title: Sociodemographic determinants of growth among Malian adolescent females.
abstract: In Africa, research concerning the social determinants of poor nutritional status has typically focused on children under 5 years of age and has used defined categorical boundaries based on international reference standards. In this article, stunting and wasting of 1,157 Malian adolescent girls is measured through both categorical and continuous data. The focus on adolescent girls is significant because there is relatively little literature examining this group, and because adolescence marks the time when girls gain greater workload responsibilities, autonomy of food choices, and, as a result of the adolescent growth spurt, require the greatest amount of caloric intake respective to their weight since infancy. To differentiate stunting and wasting causes, a number of socioeconomic, geographic, and demographic factors are explored. The findings suggest that continuous data provides a basis for modeling stunting and wasting superior to utilizing international reference categories. Estimations show that decreasing age, the presence of servants, a greater number of wives in a compound, and residence in a large urban area correlate with improved nutritional status while wealthier families appear to correlate with greater stunting and wasting, and no correlation exists with estimated energy expenditure. Future studies should incorporate continuous data, and the need exists for greater analysis of social determinants of growth indicators among adolescent females. Further, these findings have significant implications in the development of nutrition intervention programs aimed at the vulnerable population in Mali, leading us to conclude that factors beyond socioeconomic indicators such as household structure and location should be more fully examined.
authors.affiliation: Department of Geography and Geoinformation Science, George Mason University, 4400 University Dr MS 6C3, Fairfax, VA 22030, USA. tleslie@gmu.edu
authors.forename: Timothy F
authors.initials: TF
authors.lastname: Leslie
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Pawloski
mesh_terms: D000293:Adolescent; D041923:Adolescent Development / Q000502:physiology*; D000367:Age Factors; D001837:Body Weights and Measures; D002648:Child; D003710:Demography; D004734:Energy Metabolism; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008302:Mali / Q000453:epidemiology; D009748:Nutrition Disorders / Q000208:ethnology*; D012111:Residence Characteristics / Q000706:statistics & numerical data; D019282:Wasting Syndrome / Q000453:epidemiology