Annual crop-yield variation, child survival, and nutrition among subsistence farmers in Burkina Faso

Whether year-to-year variation in crop yields affects the nutrition, health, and survival of subsistence-farming populations is relevant to the understanding of the potential impacts of climate change. However, the empirical evidence is limited. We examined the associations of child survival with in...

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Hauptverfasser: Belesova, Kristine (VerfasserIn) , Sauerborn, Rainer (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2018
In: American journal of epidemiology
Year: 2017, Jahrgang: 187, Heft: 2, Pages: 242-250
ISSN:1476-6256
DOI:10.1093/aje/kwx241
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/aje/kwx241
Verlag, lizenzpflichtig, Volltext: https://academic.oup.com/aje/article/187/2/242/3883626
Volltext
Verfasserangaben:Kristine Belesova, Antonio Gasparrini, Ali Sié, Rainer Sauerborn, and Paul Wilkinson
Beschreibung
Zusammenfassung:Whether year-to-year variation in crop yields affects the nutrition, health, and survival of subsistence-farming populations is relevant to the understanding of the potential impacts of climate change. However, the empirical evidence is limited. We examined the associations of child survival with interannual variation in food crop yield and middle-upper arm circumference (MUAC) in a subsistence-farming population of rural Burkina Faso. The study was of 44,616 children aged <5 years included in the Nouna Health and Demographic Surveillance System, 1992–2012, whose survival was analyzed in relation to the food crop yield in the year of birth (which ranged from 65% to 120% of the period average) and, for a subset of 16,698 children, to MUAC, using shared-frailty Cox proportional hazards models. Survival was appreciably worse in children born in years with low yield (full-adjustment hazard ratio = 1.11 (95% confidence interval: 1.02, 1.20) for a 90th- to 10th-centile decrease in annual crop yield) and in children with small MUAC (hazard ratio = 2.72 (95% confidence interval: 2.15, 3.44) for a 90th- to 10th-centile decrease in MUAC). These results suggest an adverse impact of variations in crop yields, which could increase under climate change.
Beschreibung:Advance access publication: June 21, 2017
Gesehen am 11.03.2020
Beschreibung:Online Resource
ISSN:1476-6256
DOI:10.1093/aje/kwx241