Across 156 countries, Adolescent fertility and Child stunting rise and fall together at r = +0.67 (on a scale from −1 to +1, where 0 means no link). Comparing only countries with similar income (GDP per person) shrinks it to +0.25, which could easily be chance (q = 0.11, allowing for the many pairs tested, and allowing for countries in the same region being alike). So the first figure mostly shows richer countries differing from poorer ones, not a link between these two things.
Comparing countries across the middle half of child stunting, 5.58% to 23.8% of children under 5, adolescent fertility is worse by 37.5 births per 1,000 women aged 15-19 at the top of that range than the bottom. Comparing only countries with similar national income, the gap is 15.4 births per 1,000 women aged 15-19.
Link before adjusting (r)+0.667p = 2.0e-21 · 156 countries
After adjusting for national income+0.253p = 0.001 · likely range [+0.10, +0.40]
p, allowing for regions0.007standard error 0.064 · 7 regions
Check for luck (q)0.107across 12,497 pairs
How to read these.r runs from −1 (one goes up as the other goes down) to +1 (they rise together), and 0 means no link. Adjusting for national income means comparing countries with the same GDP per person, so differences in wealth can’t explain the link. Income is used in percentage terms, since an extra $1,000 means more to a poor country than to a rich one. p is how likely a link this strong would be if there were really none. Below 0.05 means it is unlikely to be chance. Very small values are written in short form: 1.1e-32 means a decimal point followed by 31 zeros and then 11, so very close to zero. The likely range is where the true figure probably lies, and a range that crosses zero means the link could easily be chance. Countries in the same region tend to resemble each other, so the third figure allows for that, which gives a fairer p. The standard error is the typical size of the error in r. Finally, testing this many pairs means some will look strong by luck alone. A q below 0.05 means this link is unlikely to be one of those.
Adolescent fertility · births per 1,000 women aged 15-19link with income -0.81 · proxy
Child stunting · % of children under 5link with income -0.80 · proxy
Both of these rise and fall closely with national income, so a strong link between them before adjusting was close to certain. Read the adjusted figure, not the first one.
“Link with income” is how closely each measure tracks GDP per person across countries, from −1 to +1.
Every country as a dot
best-fit line line after adjusting
Four ways to measure the link
Method
r
p
Countries
Standard (Pearson), not adjusted
+0.667
2.0e-21
156
By rank (Spearman), not adjusted
+0.729
4.2e-27
156
Standard (Pearson), adjusted for national income
+0.253
0.001
156
By rank (Spearman), adjusted for national income
+0.306
0.000
156
The rank version uses only each country’s place in line, from lowest to highest, so a few extreme countries count for less. The adjusted and unadjusted versions use the same 156 countries: those that report both measures and GDP per person. So the gap between them comes from the adjustment, not from a change in which countries are counted. Drop in the size of r after adjusting: +0.414 (a minus sign means it grew).
How solid is it?
Leaving out one country at a time, r ranges from +0.193 (without AGO) to +0.295 (without BDI). The bar above shows that range on a scale from −1 to +1, with the solid line at the full result. The single country that moves r most: AGO (-0.060).
Within each region
Countries are not separate, unrelated cases, and neighbors share a lot. A link that holds inside each region is far more believable than one that shows up only when comparing regions.
n
r
East Asia & Pacific
26
+0.28
Europe & Central Asia
32
+0.24
Latin America & Caribbean
25
+0.38
Middle East, North Africa, Afghanistan & Pakistan
20
+0.29
Sub-Saharan Africa
46
+0.22
By income third
If the link shows up only in the richest third of countries, it is a feature of rich countries, not a general pattern.
n
r
Poorest third
52
-0.02
Middle third
52
+0.46
Richest third
52
+0.22
By largest religious group
Countries grouped by a label they share, such as main religion, rather than by a number. Groups of fewer than twelve countries are not shown. These groups differ in income, region and history all at once. So a gap between them is a place to start asking questions, not an answer.
n
r
Christians
86
+0.21
Muslims
48
+0.38
By last european coloniser
Countries grouped by a label they share, such as main religion, rather than by a number. Groups of fewer than twelve countries are not shown. These groups differ in income, region and history all at once. So a gap between them is a place to start asking questions, not an answer.
n
r
France
25
+0.46
Never a European colony
21
+0.12
Spain
18
+0.11
United Kingdom
52
+0.20
Without outliers (countries far outside the middle half of countries on either measure, by more than one and a half times the width of that middle half): r = +0.301 after dropping 4 countries.
