Mohammad Rocky Khan Chowdhury1, Mohammad Shafiur Rahman2, Mohammad Mubarak Hossain Khan3, Mohammad Nazrul Islam Mondal4, Mohammad Mosiur Rahman5, Baki Billah6. 1. Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh; Department of Public Health, Faculty of Health Science, First Capital University of Bangladesh, Chuadanga, Bangladesh. 2. Department of Public Health, Faculty of Health Science, First Capital University of Bangladesh, Chuadanga, Bangladesh; Department of Global Health Policy, School of International Health, The University of Tokyo, Tokyo, Japan. 3. Department of Public Health Medicine, School of Public Health, Bielefeld University, Bielefeld, Germany. 4. Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh. 5. Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh; International Health Section, Division of Public Health, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan. 6. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. Electronic address: baki.billah@med.monash.edu.au.
Abstract
OBJECTIVE: To identify the prevalence and risk factors of child malnutrition in Bangladesh. STUDY DESIGN: Data was extracted from the Bangladesh Demographic Health Survey (2011). The outcome measures were stunting, wasting, and underweight. χ(2) analysis was performed to find the association of outcome variables with selected factors. Multilevel logistic regression models with a random intercept at each of the household and community levels were used to identify the risk factors of stunting, wasting, and underweight. RESULTS: From the 2011 survey, 7568 children less than 5 years of age were included in the current analysis. The overall prevalence of stunting, wasting, and underweight was 41.3% (95% CI 39.0-42.9). The χ(2) test and multilevel logistic regression analysis showed that the variables age, sex, mother's body mass index, mother's educational status, father's educational status, place of residence, socioeconomic status, community status, religion, region of residence, and food security are significant factors of child malnutrition. Children with poor socioeconomic and community status were at higher risk of malnutrition. Children from food insecure families were more likely to be malnourished. Significant community- and household-level variations were found. CONCLUSIONS: The prevalence of child malnutrition is still high in Bangladesh, and the risk was assessed at several multilevel factors. Therefore, prevention of malnutrition should be given top priority as a major public health intervention.
OBJECTIVE: To identify the prevalence and risk factors of child malnutrition in Bangladesh. STUDY DESIGN: Data was extracted from the Bangladesh Demographic Health Survey (2011). The outcome measures were stunting, wasting, and underweight. χ(2) analysis was performed to find the association of outcome variables with selected factors. Multilevel logistic regression models with a random intercept at each of the household and community levels were used to identify the risk factors of stunting, wasting, and underweight. RESULTS: From the 2011 survey, 7568 children less than 5 years of age were included in the current analysis. The overall prevalence of stunting, wasting, and underweight was 41.3% (95% CI 39.0-42.9). The χ(2) test and multilevel logistic regression analysis showed that the variables age, sex, mother's body mass index, mother's educational status, father's educational status, place of residence, socioeconomic status, community status, religion, region of residence, and food security are significant factors of child malnutrition. Children with poor socioeconomic and community status were at higher risk of malnutrition. Children from food insecure families were more likely to be malnourished. Significant community- and household-level variations were found. CONCLUSIONS: The prevalence of child malnutrition is still high in Bangladesh, and the risk was assessed at several multilevel factors. Therefore, prevention of malnutrition should be given top priority as a major public health intervention.
Authors: Kelly Skrable; Saadiyah Bilal; Rashmi Sharma; Sarah Robertson; Yokabed Ashenafi; Sabiha Nasrin; Nur H Alam; Adam C Levine Journal: Am J Trop Med Hyg Date: 2017-11 Impact factor: 2.345
Authors: K Fantay Gebru; W Mekonnen Haileselassie; A Haftom Temesgen; A Oumer Seid; B Afework Mulugeta Journal: BMC Pediatr Date: 2019-06-01 Impact factor: 2.125