Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate Approach
ABSTRACT Introduction Globally malnutrition is considered one of the greatest threats to public health, particularly in low‐ and middle‐income countries. The present study examined the extent of undernutrition and the associated determinants among children aged 6–59 months in Bangladesh using data f...
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Wiley
2024-12-01
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| Series: | Public Health Challenges |
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| Online Access: | https://doi.org/10.1002/puh2.70007 |
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| author | Oumma Halima Abira Nowar Md. Hafizul Islam Akibul Islam Chowdhury Kazi Turjaun Akhter Nazma Shaheen |
| author_facet | Oumma Halima Abira Nowar Md. Hafizul Islam Akibul Islam Chowdhury Kazi Turjaun Akhter Nazma Shaheen |
| author_sort | Oumma Halima |
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| description | ABSTRACT Introduction Globally malnutrition is considered one of the greatest threats to public health, particularly in low‐ and middle‐income countries. The present study examined the extent of undernutrition and the associated determinants among children aged 6–59 months in Bangladesh using data from the Nutrition Survey of Bangladesh (NSB), 2017–18. Methods The sampling frame of NSB 2017–18 was specified by a 30 (locations) × 30 (households) cluster approach where 20 locations were from rural areas and the other 10 were from urban areas. Out of the sampled households, 566 children aged between 6 and 59 months were included in the analysis. Determinants of three anthropometric measures, weight‐for‐age (stunting), weight‐for‐height (wasting), and weight‐for‐age (underweight), were analyzed using a multiple logistic regression model. Result The prevalence of stunting, underweight, and wasting of children was 34.5%, 40.6%, and 20.1%, respectively. Although the child's age, family size, cleanliness of the residential area, and food insecurity were significant determinants of malnutrition, inadequate and low‐quality protein consumption strongly predicted the development of underweight and stunting in infants and children. The odds of being stunted were 2 times (adjusted odds ratio [AOR]: 2.02, 95% confidence interval [CI]: 1.17–3.46; p = 0.011) and underweight was almost 2.5 times (AOR: 2.41; 95% CI: 1.27–4.56; p < 0.01) higher, respectively, among children who consumed inadequate amounts of protein. Conclusion Because the percentage of children from wealthy families was relatively low in the present study, cleanliness of residential areas, food insecurity, and inadequate protein intake are likely to be key drivers of malnutrition in Bangladesh, which might be significantly reduced with better coverage of preventive nutrition programs. |
| format | Article |
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| institution | OA Journals |
| issn | 2769-2450 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
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| series | Public Health Challenges |
| spelling | doaj-art-0f372675e31f4b70bf8e3f973bb109da2025-08-20T02:32:12ZengWileyPublic Health Challenges2769-24502024-12-0134n/an/a10.1002/puh2.70007Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate ApproachOumma Halima0Abira Nowar1Md. Hafizul Islam2Akibul Islam Chowdhury3Kazi Turjaun Akhter4Nazma Shaheen5Institute of Nutrition and Food Science University of Dhaka Dhaka BangladeshInstitute of Nutrition and Food Science University of Dhaka Dhaka BangladeshInstitute of Nutrition and Food Science University of Dhaka Dhaka BangladeshDepartment of Food Technology and Nutrition Science Noakhali Science and Technology University Noakhali BangladeshInstitute of Nutrition and Food Science University of Dhaka Dhaka BangladeshInstitute of Nutrition and Food Science University of Dhaka Dhaka BangladeshABSTRACT Introduction Globally malnutrition is considered one of the greatest threats to public health, particularly in low‐ and middle‐income countries. The present study examined the extent of undernutrition and the associated determinants among children aged 6–59 months in Bangladesh using data from the Nutrition Survey of Bangladesh (NSB), 2017–18. Methods The sampling frame of NSB 2017–18 was specified by a 30 (locations) × 30 (households) cluster approach where 20 locations were from rural areas and the other 10 were from urban areas. Out of the sampled households, 566 children aged between 6 and 59 months were included in the analysis. Determinants of three anthropometric measures, weight‐for‐age (stunting), weight‐for‐height (wasting), and weight‐for‐age (underweight), were analyzed using a multiple logistic regression model. Result The prevalence of stunting, underweight, and wasting of children was 34.5%, 40.6%, and 20.1%, respectively. Although the child's age, family size, cleanliness of the residential area, and food insecurity were significant determinants of malnutrition, inadequate and low‐quality protein consumption strongly predicted the development of underweight and stunting in infants and children. The odds of being stunted were 2 times (adjusted odds ratio [AOR]: 2.02, 95% confidence interval [CI]: 1.17–3.46; p = 0.011) and underweight was almost 2.5 times (AOR: 2.41; 95% CI: 1.27–4.56; p < 0.01) higher, respectively, among children who consumed inadequate amounts of protein. Conclusion Because the percentage of children from wealthy families was relatively low in the present study, cleanliness of residential areas, food insecurity, and inadequate protein intake are likely to be key drivers of malnutrition in Bangladesh, which might be significantly reduced with better coverage of preventive nutrition programs.https://doi.org/10.1002/puh2.70007Bangladeshchild undernutritionlogistic regressionstuntingunderweightwasting |
| spellingShingle | Oumma Halima Abira Nowar Md. Hafizul Islam Akibul Islam Chowdhury Kazi Turjaun Akhter Nazma Shaheen Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate Approach Public Health Challenges Bangladesh child undernutrition logistic regression stunting underweight wasting |
| title | Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate Approach |
| title_full | Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate Approach |
| title_fullStr | Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate Approach |
| title_full_unstemmed | Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate Approach |
| title_short | Identifying Individual and Household Level Predictors of Undernutrition Among 6–59 Months Children in Bangladesh: A Multivariate Approach |
| title_sort | identifying individual and household level predictors of undernutrition among 6 59 months children in bangladesh a multivariate approach |
| topic | Bangladesh child undernutrition logistic regression stunting underweight wasting |
| url | https://doi.org/10.1002/puh2.70007 |
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