Two series, one country
Both measures over the years for one country you pick. The two charts are stacked so they share only the years along the bottom.
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Over time, within countries
Everything above compares countries with each other at one moment. This section compares each country only with itself over 25years. So a link here can’t come from anything about a country that stays the same, such as its history, geography, institutions or culture.
Within countries over time, there is no link that is clearly more than chance (r = +0.156, comparing each country only with itself over the years, and each year only with the same year elsewhere). Whatever the cross-country picture shows, countries whose adolescent fertility moved did not tend to see their child stunting move with it.
Across countries (adjusted)+0.253for comparison
Within countries+0.562each country vs itself
…and vs the same year elsewhere+0.156q = 0.139 · 162 countries
Year-on-year changes+0.058q = 0.406
Read with care.
Almost all of this indicator's variation is between countries, not within them, so the within-country estimate rests on a small part of the data.
Much of the within-country association disappears once shared global year effects are removed, which points to a common worldwide trend rather than a country-level relationship.
4,050 country-years (one country in one year), 162 countries, 2000–2024, about 25 years each on average. Share of the variation that happens within countries over time: 9% for Adolescent fertility, 6% for Child stunting. The margins of error allow for each country appearing many times, and for each year’s value being close to the year before.
Year-to-year changes are a cautious test, not a final answer. Looking only at changes from one year to the next removes each country’s own trends. But it also makes measurement mistakes louder, which pulls the results toward zero. A near-zero result here is weak evidence of no link, not proof.
With one measure years behind the other
Same year (lag 0): +0.156. A peak away from zero does not show which comes first. These series change slowly — this year’s value is close to last year’s. That makes the curve smooth and nearly symmetric, whatever produced the data. Even a sharp peak at one lag (a gap of some years) would not prove that one measure changes the other.
The data
births per 1,000 women aged 15-19
% of children under 5
Years
Central African Republic CAF
161
38.9%
2024
Equatorial Guinea GNQ
153
17.1%
2024
Mozambique MOZ
152
37%
2024
Niger NER
142
48.3%
2024
Angola AGO
139
47.7%
2024
Mali MLI
136
23.2%
2024
Chad TCD
132
31.5%
2024
Madagascar MDG
129
38.4%
2024
Liberia LBR
125
26.9%
2024
Guinea GIN
117
26.6%
2024
Zambia ZMB
115
32.3%
2024
Somalia, Fed. Rep. SOM
115
23.9%
2024
Malawi MWI
113
33.2%
2024
Tanzania TZA
113
29.9%
2024
Congo, Rep. COG
108
16.3%
2024
World Bank, World Development Indicators World Bank, World Development Indicators
Prevalence of stunting, height for age, modelled estimate (% of children under 5)
UNICEF, WHO and World Bank Joint Child Malnutrition Estimates · CC BY 4.0 · updated quarterly
An estimate from a statistical model. The agencies fit a model to household surveys and predict every country and year. So this is smoother than the surveys behind it, and it has values for years nobody measured. The survey-only series never reaches sixty countries in any year.
How this was computed
Data used: most recent value in 2010-2025; values come from 2024. To adjust for income, each measure is first predicted from GDP per person (in percentage terms, on a log scale) with a straight-line fit. Only what is left over is then compared. This is called a partial correlation. The line is drawn the standard way (ordinary least squares), which picks the line that comes closest to all the countries at once. The error margins allow for countries in the same region resembling each other, using 7 World Bank regions. The q-value corrects for testing all 12,497 pairs at once, using the Benjamini–Hochberg method. Underlying data last updated DYB 2024. How the country data works · explore Adolescent fertility and Child stunting
This page shows that two measures go together. It does not show that Adolescent fertility changes Child stunting, or the reverse. These figures also describe countries, not individual people. See the ecological fallacy.
More links with Adolescent fertility or Child stunting