Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study
Objectives The study aims to differentiate the risk factors of single and multiple concurrent forms of undernutrition among children under 5 in Bangladesh.Design A nationally representative cross-sectional study.Setting Bangladesh.Respondents Children age under 5 years of age.Outcome measure This st...
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BMJ Publishing Group
2021-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/12/e052814.full |
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| author | Mamunur Rashid Mohammad Rocky Khan Chowdhury Hafiz T A Khan Russell Kabir Sazin Islam Md Shariful Islam Manzur Kader |
| author_facet | Mamunur Rashid Mohammad Rocky Khan Chowdhury Hafiz T A Khan Russell Kabir Sazin Islam Md Shariful Islam Manzur Kader |
| author_sort | Mamunur Rashid |
| collection | DOAJ |
| description | Objectives The study aims to differentiate the risk factors of single and multiple concurrent forms of undernutrition among children under 5 in Bangladesh.Design A nationally representative cross-sectional study.Setting Bangladesh.Respondents Children age under 5 years of age.Outcome measure This study considered two dichotomous outcomes: single form (children without single form and with single form) and multiple concurrent forms (children without multiple forms and with multiple forms) of undernutrition.Statistical analysis Adjusted OR (AOR) and CI of potential risk factors were calculated using logistic regression analysis.Results Around 38.2% of children under 5 in Bangladesh are suffering from undernutrition. The prevalence of multiple concurrent forms and single form of child undernutrition was 19.3% and 18.9%, respectively. The key risk factors of multiple concurrent forms of undernutrition were children born with low birth weight (AOR 3.76, 95% CI 2.78 to 5.10); children in the age group 24–35 months (AOR 2.70, 95% CI 2.20 to 3.30) and in the lowest socioeconomic quintile (AOR 2.57, 95% CI 2.05 to 3.23). In contrast, those children in the age group 24–35 months (AOR 1.94, 95% CI 1.61 to 2.34), in the lowest socioeconomic quintile (AOR 1.79, 95% CI 1.45 to 2.21) and born with low birth weight (AOR 1.52, 95% CI 1.11 to 2.08) were significantly associated with a single form of undernutrition. Parental education, father’s occupation, children’s age and birth order were the differentiating risk factors for multiple concurrent forms and single form of undernutrition.Conclusion One-fifth of children under 5 years of age are suffering multiple concurrent forms of undernutrition, which is similar to the numbers suffering the single form. Parental education, father’s occupation, children’s age and birth order disproportionately affect the multiple concurrent forms and single form of undernutrition, which should be considered to formulate an evidence-based strategy for reducing undernutrition among these children. |
| format | Article |
| id | doaj-art-8429fb35d0bb4895b53dbcf196517748 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-8429fb35d0bb4895b53dbcf1965177482025-08-20T02:48:51ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2021-052814Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional studyMamunur Rashid0Mohammad Rocky Khan Chowdhury1Hafiz T A Khan2Russell Kabir3Sazin Islam4Md Shariful Islam5Manzur Kader6Department of Public Health and Sports Sciences, University of Gävle, Gavle, Gävleborg, SwedenDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaPublic Health Group, College of Nursing, Midwifery and Healthcare, University of West London, London, UKSchool of Allied Health, Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Chelmsford, London, UKDepartment of Public Health, First Capital University of Bangladesh, Chuadanga, BangladeshThe Department of Public Health, The University of Queensland, Brisbane, Queensland, AustraliaClinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, SwedenObjectives The study aims to differentiate the risk factors of single and multiple concurrent forms of undernutrition among children under 5 in Bangladesh.Design A nationally representative cross-sectional study.Setting Bangladesh.Respondents Children age under 5 years of age.Outcome measure This study considered two dichotomous outcomes: single form (children without single form and with single form) and multiple concurrent forms (children without multiple forms and with multiple forms) of undernutrition.Statistical analysis Adjusted OR (AOR) and CI of potential risk factors were calculated using logistic regression analysis.Results Around 38.2% of children under 5 in Bangladesh are suffering from undernutrition. The prevalence of multiple concurrent forms and single form of child undernutrition was 19.3% and 18.9%, respectively. The key risk factors of multiple concurrent forms of undernutrition were children born with low birth weight (AOR 3.76, 95% CI 2.78 to 5.10); children in the age group 24–35 months (AOR 2.70, 95% CI 2.20 to 3.30) and in the lowest socioeconomic quintile (AOR 2.57, 95% CI 2.05 to 3.23). In contrast, those children in the age group 24–35 months (AOR 1.94, 95% CI 1.61 to 2.34), in the lowest socioeconomic quintile (AOR 1.79, 95% CI 1.45 to 2.21) and born with low birth weight (AOR 1.52, 95% CI 1.11 to 2.08) were significantly associated with a single form of undernutrition. Parental education, father’s occupation, children’s age and birth order were the differentiating risk factors for multiple concurrent forms and single form of undernutrition.Conclusion One-fifth of children under 5 years of age are suffering multiple concurrent forms of undernutrition, which is similar to the numbers suffering the single form. Parental education, father’s occupation, children’s age and birth order disproportionately affect the multiple concurrent forms and single form of undernutrition, which should be considered to formulate an evidence-based strategy for reducing undernutrition among these children.https://bmjopen.bmj.com/content/11/12/e052814.full |
| spellingShingle | Mamunur Rashid Mohammad Rocky Khan Chowdhury Hafiz T A Khan Russell Kabir Sazin Islam Md Shariful Islam Manzur Kader Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study BMJ Open |
| title | Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study |
| title_full | Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study |
| title_fullStr | Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study |
| title_full_unstemmed | Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study |
| title_short | Differences in risk factors associated with single and multiple concurrent forms of undernutrition (stunting, wasting or underweight) among children under 5 in Bangladesh: a nationally representative cross-sectional study |
| title_sort | differences in risk factors associated with single and multiple concurrent forms of undernutrition stunting wasting or underweight among children under 5 in bangladesh a nationally representative cross sectional study |
| url | https://bmjopen.bmj.com/content/11/12/e052814.full |
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