Health effects of single motherhood on children in sub-Saharan Africa: A cross-sectional study

BMC Public Health

Volumn 14, Issue 1, 2014, Pages

  Ntoimo, Lorretta F C ^a,b   Odimegwu, Clifford O ^a  

^a UNIVERSITY OF THE WITWATERSRAND   (South Africa)

^b FEDERAL UNIVERSITY OYE EKITI   (Nigeria)

Author keywords

Public health interventions; Single motherhood; Stunting; Sub Saharan Africa; Under 5 mortality

Indexed keywords

ADOLESCENT; ADULT; AFRICA SOUTH OF THE SAHARA; CHILD; CHILD NUTRITION; CHILD NUTRITION DISORDERS; CROSS-SECTIONAL STUDY; DEMOGRAPHY; FEMALE; HEALTH SURVEY; HUMAN; INFANT; MIDDLE AGED; MOTHER; PRESCHOOL CHILD; RISK FACTOR; SINGLE PARENT; STATISTICAL MODEL;

ADOLESCENT; ADULT; AFRICA SOUTH OF THE SAHARA; CHILD; CHILD NUTRITION DISORDERS; CHILD NUTRITIONAL PHYSIOLOGICAL PHENOMENA; CHILD, PRESCHOOL; CROSS-SECTIONAL STUDIES; DEMOGRAPHY; FEMALE; HEALTH SURVEYS; HUMANS; INFANT; LOGISTIC MODELS; MIDDLE AGED; MOTHERS; RISK FACTORS; SINGLE PARENT;

EID: 84939493261     PISSN: None     EISSN: 14712458     Source Type: Journal    
DOI: 10.1186/1471-2458-14-1145     Document Type: Article

References (108)

