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The Interrelations Between Nutrition, Social and Economic Trajectories During Adolescence Among Girls in Ghana
註釋In chapter 2, we undertook a systematic review of published literature to provide a narrative overview of the SCE determinants and consequences associated with undernutrition among adolescents in low and lower-middle-income countries. We identified 98 articles from PubMed, SCOPUS and CAB-Abstracts on determinants and consequences of undernutrition as defined by stunting, thinness, overweight and micronutrient deficiencies. At the individual level, significant determinants included age, sex, birth order, religion, ethnicity, educational and literacy level, working and marital status. At the household level, parental education and occupation, household size and composition, income, socio-economic status, and resources were associated with undernutrition. Few determinants were found at the broader community level, which included the residence, sanitation, school type, and seasonality. The sex-specific differences in undernutrition for adolescents were inconclusive. The consequences of adolescent undernutrition were mainly related to education and cognition. Most studies were cross-sectional in design, limiting inferences of causality to the description of associations, and very few studies were found for sub-Saharan Africa, indicating clear research gaps that informed the next parts of this study.