PMID- 33500017 OWN - NLM STAT- MEDLINE DCOM- 20210917 LR - 20230619 IS - 1475-2727 (Electronic) IS - 1368-9800 (Print) IS - 1368-9800 (Linking) VI - 24 IP - 6 DP - 2021 Apr TI - Changes in socio-economic inequality in nutritional status among children in EAG states, India. PG - 1304-1317 LID - 10.1017/S1368980021000343 [doi] AB - OBJECTIVE: The primary purpose of this study is to examine changes in socio-economic inequality in nutritional status (stunting and underweight) among children in Empowered Action Group (EAG) states. DESIGN: The study is based on the most recent two wave's cross-sectional data from the National Family Health Survey (NFHS) conducted in 2005-2006 (NFHS-3) and 2015-2016 (NFHS-4). The study used height-for-age (stunting) and weight-for-age (underweight) of children as anthropometric indicators. SETTING: EAG states including Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttarakhand and Uttar Pradesh in India. PARTICIPANTS: The study includes a total of 11 858 (NFHS-3) and 92 630 (NFHS-4) children under 5 years of age. RESULT: The socio-economic inequality in stunting remained unchanged in all EAG states. At the same time, the inequality in underweight decreased during 2005-2016. On decomposing, the factors contributing to socio-economic inequality revealed that household wealth index, mother's education and mother's nutritional status were the largest contributors to stunting (47 %, 24 % and 8 %) and underweight (51 %, 21 % and 16 %), respectively, in 2015-2016. CONCLUSION: The study concluded the socio-economic inequality in underweight among children under 5 years of age increased over the years in EAG states in India. Altogether, household wealth index, mother's education and mother's nutritional status contributed to nearly 80 % to inequality in stunting and 90 % to inequality in underweight in 2015-2016. Hence, efforts should be made to minimise the socio-economic inequality in the nutritional status of children, particularly in EAG states in India. FAU - Kumar, Rajeev AU - Kumar R AD - Department of Population Policies and Programmes, International Institute for Population Sciences, Mumbai400088, India. FAU - Paswan, Balram AU - Paswan B AD - Department of Population Policies and Programmes, International Institute for Population Sciences, Mumbai400088, India. LA - eng PT - Journal Article DEP - 20210127 PL - England TA - Public Health Nutr JT - Public health nutrition JID - 9808463 SB - IM MH - Child MH - Child, Preschool MH - Cross-Sectional Studies MH - Educational Status MH - *Growth Disorders/epidemiology MH - Humans MH - India/epidemiology MH - *Nutritional Status PMC - PMC10195466 OTO - NOTNLM OT - Decomposition analysis OT - EAG states India OT - Socio-economic inequality OT - Stunting OT - Underweight EDAT- 2021/01/28 06:00 MHDA- 2021/09/18 06:00 PMCR- 2021/04/01 CRDT- 2021/01/27 05:35 PHST- 2021/01/28 06:00 [pubmed] PHST- 2021/09/18 06:00 [medline] PHST- 2021/01/27 05:35 [entrez] PHST- 2021/04/01 00:00 [pmc-release] AID - S1368980021000343 [pii] AID - 10.1017/S1368980021000343 [doi] PST - ppublish SO - Public Health Nutr. 2021 Apr;24(6):1304-1317. doi: 10.1017/S1368980021000343. Epub 2021 Jan 27.