significant determinant: children living in three provinces were significantly more likely to be stunted and less likely to be immunised than Ulaanbaatar, but this was not significant by 2010. By 2010, none of the factors were significant determinants of immunisation in children. In 2000, economic status had no effect on stunting (OR = 0.91; 95%CI:0.49,1.66), however by 2010, children in the poorest economic quintile were 4 times more likely to be stunted than the richest (OR = 0.24; 95% CI:0.13,0.45; p < 0.001). The effect of maternal education on stunting prevalence continued over the 10 years, in both 2000 and 2010 children were twice as likely to be stunted if their mother had no education compared to university education (2000 OR = 0.45; 95% CI:0.28,0.73, p < 0.01,2010 OR =0.55; 95% CI:0.35,0.87, p < 0.05). Economic growth in Mongolia from 2000 to 2010 resulted in an increase in the effect of social determinants of child health; whilst focused policy improved access to immunisation. Children with less educated mothers and lower household incomes should be targeted in interventions to reduce health inequity. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 2 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 50% |
| Science communicators (journalists, bloggers, editors) | 1 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 163 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 163 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 32 | 20% |
| Student > Bachelor | 16 | 10% |
| Researcher | 12 | 7% |
| Student > Ph. D. Student | 11 | 7% |
| Student > Doctoral Student | 10 | 6% |
| Other | 24 | 15% |
| Unknown | 58 | 36% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 34 | 21% |
| Medicine and Dentistry | 31 | 19% |
| Social Sciences | 12 | 7% |
| Economics, Econometrics and Finance | 8 | 5% |
| Psychology | 3 | 2% |
| Other | 11 | 7% |
| Unknown | 64 | 39% |
Attention Score in Context
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All research outputs
#17,919,066
of 23,007,053 outputs
Outputs from International Journal for Equity in Health
#1,656
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#235,061
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Outputs of similar age from International Journal for Equity in Health
#47
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