PMID- 19161545 OWN - NLM STAT- MEDLINE DCOM- 20090325 LR - 20220410 IS - 1740-8709 (Electronic) IS - 1740-8695 (Print) IS - 1740-8695 (Linking) VI - 5 IP - 1 DP - 2009 Jan TI - Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India. PG - 64-74 LID - 10.1111/j.1740-8709.2008.00161.x [doi] AB - Child stunting, an outcome of chronic undernutrition, contributes to poor quality of life, morbidity and mortality. In South Asia, the low status of women is thought to be one of the primary determinants of undernutrition across the lifespan. Low female status can result in compromised health outcomes for women, which in turn are related to lower infant birthweight and may affect the quality of infant care and nutrition. Maternal autonomy (defined as a woman's personal power in the household and her ability to influence and change her environment) is likely an important factor influencing child care and ultimately infant and child health outcomes. To examine the relationship between maternal autonomy and child stunting in Andhra Pradesh, India, we analysed data from National Family Health Survey (NFHS)-2. We used cross-sectional demographic, health and anthropometric information for mothers and their oldest child <36 months (n = 821) from NFHS-2. The main explanatory variables of autonomy are presented by four dimensions - decision making, permission to travel, attitude towards domestic violence and financial autonomy - constructed using seven binary variables. Logistic regression models were used to test associations between indicators of female autonomy and the risk of having a stunted child. Women with higher autonomy indicated by access to money [odds ratio (OR) = 0.731; 95% confidence interval (CI) 0.546, 0.981] and freedom to choose to go to the market [OR = 0.593; 95% CI 0.376, 0.933] were significantly less likely to have a stunted child, after controlling for household socio-economic status and mother's education. In this south Indian state, two dimensions of female autonomy have an independent effect on child growth, suggesting the need for interventions that increase women's financial and physical autonomy. FAU - Shroff, Monal AU - Shroff M AD - Department of Nutrition, University of North Carolina, Chapel Hill, NC 27516-2524, USA. mshroff@gwm.sc.edu FAU - Griffiths, Paula AU - Griffiths P FAU - Adair, Linda AU - Adair L FAU - Suchindran, Chirayath AU - Suchindran C FAU - Bentley, Margaret AU - Bentley M LA - eng GR - R01 HD042219/HD/NICHD NIH HHS/United States GR - R24 HD050924/HD/NICHD NIH HHS/United States GR - R01 HD042219-03S1/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - Matern Child Nutr JT - Maternal & child nutrition JID - 101201025 SB - IM MH - Adolescent MH - Adult MH - Anthropometry MH - Body Height/*physiology MH - Child Nutrition Disorders/*epidemiology MH - Child Welfare MH - Child, Preschool MH - Cross-Sectional Studies MH - *Decision Making MH - Domestic Violence/psychology MH - Educational Status MH - Female MH - Humans MH - India/epidemiology MH - Infant MH - Infant, Newborn MH - Male MH - Middle Aged MH - Mother-Child Relations MH - Mothers/education/*psychology MH - *Personal Autonomy MH - Social Class MH - Socioeconomic Factors MH - Young Adult PMC - PMC3811039 MID - NIHMS381089 COIS- None declared. EDAT- 2009/01/24 09:00 MHDA- 2009/03/26 09:00 PMCR- 2008/12/16 CRDT- 2009/01/24 09:00 PHST- 2009/01/24 09:00 [entrez] PHST- 2009/01/24 09:00 [pubmed] PHST- 2009/03/26 09:00 [medline] PHST- 2008/12/16 00:00 [pmc-release] AID - MCN161 [pii] AID - 10.1111/j.1740-8709.2008.00161.x [doi] PST - ppublish SO - Matern Child Nutr. 2009 Jan;5(1):64-74. doi: 10.1111/j.1740-8709.2008.00161.x.