{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T10:29:55Z","timestamp":1784543395590,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Abstract<\/jats:title><jats:p>We use a representative sample of 2561 children 0\u201323\u2009months old to identify the factors most significantly associated with child stunting in the state of Maharashtra, India. We find that 22.7% of children were stunted, with one\u2010third (7.4%) of the stunted children severely stunted. Multivariate regression analyses indicate that children born with low birthweight had a 2.5\u2010fold higher odds of being stunted [odds ratio (OR) 2.49; 95% confidence interval (CI) 1.96\u20133.27]; children 6\u201323\u2009months old who were not fed a minimum number of times\/day had a 63% higher odds of being stunted (OR 1.63; 95% CI 1.24\u20132.14); and lower consumption of eggs was associated with a two\u2010fold increased odds of stunting in children 6\u201323\u2009months old (OR 2.07; 95% CI 1.19\u20133.61); children whose mother's height was &lt;\u2009145\u2009cm, had two\u2010fold higher odds of being stunted (OR 2.04; 95% CI 1.46\u20132.81); lastly, children of households without access to improved sanitation had 88% higher odds of being severely stunted (OR 1.88; 95% CI 1.17\u20133.02). Attained linear growth (height\u2010for\u2010age <jats:italic>z<\/jats:italic>\u2010score) was significantly lower in children from households without access to improved sanitation, children of mothers without access to electronic media, without decision making power regarding food or whose height was &lt;\u2009145\u2009cm, children born with a low birthweight and children 6\u201323\u2009months old who were not fed dairy products, fruits and vegetables. In Maharashtra children's birthweight and feeding practices, women's nutrition and status and household sanitation and poverty are the most significant predictors of stunting and poor linear growth in children under 2\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p>\n<jats:boxed-text content-type=\"box\" position=\"anchor\"><jats:caption><jats:title>Key messages<\/jats:title><\/jats:caption><jats:p>\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>One in five (22.7%) of children 0\u201323\u2009months old in the state of Maharashtra were stunted, and one\u2010third (7.4%) of the stunted children were severely stunted.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Birthweight, child feeding, women's nutrition and household sanitation were the most significant predictors of stunting and poor linear growth in children under 2\u2009years.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Children born to mothers whose height was below 145\u2009cm, had two\u2010fold higher odds of being stunted; children born with a low birthweight had a 2.5\u2010fold higher odds of being stunted.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Low feeding frequency and low consumption of eggs, dairy products, fruits and vegetables were associated with stunting and poor linear growth in children 6\u201323 months old.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Children of households without access to improved sanitation had 88% higher odds of being severely stunted.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:boxed-text>\n<\/jats:p><\/jats:sec>","DOI":"10.1111\/mcn.12259","type":"journal-article","created":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T19:50:15Z","timestamp":1463514615000},"page":"121-140","source":"Crossref","is-referenced-by-count":124,"title":["Determinants of stunting and poor linear growth in children under 2 years of age in India: an in\u2010depth analysis of Maharashtra's comprehensive nutrition survey"],"prefix":"10.1111","volume":"12","author":[{"given":"V\u00edctor M.","family":"Aguayo","sequence":"first","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Regional Office for South Asia  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajilakshmi","family":"Nair","sequence":"additional","affiliation":[{"name":"UNICEF Field Office for Maharashtra  Mumbai Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Badgaiyan","sequence":"additional","affiliation":[{"name":"United Nations Children's Fund (UNICEF) Regional Office for South Asia  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vandana","family":"Krishna","sequence":"additional","affiliation":[{"name":"Maharashtra Nutrition Mission Ministry of Women and Child Development  Mumbai Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12168"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/134.10.2579"},{"key":"e_1_2_10_4_1","first-page":"189","article-title":"Growth performance of affluent Indian children is similar to that in developed countries","volume":"80","author":"Bhandari N.","year":"2010","journal-title":"Bulletin of the World Health Organization"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60937-X"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2011.00349.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00038-8"},{"key":"e_1_2_10_8_1","volume-title":"Maharashtra's Child Stunting Declines: What is Driving Them? 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