Comparative Analyses of Adolescent Nutrition Indicators

Transcription

1 Comparative Analyses of Adolescent Nutrition Indicators Rukundo K. Benedict, PhD The DHS Program Stakeholders Consultation on Adolescent Girls Nutrition: Evidence, Guidance, and Gaps October 30 31, 2017

2 What is The DHS Program? A 30+ year USAID-funded project that provides technical assistance to developing countries to: improve the collection, analysis and presentation of population, health, and nutrition data facilitate use of these data for planning, policymaking, and program management

3 How the nutrition portfolio fits in The DHS Program Quality Innovations Data use Capacity strengthening Graphs created Bhima and by Gregor Cresnar from the Noun Project

4 DHS Fellow Program Applications Due Nov DHS Fellows Program University Faculty from Afghanistan, Cambodia, Ethiopia, Malawi, Myanmar, Nepal, South Africa, Timor-Leste, and Zimbabwe

5 Objectives Describe country and regional prevalence and trends of nutrition indicators in adolescent women age BMI Anemia Women s Diet Diversity Score Examine relationships between covariates and nutrition indicators Residence Wealth Education Level Age

6 DHS survey representativeness by world region,

7 Prevalence women age who had a child or are pregnant

8 Prevalence women age across BMI categories, World regions

9 Prevalence women age who are thin (BMI <18.5kg/m2)

10 Trends in prevalence women age who are thin (BMI <18.5kg/m2), Africa Oldest survey Most recent survey Downward trend Upward trend

11 Trends in prevalence women age who are thin (BMI <18.5kg/m2), Other regions South Asia East Asia & Pacific Latin America & Caribbean Oldest survey Most recent survey Downward trend Upward trend Europe & Central Asia North Africa & Middle East

12 Prevalence women age who are thin (<18.5kg/m2) and prevalence short stature(<145cm)

13 Prevalence women age who are overweight/obese (BMI 25.0kg/m2)

14 Trends in prevalence women age who are overweight/obese (BMI 25.0kg/m2), Africa Oldest survey (from ) Most recent survey Downward trend Upward trend

15 Trends in prevalence women age who are overweight/obese (BMI 25.0kg/m2), Other regions North Africa & Middle East Latin America & Caribbean Europe & Central Asia Oldest survey (from ) Most recent survey Downward trend Upward trend East Asia & Pacific South Asia

16 Relationship of thinness and overweight/obesity with covariates, West and Country Year Rural Residence Central Higher Wealth Africa Age (Cont.) Secondary +Ed < < < < Benin Burkina Faso 2010 Cameroon 2011 Chad CongoBZ CongoDR Côte d'ivoire Gabon 2012 Gambia 2013 Ghana 2014 Guinea 2012 Lesotho 2014 Liberia 2013 Madagascar Malawi Mali Niger 2012 Nigeria 2013 Sao Tome & Principe Senegal Sierra Leone 2013 Swaziland Togo Significant, RRR>1 Significant, RRR<1 Not significant

17 Relationship of thinness and overweight/obesity with covariates, West and Country Year Rural Residence Central Higher Wealth Africa Age (Cont.) Secondary +Ed < < < < Benin Burkina Faso 2010 Cameroon 2011 Chad CongoBZ CongoDR Côte d'ivoire Gabon 2012 Gambia 2013 Ghana 2014 Guinea 2012 Lesotho 2014 Liberia 2013 Madagascar Malawi Mali Niger 2012 Nigeria 2013 Sao Tome & Principe Senegal Sierra Leone 2013 Swaziland Togo Significant, RRR>1 Significant, RRR<1 Not significant

18 Relationship of thinness and overweight/obesity with covariates, West and Country Year Rural Residence Central Higher Wealth Africa Age (Cont.) Secondary +Ed < < < < Benin Burkina Faso 2010 Cameroon 2011 Chad CongoBZ CongoDR Côte d'ivoire Gabon 2012 Gambia 2013 Ghana 2014 Guinea 2012 Lesotho 2014 Liberia 2013 Madagascar Malawi Mali Niger 2012 Nigeria 2013 Sao Tome & Principe Senegal Sierra Leone 2013 Swaziland Togo Significant, RRR>1 Significant, RRR<1 Not significant

