Social determinants of malnutrition among Serbian children aged <5 years: ethnic and regional disparities

Int J Public Health. 2014 Oct;59(5):697-706. doi: 10.1007/s00038-014-0591-5. Epub 2014 Jul 30.

Abstract

Objectives: To assess the association between growth indicators of Serbian children aged <5 years of Roma and non-Roma populations and social determinants of health.

Methods: This study used a cross-sectional secondary data analysis design to measure national and Roma population samples from the MICS 4 (UNICEF) performed in 2010 in Serbia. A total of 4,978 questionnaires were observed with children aged <5 years. Logistic regression analysis was performed to identify association between social determinants of health and growth indicators.

Results: Roma children were more than three times more likely to exhibit stunted and/or severely stunted than non-Roma children from the lowest wealth quintile. Non-Roma children residing outside of the Belgrade region had a lower risk of stunted compared to children residing within the Belgrade region, while the risk of stunted among Roma children was nearly twofold greater than those residing in southern and eastern Serbia than in the Belgrade region.

Conclusions: Our findings clarified the necessity to establish ethnically and regionally sensitive programs to solve the malnutrition problems.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Weight
  • Child Nutrition Disorders / ethnology*
  • Child, Preschool
  • Cross-Sectional Studies
  • Ethnicity / statistics & numerical data*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Malnutrition / epidemiology*
  • Risk Factors
  • Roma / statistics & numerical data*
  • Rural Population / statistics & numerical data
  • Serbia / epidemiology
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Urban Population / statistics & numerical data