1. Amsalu S, Tigabu Z: Risk factors for ever acute malnutrition inchildren under the age of five: a case-control study. Ethiop J Health Dev 2008, 22:21-25.
2. Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, Mathers C, Rivera J: Maternal and child undernutrition: global and regional exposures and health consequences. Lancet 2008, 371:243-260.
3. Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, Eisele T, Liu L, Mathers C: Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 2010, 375:1969-1987.
4. Black RE, Morris SS, Bryce J: Where and why are 10 million children dying every year? Lancet 2003, 361:2226-2234.
5. Caulfield LE, de Onis M, Blössner M, Black RE: Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles. Am J Clin Nutr 2004, 80:193-198.
6. UNICEF: Improving Child Nutrition: The Achievable Imperative for Global Progress. New York: UNited Nations Children's Fund; 2013.
7. UN Inter-agency Group for Child Mortality Estimation: Levels and Trends in Child Mortality. New York: United Nations Children's Fund; 2013.
8. Bryce J, el Arifeen S, Pariyo G, Lanata CF, Gwatkin D, Habicht J-P: Reducing child mortality: can public health deliver? Lancet 2003, 362:159-164.
9. Arnaldo C: Ethnicity and marriage patterns in Mozambique. Afr Popul Stud 2004, 19:143-164.
10. Clark S, Hamplová D: Single motherhood and child mortality in sub-Saharan Africa: a life course perspective. Demography 2013, 50:1521-1549.
11. Gustafsson S, Worku SY: Marriage Markets and Single Motherhood in South Africa. Ansterdam and Rotterdam: Tinbergen Institute Discussion Paper; 2006.
12. Reniers G: Divorce and remarriage in rural Malawi. Demogr Res Spec Collect 2003, 1:175-206.
13. Takyi BK, Broughton CL: Marital stability in sub-Saharan Africa: do women's autonomy and socioeconomic situation matter? J Fam Econ Issues 2006, 27:113-132.
14. Takyi BK, Gyimah SO: Matrilineal family ties and marital dissolution in Ghana. J Fam Issues 2007, 28:682-705.
15. Takyi BK: Marital instability in an African Society: exploring the factors that influence divorce processes in Ghana. Sociol Focus 2001, 34:77-96.
16. Tilson D, Larsen U: Divorce in Ethiopia: the impact of early marriage and childlessness. J Biosoc Sci 2000, 32:355-372.
17. Minnesota Population Center: Integrated Public Use Microdata Series, International Version 6.2 [Machine-Readable Database]. Minneapolis: University of Minnesota; 2013.
18. Commission NP: Population Census of the Federal Republic of Nigeria. Abuja: National Population Commission; 2006:2009.
19. UNESA, Population Division: World Marriage Data 2012 (POP/DB/Marr/Rev2012). New York: United Nations, Department of Economic and Social Affairs, Population Dividion; 2013.
20. Bramlett MD, Blumberg SJ: Family structure and children's physical and mental health. Health Aff (Millwood) 2007, 26:549-558.
21. Thomson E, Hanson TL, McLanahan SS: Family structure and child well-being: economic resources vs parental behaviors. Soc Forces 1994, 73:221-242.
22. Desai S: Children at risk: the role of family structure in Latin America and West Africa. Popul Dev Rev 1992, 18:689-717.
23. Gage AJ: Familial and socioeconomic influences on children's well-being: an examination of preschool children in Kenya. Soc Sci Med 1997, 45:1811-1828.
24. Izugbara C: Whose child is dying? Household characteristics and under-5 mortality in Nigeria: research. South Afr J Child Health 2014, 8:16-22.
25. Thomson E, McLanahan SS: Reflections on "Family structure and child well-being: Economic resources vs. parental socialization". Soc Forces 2012, 91:45-53.
26. Mosley WH, Chen LC: An analytical framework for the study of child survival in developing countries. Popul Dev Rev 1984, 10:25-45.
27. Scanlan SJ: Women, food security, and development in less-industrialized societies: contributions and challenges for the New Century. World Dev 2004, 32:1807-1829.
28. Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, Sachdev HS: Maternal and child undernutrition: consequences for adult health and human capital. Lancet 2008, 371:340-357.
29. Victoria CG: The association between wasting and stunting: an international perspective. J Nutr 1992, 122:1105-1110.
30. World Bank: Repositioning Nutrition as Central to Development: A Strategy for Large-Scale Action. Washington DC: The International Bank for Reconstruction and Development/The World Bank; 2006.
31. De Onis M, Blössner M, Borghi E: Prevalence and trends of stunting among pre-school children, 1990-2020. Public Health Nutr 2012, 15:142-148.
32. Devlin K: Stunting Limits Learning and Future Earnings of Children. Washington DC: Population Reference Bureau; 2012.
33. Oppong C: Globalization and the disruption of mothercare. Inst Afr Stud Res Rev 2001, 17:25-47.
34. Oppong C: Social capital and systems of care: some contrasting evidence. Inst Afr Stud Res Rev 2004, Supplement 16:1-15.
35. Afifi TO, Cox BJ, Enns MW: Mental health profiles among married, never-married, and separated/divorced mothers in a nationally representative sample. Soc Psychiatry Psychiatr Epidemiol 2006, 41:122-129.
36. Angel R, Worobey JL: Single motherhood and children's health. J Health Soc Behav 1988, 29:38-52.
37. Avison WR: Single motherhood and mental health: implications for primary prevention. Can Med Assoc J 1997, 156:661-663.
