{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T22:04:44Z","timestamp":1773871484383,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:00:00Z","timestamp":1749168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify the correlates of stunting and investigate their population\u2010level impacts among children under 5\u2009years in sub\u2010Saharan Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 179\u2009572 children under five were included from nationally representative surveys conducted across 24 sub\u2010Saharan African countries (2015\u20132022). Multivariable logistic regression models and population\u2010level impacts of risk factors were estimated to highlight their contributions to stunting prevalence across the study regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Stunting prevalence ranged from 18% to 54%, with rates exceeding 50% in Burundi. Lack of basic household amenities was consistently associated with stunting, accounting for 24%\u201357% of cases across regions. Limited access to mass media further contributed to stunting rates, highlighting the role of education and awareness in preventing malnutrition. Maternal characteristics, such as lack of education and health insurance, were also significant risk factors, with adjusted odds ratios (aORs) ranging from 1.44 to 2.24.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Socio\u2010economic disparities are key risk factors for stunting in sub\u2010Saharan Africa. These factors were statistically associated with a substantial proportion of stunting cases in high\u2010prevalence regions. Targeted interventions to reduce inequalities, improve maternal education and expand essential services access are vital to achieving global nutrition targets, including the Sustainable Development Goal of reducing child stunting by 40% by 2025.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70161","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T06:49:36Z","timestamp":1749192576000},"page":"2665-2674","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Population\u2010Level Impact of Risk Factors on Stunting Among Children Under Five in Sub\u2010Saharan Africa (2015\u20132022)"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8279-7652","authenticated-orcid":false,"given":"Handan","family":"Wand","sequence":"first","affiliation":[{"name":"University of New South Wales  Kensington New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayajothi","family":"Moodley","sequence":"additional","affiliation":[{"name":"The Aurum Institute  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5067-1601","authenticated-orcid":false,"given":"Sarita","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Discipline of Public Health Medicine, School of Nursing and Public Health University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaneshree","family":"Govender","sequence":"additional","affiliation":[{"name":"The Aurum Institute  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"World Health Organization \u201cNewborn Mortality\u201d(2022) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/newborn\u2010mortality."},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018002434"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14080863"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2019.1626184"},{"key":"e_1_2_15_6_1","unstructured":"World Health Organization \u201cLaunch of the Every Newborn Action Plan: 2025 Coverage Targets and Milestones\u201d(2020) https:\/\/www.who.int\/news\/item\/28\u201008\u20102020\u2010launch\u2010of\u2010the\u2010every\u2010newborn\u2010action\u2010plan\u20102025\u2010coverage\u2010targets\u2010and\u2010milestones."},{"key":"e_1_2_15_7_1","volume-title":"WHO Child Growth Standards: Length\/Height\u2010for\u2010Age, Weight\u2010for\u2010Age, Weight\u2010for\u2010Length, Weight\u2010for\u2010Height and Body Mass Index\u2010for\u2010Age: Methods and Development","author":"World Health Organization","year":"2007"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph8061817"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2012.01298.x"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11030558"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-022-01733-1"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2020.110875"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nutos.2022.01.009"},{"key":"e_1_2_15_14_1","unstructured":"UNICEF \u201cStrategy for Health 2016\u20132030 \u201dhttps:\/\/www.unicef.org\/media\/58166\/file."},{"key":"e_1_2_15_15_1","unstructured":"UNICEF \u201cUnder\u2010Five Mortality\u201d(2019) https:\/\/data.unicef.org\/topic\/child\u2010survival\/under\u2010five\u2010mortality\/."},{"key":"e_1_2_15_16_1","unstructured":"UNICEF \u201cMillennium Development Goals\u201d(2020) https:\/\/www.unicef.org\/media\/58166\/file."},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/14747731.2020.1770038"},{"key":"e_1_2_15_18_1","unstructured":"A. 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