PMID- 37862310
OWN - NLM
STAT- MEDLINE
DCOM- 20231031
LR  - 20231101
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 18
IP  - 10
DP  - 2023
TI  - Decomposition analysis of the decline in binary and triad undernutrition among 
      preschool children in India.
PG  - e0292322
LID - 10.1371/journal.pone.0292322 [doi]
LID - e0292322
AB  - BACKGROUND: To examine the socio-demographic factors associated with the decline 
      in undernutrition among preschool children in India from National Family Health 
      Survey (NFHS)-3, 2005-06 to NFHS- 5, 2019-21. METHODS: For this study data were 
      obtained from India's nationally representative datasets such as NFHS-3 and 
      NFHS-5. The outcome variables for this study were Binary undernutrition which 
      were defined as the coexistence of anemia and either stunting or wasting and 
      Undernutrition triad which were defined as the presence of Iron deficiency 
      anemia, stunting and wasting, respectively. Decomposition analysis was used to 
      study the factors responsible for a decline in undernutrition. This method was 
      employed to understand how these factors contributed to the decline in 
      undernutrition whether due to change in the composition (change in the 
      composition of the population) or propensity (change in the health-related 
      behaviour of the population) of the population over a period of 16 years. 
      RESULTS: Results showed that rate, which contributes 85.26% and 65.64%, 
      respectively, to total change, was primarily responsible for a decline in both 
      binary undernutrition and undernutrition triad. Reduction in Binary 
      undernutrition was mainly explained by the change in the rate of education level 
      of the mothers and media exposer during the inter-survey period. On the other 
      hand, the decline in the Undernutrition triad can be explained by household 
      wealth index, mother's education, birth order and a change in people's knowledge 
      or practice about the preceding birth interval. CONCLUSION: Identifying important 
      factors and understanding their relationship with the decline of undernutrition 
      can be beneficial for reorienting nutrition-specific policies to achieve the 
      targets of the Sustainable Development Goals by 2030.
CI  - Copyright: (c) 2023 Dixit et al. This is an open access article distributed under 
      the terms of the Creative Commons Attribution License, which permits unrestricted 
      use, distribution, and reproduction in any medium, provided the original author 
      and source are credited.
FAU - Dixit, Priyanka
AU  - Dixit P
AUID- ORCID: 0000-0003-4927-7716
AD  - School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, 
      India.
FAU - Tonpe, Mayura
AU  - Tonpe M
AD  - School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, 
      India.
FAU - Bhatia, Mrigesh
AU  - Bhatia M
AD  - Dept. of Health Policy, London School of Economics, London, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20231020
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Female
MH  - Humans
MH  - Child, Preschool
MH  - Infant
MH  - *Child Nutrition Disorders/epidemiology
MH  - Cross-Sectional Studies
MH  - Risk Factors
MH  - *Malnutrition/epidemiology
MH  - India/epidemiology
MH  - Growth Disorders/epidemiology
MH  - Prevalence
MH  - Thinness/epidemiology
PMC - PMC10588879
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/10/20 18:46
MHDA- 2023/10/31 06:42
PMCR- 2023/10/20
CRDT- 2023/10/20 13:33
PHST- 2023/01/18 00:00 [received]
PHST- 2023/09/18 00:00 [accepted]
PHST- 2023/10/31 06:42 [medline]
PHST- 2023/10/20 18:46 [pubmed]
PHST- 2023/10/20 13:33 [entrez]
PHST- 2023/10/20 00:00 [pmc-release]
AID - PONE-D-23-01544 [pii]
AID - 10.1371/journal.pone.0292322 [doi]
PST - epublish
SO  - PLoS One. 2023 Oct 20;18(10):e0292322. doi: 10.1371/journal.pone.0292322. 
      eCollection 2023.