19 Relationship of thinness and overweight/obesity with covariates, West and Country Year Rural Residence Central Higher Wealth Africa Age (Cont.) Secondary +Ed < < < < Benin Burkina Faso 2010 Cameroon 2011 Chad CongoBZ CongoDR Côte d'ivoire Gabon 2012 Gambia 2013 Ghana 2014 Guinea 2012 Lesotho 2014 Liberia 2013 Madagascar Malawi Mali Niger 2012 Nigeria 2013 Sao Tome & Principe Senegal Sierra Leone 2013 Swaziland Togo Significant, RRR>1 Significant, RRR<1 Not significant

20 Relationship of thinness and overweight/obesity with covariates, East and Country Year Rural Residence Southern Higher Wealth Africa Age (Cont.) Secondary +Ed < < < < Burundi Comoros 2012 Ethiopia 2008 Kenya 2014 Lesotho 2014 Madagascar Malawi Mozambique 2011 Namibia 2013 Rwanda Swaziland Tanzania Uganda 2011 Zambia Zimbabwe 2015 Significant, RRR>1 Significant, RRR<1 Not significant

21 Relationship of thinness and overweight/obesity with covariates, South Asia Country Year Rural Residence Higher Wealth Age (Cont.) Bangladesh 2014 India Maldives 2009 Nepal Pakistan Secondary +Ed < < < < Significant, RRR>1 Significant, RRR<1 Not significant

22 Relationship of thinness and overweight/obesity with covariates, Latin America & Caribbean Country Year Rural Residence Higher Wealth Age (Cont.) Bolivia 2008 Colombia Guatemala Guyana 2009 Haiti 2012 Honduras Peru 2012 Secondary +Ed < < < < Significant, RRR>1 Significant, RRR<1 Not significant

23 Prevalence women age who are anemic (<12.0 g/dl)

24 Prevalence women age who are anemic World regions

25 Prevalence pregnant women age who are anemic, World regions

26 Trends in prevalence women age who are anemic (<12.0 g/dl), Africa Oldest survey (from ) Most recent survey Downward trend Upward trend

27 Trends in prevalence women age who East Asia & Pacific are anemic (<12.0 g/dl), Other regions Latin America & Caribbean South Asia Oldest survey (from ) Most recent survey Downward trend Upward trend North Africa & Middle East Europe & Central Asia

28 Relationship of anemia with covariates, West Country Year Benin Burkina Faso 2010 Cameroon 2011 CongoBZ CongoDR Côte d'ivoire Gabon 2012 Gambia 2013 Ghana 2014 Guinea 2012 Mali Namibia 2013 Niger 2012 Sao Tome and Principe Senegal Sierra Leone 2013 Togo and Central Africa Rural Residence Higher Wealth Age (Cont.) Secondary+ Ed Significant, OR>1 Significant, OR<1 Not significant

29 Relationship of anemia with covariates, East and Southern Africa Country Year Burundi Ethiopia 2008 Lesotho 2014 Madagascar Malawi Mozambique 2011 Namibia 2013 Rwanda Swaziland Tanzania Uganda 2011 Zimbabwe 2015 Rural Residence Higher Wealth Age (Cont.) Secondary+ Ed Significant, OR>1 Significant, OR<1 Not significant

30 Relationship of anemia with covariates, South Asia Country Year Bangladesh 2011 India Rural Residence Higher Wealth Age (Cont.) Secondary+ Ed Significant, OR>1 Significant, OR<1 Nepal Not significant

31 Relationship of anemia with covariates, Latin America & Caribbean Country Year Bolivia 2008 Rural Residence Higher Wealth Age (Cont.) Secondary+ Ed Significant, OR>1 Guatemala Guyana 2009 Significant, OR<1 Haiti 2012 Not significant Honduras Peru 2012

