Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Nutritional Status of Orphaned and Separated Children and Adolescents Living in Community and Institutional Environments in Uasin Gishu County, Kenya
PLoS ONE, Volume 8, No. 7, Article e70054, Year 2013
Notification
URL copied to clipboard!
Description
Objective: To describe the nutritional status of orphaned and separated children and adolescents (OSCA) living in households in the community (HH), on the street, and those in institutional environments in western Kenya. Methods: The study enrolled OSCA from 300 randomly selected households (HH), 19 Charitable Children's Institutions (CCIs), and 100 street-involved children. Measures of malnutrition were standardized with Z-scores using World Health Organization criteria; Z-scores ≤-2 standard deviations (sd) were moderate-severe malnutrition. Data were analyzed using multivariable logistic regression adjusting for child age, sex, HIV status, whether the child had been hospitalized in the previous year, time living with current guardian, and intra-household clustering for adequacy of diet and moderate-severe malnutrition. Results: Included are data from 2862 participants (1337 in CCI's, 1425 in HH's, and 100 street youth). The population was 46% female with median age at enrolment of 11.1 years. Only 4.4% of households and institutions reported household food security; 93% of children in HH reported an adequate diet vs. 95% in CCI's and 99% among street youth. After adjustment, OSCA in HH were less likely to have an adequate diet compared to those in CCI's (AOR 0.4, 95% CI 0.2-1.0). After adjustment, there were no differences between the categories of children on weight-for-age, weight-for-height, or BMI-for-age. Children living in HH (AOR 2.6, 95% CI: 2.0-3.4) and street youth (AOR: 5.9, 95% CI: 3.6-9.5) were more likely than children in CCI's to be low height-for-age. Conclusion: OSCA in HH are less likely to have an adequate diet compared to children in CCI's. They and street children are more likely to be moderately-severely low height-for-age compared to children in CCI's, suggesting chronic malnutrition among them. © 2013 Braitstein et al.
Authors & Co-Authors
Braitstein, Paula K.A.
United States, Indianapolis
Indiana University School of Medicine
Kenya, Eldoret
Moi University
Canada, Toronto
University of Toronto
Ayaya, Samuel Omulando
Kenya, Eldoret
Moi University
Nyandiko, Winstone Mokaya
Kenya, Eldoret
Moi University
Kamanda, Allan M.
Kenya, Eldoret
Moi Teaching and Referral Hospital
Koech, Julius K.
Kenya, Eldoret
Academic Model Providing Access to Healthcare
Gisore, Peter O.
Kenya, Eldoret
Moi University
Atwoli, Lukoye
Kenya, Eldoret
Moi University
Vreeman, Rachel Christine
United States, Indianapolis
Indiana University School of Medicine
Duefield, Corey A.
United States, Providence
Brown University
Ayuku, David O.
Kenya, Eldoret
Moi University
Statistics
Citations: 10
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1371/journal.pone.0070054
e-ISSN:
19326203
Research Areas
Food Security
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Kenya
Participants Gender
Female