{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:49:06Z","timestamp":1792698546617,"version":"4.5.0"},"reference-count":47,"publisher":"American Society of Tropical Medicine and Hygiene","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,22]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>Mozambique has stunting, wasting, and underweight rates of 37%, 15%, and 4%, respectively. In Zamb\u00e9zia Province, Mozambique, 44.6% of children younger than 5 years of age suffer from chronic malnutrition, which impairs physical and cognitive development and leads to long-term health and productivity issues. This study examines undernutrition, stunting, wasting, underweight, and their associations with socioeconomic status among children younger than 5 years old in Mopeia District, Zamb\u00e9zia Province (central Mozambique). We conducted a secondary analysis of data from the Broad One Health Endectocide-Based Malaria Intervention in Africa 2021 cluster randomized clinical trial, which included a cohort of 2,667 children younger than 5 years old. We calculated odds ratios and 95% confidence intervals to assess associations between risk factors and undernutrition. The prevalence rates of stunting, wasting, and underweight were 41.7%, 20.4%, and 24.3%, respectively; these numbers are among the highest globally. Lower wealth index showed an association with higher odds of stunting and underweight, whereas distance from tarmac roads showed a link to increased wasting. Key predictors of stunting included lack of electricity, long water-fetching times, and smaller household size; being underweight showed an association with the number of bed nets and housing type. These relationships reflect socioeconomic patterns rather than direct causality. Undernutrition among children younger than 5 years old in Mopeia District remains critically high and is strongly patterned by socioeconomic factors. Addressing structural determinants, such as household wealth, access to infrastructure, and living conditions, will be essential for reducing the burden of undernutrition in rural Mozambique.<\/jats:p>","DOI":"10.4269\/ajtmh.25-0727","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:27:09Z","timestamp":1792697229000},"source":"Crossref","is-referenced-by-count":0,"title":["High Prevalence of Stunting, Wasting, and Underweight in Children Younger Than 5 Years Old in Mopeia District, Rural Mozambique"],"prefix":"10.4269","author":[{"given":"Nika","family":"Gorski","sequence":"first","affiliation":[{"name":"ISGlobal Barcelona Institute for Global Health, Barcelona, Spain;"},{"name":"University of Reading, Reading, United Kingdom;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saimado","family":"Imputiua","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Manhi\u00e7a, Mozambique;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eldo","family":"Elobolobo","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Manhi\u00e7a, Mozambique;"},{"name":"Data Brew LLC, Gainesville, Florida, USA;"},{"name":"Silver Lining, Manica, Mozambique;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Nicolas","sequence":"additional","affiliation":[{"name":"ISGlobal Barcelona Institute for Global Health, Barcelona, Spain;"},{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Manhi\u00e7a, Mozambique;"},{"name":"Facultat de Medicina i Ci\u00e8ncies de la Salut, Universitat de Barcelona (UB), Barcelona, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgar","family":"Jamisse","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Manhi\u00e7a, Mozambique;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Martinho","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Manhi\u00e7a, Mozambique;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Montana","sequence":"additional","affiliation":[{"name":"ISGlobal Barcelona Institute for Global Health, Barcelona, Spain;"},{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Manhi\u00e7a, Mozambique;"},{"name":"Facultat de Medicina i Ci\u00e8ncies de la Salut, Universitat de Barcelona (UB), Barcelona, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenisse","family":"Mbanze","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade de Manhi\u00e7a, Manhi\u00e7a, Mozambique;"},{"name":"Institute of Public Health of the University of Porto, Porto, 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