32 Average difference in nutrition status among women age vs. women Thin (<18.0 kg/m2) Overweight or obese ( 25.0 kg/m2) Anemia (<12 g/dl) Latin America & Caribbean Africa Middle East & North Africa Europe & Central Asia South Asia East Asia & Pacific

33 Mean Women Dietary Diversity Score among women age Europe & Central Asia Latin America & Caribbean East Asia & Pacific Africa Middle East North Africa

34 Prevalence of women age who consumed select food groups, Africa

35 Prevalence of women age who consumed select food groups, Latin America & Caribbean

36 Prevalence of women age who consumed select food groups, Other regions

37 THANK YOU! For more information, please contact:

38 ADDITIONAL SLIDES

39 Percent difference in consumption among women age vs. women Key < -5% -5 to < -10% > -10% +< +5 % to < +10% +++ >+10% Meat, poultry, and fish Vitamin A fruits and vegetables Eggs Sugars Albania Azerbaijan Bolivia Dominican Republic Egypt Ghana Guyana Honduras Liberia Mali Philippines Sao Tome and Principe Sierra Leone Swaziland Timor Leste Uganda Zambia Zimbabwe

40 Adolescent Childbearing by Residence Percent of women age who have had a child or are currently pregnant

41 Adolescent Childbearing by Education Percent of women age who have had a child or are currently pregnant

42 Adolescent Childbearing by wealth Percent of women age who have had a child or are currently pregnant

43 Trends in Adolescent Childbearing, Africa Percent of women age who have had a child or are currently pregnant Oldest survey (from ) Most recent survey Downward trend Upward trend

44 Trends in Adolescent Childbearing, Other Percent of women age who have had a child or are currently pregnant South Asia Latin America & Caribbean East Asia & Pacific Oldest survey (from ) Most recent survey Downward trend Upward trend North Africa & Middle East Europe & Central Asia

45 Trends in Short Stature in Adolescents, Africa Height <145 cm Oldest survey (from ) Most recent survey Downward trend Upward trend

46 Trends in Short Stature in Adolescents, Other Regions Height <145 cm South Asia East Asia & Pacific Latin America & Caribbean Oldest survey (from ) Most recent survey Downward trend Upward trend Europe & Central Asia North Africa & Middle East

47 Thinness among Adolescents by Residence Percent of women age who are thin (BMI <18.5 kg/m2)

48 Thinness among Adolescents by Wealth Percent of women age who are thin (BMI <18.5 kg/m2)

49 Thinness among Adolescents by Education Percent of women age who are thin (BMI <18.5 kg/m2)

50 Short Stature among Adolescents by Residence Percent of women age with height <145 cm

51 Short Stature among Adolescents by Education Percent of women age with height <145 cm

52 Short Stature among Adolescents by Wealth Percent of women age with height <145 cm

53 Overweight/Obesity among Adolescents by Residence Percent of women age who are overweight/obese (BMI 25.0 kg/m2)

54 Overweight/Obesity among Adolescents by Education Percent of women age who are overweight/obese (BMI 25.0kg/m2)

55 Overweight/Obesity among Adolescents by Wealth Percent of women age who are overweight/obese (BMI 25.0kg/m2)

56 Prevalence of Severe Anemia in Adolescents Percent of women age with severe anemia (NP <8.0 g/dl; P <7.0 g/dl)

57 Anemia among Adolescents by Residence Percent of non-pregnant women age with any anemia (<12.0 g/dl)

58 Anemia among Adolescents by Education Percent of non-pregnant women age with any anemia (<12.0 g/dl)

59 Anemia among Pregnant Adolescents by Residence Percent of pregnant women age with any anemia (<11.0 g/dl)

60 Anemia among Pregnant Adolescents by Education Percent of pregnant women age with any anemia (<11.0 g/dl)

61 Anemia among Adolescents by Wealth Percent of non-pregnant women age with any anemia (<12.0 g/dl)

62 Anemia among Pregnant Adolescents by Wealth Percent of pregnant women age with any anemia (<11.0 g/dl)