38. Bauman LJ, Silver EJ, Stein RE: Cumulative social disadvantage and child health. Pediatrics 2006, 117:1321-1328.
39. Brown GW, Moran PM: Single mothers, poverty and depression. Psychol Med 1997, 27:21-33.
40. Brown SL: Family structure and child well-being: the significance of parental cohabitation. J Marriage Fam 2004, 66:351-367.
41. Dawson DA: Family structure and children's health and well-being: Data from the 1988 National Health Interview Survey on Child Health. J Marriage Fam 1991, 53:573-584.
42. Hanke W, Kalinka J, Sobala W: Single motherhood urban residence and SGA babies in central Poland. Int J Gynecol Obstet 1998, 61:289-291.
43. Weitoft GR, Hjern A, Haglund B, Rosén M: Mortality, severe morbidity, and injury in children living with single parents in Sweden: a population-based study. Lancet 2003, 361:289-295.
44. Johnson FC, Rogers BL: Children's nutritional status in female-headed households in the Dominican Republic. Soc Sci Med 1993, 37:1293-1301.
45. Rogers BL: The implications of female household headship for food consumption and nutritional status in the Dominican Republic. World Dev 1996, 24:113-128.
46. Amato PR: Research on divorce: continuing trends and new developments. J Marriage Fam 2010, 72:650-666.
47. McLanahan S: Diverging destinies: how children are faring under the second demographic transition. Demography 2004, 41:607-627.
48. Ermisch J, Francesconi M: The increasing complexity of family relationships: lifetime experience of lone motherhood and stepfamilies in Great Britain. Eur J Popul Rev Eur Démographie 2000, 16:235-249.
49. Amato PR, Loomis LS, Booth A: Parental divorce, marital conflict, and offspring well-being during early adulthood. Soc Forces 1995, 73:895-915.
50. Amato PR: The consequences of divorce for adults and children. J Marriage Fam 2000, 62:1269-1287.
51. Jaffee SR, Moffitt TE, Caspi A, Taylor A: Life with (or without) father: the benefits of living with two biological parents depend on the father's antisocial behavior. Child Dev 2003, 74:109-126.
52. Dearden K, Crookston B, Madanat H, West J, Penny M, Cueto S: What difference can fathers make? Early paternal absence compromises Peruvian children's growth. Matern Child Nutr 2013, 9:143-154.
53. Bronte-Tinkew J, DeJong G: Children's nutrition in Jamaica: do household structure and household economic resources matter? Soc Sci Med 2004, 58:499-514.
54. Heaton TB, Forste R, Hoffmann JP, Flake D: Cross-national variation in family influences on child health. Soc Sci Med 2005, 60:97-108.
55. Gurmu E, Etana D: Household structure and children's nutritional status in Ethiopia. Genus 2013, 69:113-130.
56. Adekanmbi VT, Kayode GA, Uthman OA: Individual and contextual factors associated with childhood stunting in Nigeria: a multilevel analysis. Matern Child Nutr 2013, 9:244-259.
57. Baye M, Fambon S: Linking Parental Education, Child Health and Economic Well-being in Cameroon. Oxford: St Catherine's College; 2009.
58. Onyango A, Tucker K, Eisemon T: Household headship and child nutrition: a case study in western Kenya. Soc Sci Med 1994, 39:1633-1639.
59. Omariba D, Boyle MH: Family structure and child mortality in Sub-Saharan Africa: cross-national effects of polygyny. J Marriage Fam 2007, 69:528-543.
60. Victoria CG, Wagstaff A, Schellenberg JA, Gwatkin D: Applying an equity lens to child health and mortality: More of the same is not enough. Lancet 2003, 362:233-241.
61. Carlson MJ, Corcoran ME: Family structure and children's behavioral and cognitive outcomes. J Marriage Fam 2001, 63:779-792.
62. Mather M: US Children in Single-Mother Families. Data Brief. Washington DC: Population Reference Bureau; 2010:1-4.
63. Gibson MA, Mace R: Helpful grandmothers in rural Ethiopia: a study of the effect of kin on child survival and growth. Evol Hum Behav 2005, 26:469-482.
64. McGadney-Douglass BF, Douglass RL, Apt NA, Antwi P: Ghanaian mothers helping adult daughters: the survival of malnourished grandchildren. J Mother Initiat Res Community Involv 2005, 7:112-124.
65. Sear R, Steele F, McGregor IA, Mace R: The effects of kin on child mortality in rural Gambia. Demography 2002, 39:43-63.
66. Mtika MM: The AIDS epidemic in Malawi and its threat to household food security. Hum Organ 2001, 60:178-188.
67. Bock JD: Doing the right thing? Single mothers by choice and the struggle for legitimacy. Gend Soc 2000, 14:62-86.
68. Caldwell JC: Education as a factor in mortality decline an examination of Nigerian data. Popul Stud 1979, 33:395-413.
69. Caldwell JC: Health transition: the cultural, social and behavioural determinants of health in the Third World. Soc Sci Med 1993, 36:125-135.
70. Desai S, Alva S: Maternal education and child health: Is there a strong causal relationship? Demography 1998, 35:71-81.
71. Giroux SC: Child Stunting Across Schooling and Fertility Transitions: Evidence from sub-Saharan Africa. Working paper. Calverton, Maryland, USA: Macro International, Measure DHS; 2008.
72. Madise NJ, Matthews Z, Margetts B: Heterogeneity of child nutritional status between households: a comparison of six sub-Saharan African countries. Popul Stud 1999, 53:331-343.
73. Smith-Greenaway E: Maternal reading skills and child mortality in Nigeria: a reassessment of why education matters. Demography 2013, 50:1551-1561.
