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Rural-urban Disparities in the Nutritional Status of Younger Adolescents in Tanzania.

NCT ID: NCT04640389

Last Updated: 2020-11-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1125 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-11-30

Study Completion Date

2020-11-30

Brief Summary

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Africa faces rapid urbanization, has the second highest population growth rate, makes up one-fifth of the world's youth population, and experiences stagnant rates of undernutrition. These challenges point to the need for country-specific data on rural-urban health disparities to inform development policies. This cross-sectional study examined disparities in body mass index-for-age-and-sex (BAZ) and height-for-age-and-sex z-scores (HAZ) among 1125 adolescents in Tanzania. Rural-urban disparities in nutritional status were significant and gendered. Findings confirm place of residence as a key determinant of BAZ, HAZ, and stunting among adolescents in Tanzania. Targeted gender-sensitive interventions among adolescents, particularly in rural areas, are needed to limit growth faltering and improve health outcomes.

Detailed Description

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Africa faces rapid urbanization, has the second highest population growth rate, makes up one-fifth of the world's youth population, and experiences stagnant rates of undernutrition. These challenges point to the need for country-specific data on rural-urban health disparities to inform development policies. This cross-sectional study examined disparities in body mass index-for-age-and-sex (BAZ) and height-for-age-and-sex z-scores (HAZ) among 1125 adolescents in Tanzania. Pearson's chi-square tested associations between rural/urban residence and undernutrition (BAZ \<-2SD), stunting (HAZ \<-2SD), anthropometric, socioeconomic, and health indicators. Multivariate linear regression identified predictors of BAZ and HAZ.

Funding: UNICEF/ Tanzania; United States National Institute of Mental Health (R01 MH66801).

Conditions

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Undernutrition Stunting Adolescent Development

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Urban

Urban adolescents living in Moshi District, Tanzania, who are between 10-14 years of age.

Cross-sectional study/no intervention

Intervention Type OTHER

Cross-sectional study/no intervention.

Rural

Rural adolescents living in Kilosa District, Tanzania, who are between 10-14 years of age.

Cross-sectional study/no intervention

Intervention Type OTHER

Cross-sectional study/no intervention.

Interventions

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Cross-sectional study/no intervention

Cross-sectional study/no intervention.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adolescents between 10 and 14 years of age

Exclusion Criteria

* Adolescents living away from the districts and not physically present at the time of the study
Minimum Eligible Age

10 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Massachusetts, Amherst

OTHER

Sponsor Role lead

UNICEF

OTHER

Sponsor Role collaborator

Harvard University

OTHER

Sponsor Role collaborator

Tufts University

OTHER

Sponsor Role collaborator

Responsible Party

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Lorraine Cordeiro

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lorraine Cordeiro, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Massachusetts, Amherst

Locations

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University of Massachusetts Amherst

Amherst, Massachusetts, United States

Site Status

Countries

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United States

References

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Cordeiro LS, Wilde PE, Semu H, Levinson FJ. Household food security is inversely associated with undernutrition among adolescents from Kilosa, Tanzania. J Nutr. 2012 Sep;142(9):1741-7. doi: 10.3945/jn.111.155994. Epub 2012 Jul 18.

Reference Type BACKGROUND
PMID: 22810984 (View on PubMed)

Carlson M, Brennan RT, Earls F. Enhancing adolescent self-efficacy and collective efficacy through public engagement around HIV/AIDS competence: a multilevel, cluster randomized-controlled trial. Soc Sci Med. 2012 Sep;75(6):1078-87. doi: 10.1016/j.socscimed.2012.04.035. Epub 2012 May 24.

Reference Type BACKGROUND
PMID: 22703885 (View on PubMed)

Other Identifiers

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15-008

Identifier Type: -

Identifier Source: org_study_id