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Objective <p>This study aimed to investigate the magnitude and risk factors associated with concurrent anthropometric and nutritional deficiencies among children aged 6 to 59 months in Liberia.</p> Materials and methods <p>We conducted a multilevel analysis using data from the 2019 Liberia Demographic and Health Survey (LDHS) to gain a comprehensive understanding of the problem. The study examined the prevalence of common problems, such as stunting, wasting, and anaemia, among children in Liberia to gain a deeper understanding of the issue. This study employed four different regression models. These models included panel mixed-effects Poisson regression, panel mixed-effects logistic regression, Poisson regression, and conditional fixed-effects regression.</p> Results <p>Our findings showed that, among children aged 6–59 months in Liberia, the prevalence of stunting was 31.98%. Additionally, wasting was 6.84%, underweight was 11.97%, and anaemia was 34.09%. Notably, children aged 24–35 months faced a significantly higher risk, with a 59.2% increased incidence rate of concurrent deficiencies (IRR = 1.592, <i>p</i> &lt; 0.05). Female children had a 22.6% lower incidence of deficiencies compared to males (IRR = 0.774, <i>p</i> &lt; 0.05). Household wealth status showed a strong protective effect, with children in the wealthiest households experiencing a 46.3% lower risk of multiple deficiencies (IRR = 0.537, <i>p</i> &lt; 0.01). Complete immunisation was linked to a 37.8% reduction in the incidence of deficiencies (IRR = 0.622, <i>p</i> &lt; 0.05). Furthermore, concurrent anaemia and stunting (CAS) were present in 37.0% of cases, with children in the wealthiest households having 87% lower odds (AOR = 0.130, <i>p</i> = 0.024).</p> Conclusion <p>By implementing effective interventions that promote proper nutrition and growth, policymakers and stakeholders can work toward improving the health and well-being of children in Liberia and reducing the burden of concurrent anthropometric and nutritional deficiencies. We therefore recommend that policymakers and practitioners in Liberia prioritize cluster-specific interventions to promote child health, given the high variability at the cluster level.</p>

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The magnitude and risk factors for concurrent anthropometric and nutritional deficiency among children aged 6 to 59 months in liberia: A Multi-Level analysis using the 2019 Liberia demographic health survey (LDHS) data

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  • 出版模式：

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  • 发表日期：

    2025年9月25日

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  • Edward Gartay Gar,
  • Iddriss Askandir,
  • Justice Kwadwo Turzin

摘要

Objective

This study aimed to investigate the magnitude and risk factors associated with concurrent anthropometric and nutritional deficiencies among children aged 6 to 59 months in Liberia.

Materials and methods

We conducted a multilevel analysis using data from the 2019 Liberia Demographic and Health Survey (LDHS) to gain a comprehensive understanding of the problem. The study examined the prevalence of common problems, such as stunting, wasting, and anaemia, among children in Liberia to gain a deeper understanding of the issue. This study employed four different regression models. These models included panel mixed-effects Poisson regression, panel mixed-effects logistic regression, Poisson regression, and conditional fixed-effects regression.

Results

Our findings showed that, among children aged 6–59 months in Liberia, the prevalence of stunting was 31.98%. Additionally, wasting was 6.84%, underweight was 11.97%, and anaemia was 34.09%. Notably, children aged 24–35 months faced a significantly higher risk, with a 59.2% increased incidence rate of concurrent deficiencies (IRR = 1.592, p < 0.05). Female children had a 22.6% lower incidence of deficiencies compared to males (IRR = 0.774, p < 0.05). Household wealth status showed a strong protective effect, with children in the wealthiest households experiencing a 46.3% lower risk of multiple deficiencies (IRR = 0.537, p < 0.01). Complete immunisation was linked to a 37.8% reduction in the incidence of deficiencies (IRR = 0.622, p < 0.05). Furthermore, concurrent anaemia and stunting (CAS) were present in 37.0% of cases, with children in the wealthiest households having 87% lower odds (AOR = 0.130, p = 0.024).

Conclusion

By implementing effective interventions that promote proper nutrition and growth, policymakers and stakeholders can work toward improving the health and well-being of children in Liberia and reducing the burden of concurrent anthropometric and nutritional deficiencies. We therefore recommend that policymakers and practitioners in Liberia prioritize cluster-specific interventions to promote child health, given the high variability at the cluster level.