74. Ukwuani FA, Suchindran CM: Implications of women's work for child nutritional status in sub-Saharan Africa: a case study of Nigeria. Soc Sci Med 2003, 56:2109-2121.
75. Adebayo SB, Fahrmeir L: Analysing child mortality in Nigeria with geoadditive discrete-time survival models. Stat Med 2005, 24:709-728.
76. Folasade IB: Environmental factors, situation of women and child mortality in southwestern Nigeria. Soc Sci Med 2000, 51:1473-1489.
77. Thomson E, McLanahan SS, Curtin RB: Family structure, gender, and parental socialization. J Marriage Fam 1992, 54:368-378.
78. Nelson MK: Single mothers "do" family. J Marriage Fam 2006, 68:781-795.
79. Reyes H, Pérez-Cuevas R, Sandoval A, Castillo R, Santos JI, Doubova SV, Gutiérrez G: The family as a determinant of stunting in children living in conditions of extreme poverty: a case-control study. BMC Public Health 2004, 4:57.
80. Blake J: Family size and the quality of children. Demography 1981, 18:421-442.
81. Cáceres-Delpiano J: The impacts of family size on investment in child quality. J Hum Resour 2006, 41:738-754.
82. Houle B, Stein A, Kahn K, Madhavan S, Collinson M, Tollman SM, Clark SJ: Household context and child mortality in rural South Africa: the effects of birth spacing, shared mortality, household composition and socio-economic status. Int J Epidemiol 2013, 42:1444-1454.
83. Berman P, Kendall C, Bhattacharyya K: The household production of health: integrating social science perspectives on micro-level health determinants. Soc Sci Med 1994, 38:205-215.
84. Esfarjani F, Roustaee R, Mohammadi F, Esmaillzadeh A: Determinants of stunting in school-aged children of Tehran. Iran Int J Prev Med 2013, 4:173.
85. Caldwell JC, Caldwell P: The cultural context of high fertility in sub-Saharan Africa. Popul Dev Rev 1987, 13:409-437.
86. Lamontagne JF, Engle PL, Zeitlin MF: Maternal employment, child care, and nutritional status of 12-18-month-old children in Managua, Nicaragua. Soc Sci Med 1998, 46:403-414.
87. Odimegwu C: Determinants of breast-feeding status in eastern Nigeria. Afr Popul Stud Popul Afr 2002, 17:69-82.
88. Shroff M, Griffiths P, Adair L, Suchindran C, Bentley M: Maternal autonomy is inversely related to child stunting in Andhra Pradesh, India. Matern Child Nutr 2009, 5:64-74.
89. Nolla NP, Sop MMK, Mananga MJ, Ekoe T, Gouado I: Assessment of Nutritional Status of Preschool Children in the Bangang Rural Community, Cameroon. Int J Biotechnol Food Sci 2014, 2:44-52.
90. Bradley RH, Corwyn RF: Socioeconomic status and child development. Annu Rev Psychol 2002, 53:371-399.
91. Fox K, Heaton TB: Child nutritional status by rural/urban residence: a cross-national analysis. J Rural Health 2012, 28:380-391.
92. Kandala N-B, Madungu TP, Emina JB, Nzita KP, Cappuccio FP: Malnutrition among children under the age of five in the Democratic Republic of Congo (DRC): does geographic location matter? BMC Public Health 2011, 11:261.
93. Garg A, Morduch J: Sibling rivalry and the gender gap: Evidence from child health outcomes in Ghana. J Popul Econ 1998, 11:471-493.
94. Morduch J: Sibling Rivalry in Africa. Am Econ Rev 2000, 90:405-409.
95. Levinson FJ, Bassett L: Malnutrition is Still a Major Contributor to Child Deaths. Washington DC: Population Reference Bureau; 2007:1-8.
96. Antai D: Inequalities in under-5 mortality in Nigeria: do ethnicity and socioeconomic position matter? J Epidemiol 2011, 21:13-20.
97. Einterz EM, Bates ME: Early childhood feeding practices in northern Cameroon. Trans R Soc Trop Med Hyg 1994, 88:575-576.
98. Brockerhoff M, Hewett P: Inequality of child mortality among ethnic groups in sub-Saharan Africa. Bull World Health Organ 2000, 78:30.
99. Adedini SA, Odimegwu C, Imasiku ENS, Ononokpono DN, Ibisomi L: Regional variations in infant and child mortality in Nigeria: a multilevel analysis. J Biosoc Sci 2014, doi 10.1017/S0021932013000734.
100. Antai D, Ghilagaber G, Wedren S, Macassa G, Moradi T: Inequities in under-five mortality in Nigeria: differentials by religious affiliation of the mother - Springer. J Relig Health 2009, 48:290-304.
101. Azevedo MJ, Prater GS, Lantum DN: Culture, biomedicine and child mortality in Cameroon. Soc Sci Med 1991, 32:1341-1349.
102. Smith T, Smith B, Ryan MA: Survival analysis using Cox proportional hazards modeling for single and multiple event time data. In Proc Twenty-Eighth Annu SAS users Group Int Conf. Cary, North Carolina: SAS Institute, Inc; 2003.
103. Moghadam VM: The'Feminization of Poverty'and Women's Human Rights. SHS Papers in Women's Studies/gender Research. France: UNESCO; 2005.
104. Mandemakers JJ, Monden CWS, Kalmijn M: Are the effects of divorce on psychological distress modified by family background? Adv Life Course Res 2010, 15:27-40.
105. Wickrama K, Lorenz FO, Conger RD, Elder GH Jr, Todd Abraham W, Fang S-A: Changes in family financial circumstances and the physical health of married and recently divorced mothers. Soc Sci Med 2006, 63:123-136.
106. Teitler JO: Father involvement, child health and maternal health behavior. Child Youth Serv Rev 2001, 23:403-425.
107. Waite LJ: Does marriage matter? Demography 1995, 32:483-507.
108. Kennedy E, Peters P: Household food security and child nutrition: the interaction of income and gender of household head. World Dev 1992, 20:1077-1085.