- 作者：Mohammad Rocky Khan Chowdhury ; MSc1 ; 2 ; Mohammad Shafiur Rahman ; MSc2 ; 3 ; Mohammad Mubarak Hossain Khan ; PhD4 ; &lowast ; ; Mohammad Nazrul Islam Mondal ; PhD1 ; Mohammad Mosiur Rahman ; PhD1 ; 5 ; Baki Billah ; PhD6 ; baki.billah@med.monash.edu.au" class="auth_mail" title="E-mail the corresponding author
- 关键词：BDHS ; Bangladesh Demographic Health Survey ; BMI ; Body mass index ; WHO ; World Health Organization
- 刊名：The Journal of Pediatrics
- 出版年：2016
- 出版时间：May 2016
- 年：2016
- 卷：172
- 期：Complete
- 页码：194-201.e1
- 全文大小：304 K
Study design
Data was extracted from the Bangladesh Demographic Health Survey (2011). The outcome measures were stunting, wasting, and underweight. χ2 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 χ2 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.