Associated Factors to Prevalence of Childhood under Nutrition in Malaysia: Findings from the National Health and Morbidity Survey (NHMS 2016)

Baharudin, Azli; Man, Cheong Siew; Ahmad, Mohamad Hasnan; Wong, Norazizah Ibrahim; Salleh, Ruhaya; Radzi, Megat Rusydi Megat; Ahmad, Noor Ani; Aris, Tahir

doi:10.21767/1791-809x.1000627

Cited by 10 publications

(10 citation statements)

References 21 publications

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“…Similarly, in the year 2014 to 2015, there was a two-fold increase in the incidence of both neonatal tetanus and pertussis from 0.02 to 0.05 per 1000 population and 1.65 to 3.08 per 1000 population, respectively [3]. According to the Malaysia National Health and Morbidity Survey (NHMS) 2016, there has been an increasing prevalence of incomplete immunization and non-immunization in Malaysia with the rate approaching 5% [4,5].…”

Section: Introductionmentioning

confidence: 99%

Vaccine Knowledge, Awareness and Hesitancy: A Cross Sectional Survey among Parents Residing at Sandakan District, Sabah

et al. 2021

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Background: Incomplete childhood immunization against communicable diseases is a major concern and vaccine hesitancy remains a hurdle to overcome in primary vaccination programs. This study was to examine the parents’ vaccine knowledge, awareness and hesitancy in relation to their children’s immunization status. Methods: A cross-sectional questionnaire study design was used. The parents who brought their children for immunization visit or follow-up at four public health clinics located in Sandakan district were invited to participate in this survey. Informed consent was obtained before each participant completed a hard copy of self-administered questionnaire in either English or Malay versions. Results: Of 405 parents responded, they generally had good knowledge and awareness of vaccines, only a small percentage (6.8%) of parents were found vaccine hesitant. There were significant differences in vaccine knowledge and awareness in those from different education levels and employment status; similarly, these two factors also significantly affected the vaccine hesitancy among the parents. The parents’ knowledge score was found to be moderately associated with their awareness (r = 0.551, p < 0.01) and inversely correlated to vaccine hesitancy (r = −0.397, p < 0.01). Most of the children (n = 376, 92.8%) in the study were immunized. The children’s immunization status was significantly associated with the parents’ education level (p = 0.025). There was also a significant difference in the total vaccine knowledge scores between the groups of parents with different child immunization status (p = 0.05). Conclusion: This study revealed that parents with higher education had a better knowledge of vaccinations, were less vaccine hesitant and were more likely to ensure that their children complete the recommended course of immunization. It is crucial to ensure parents are well-informed about the safety and efficacy of vaccines so that the children are protected from communicable diseases by the child vaccination program.

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Section: Introductionmentioning

confidence: 99%

Vaccine Knowledge, Awareness and Hesitancy: A Cross Sectional Survey among Parents Residing at Sandakan District, Sabah

et al. 2021

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“…This finding coincides with NHMS 2016, wherein the highest prevalence of stunting and wasting were within the age of 12 to 23 months. 26 Our study findings indicates that children with poor appetite were likely to be wasted compared to children with good appetite. This finding could be attributed to the lack of a solid family system that actively promotes and sets proper eating behaviours in children, such as food restriction, as well as the family's poor socio-economic condition, leading to adverse consequences of the child's nutritional status.…”

Section: Discussionmentioning

confidence: 56%

Nutritional Status of Under-Five Children and The Relationship with Household Food Wastage and Food Security in Samarahan, Malaysia

Gahamat

Rahman

Daud

2022

imjm

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Introduction: Malnutrition is prevalent among children in developing countries. The cause of malnutrition, although complex, can be attributed to demographic factors, household food wastage, and food insecurity. This study aims to determine the under-five nutritional status of children and its association with household food wastage and food security in the Samarahan division in Sarawak, Malaysia. Materials and Methods: This is a cross-sectional study involving 304 children from rural areas of Asajaya and Samarahan District using a random sampling technique. An interviewer-administered questionnaire was used to collect data from the parents. The nutritional status of the children was assessed by anthropometry. IBM SPSS Version 27.0 and WHO Anthro version 3.2.2 were used for data analysis. A p-value < 0.05 was considered statistically significant. Results: Analysis revealed that 9.5% of the children were moderately wasted, followed by 5.9% who were severely wasted; 20.4% were moderately stunted and 8.9% were severely stunted. Hierarchical regression analysis indicated that male gender (AOR = 1.931, 95% CI: 1.139, 3.274; p<0.05), low birth weight (AOR =2.645, 95% CI: 1.245, 5.618, p<0.05), poor appetite (AOR = 2.547; 95% CI: 1.298, 4.995, p<0.05), and preventive attitude (AOR = 0.460, 95% CI: 0.227, 0.929, p < 0.05) of household food wastage appeared to be significant predictors of nutritional status. However, household food insecurity had a negative correlation but did not significantly impact the nutritional status. Conclusion: Under-five malnutrition was prevalent in the study area and still a public health concern. Although the study did not find any significant association between household food wastage and food security towards the nutritional status of children, addressing the nutritional problem warranted an appropriate Public Health approach for the specific group, especially the modifiable risk factors such as birth weights, appetite, and attitude.

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“…Juhari & Wee (Baharudin et al 2019). Malaysia has made no progress toward reducing the stunting rate as the prevalence of stunting in children under five years old in Malaysia has increased from 17.2% in 2006;20.7% in 2016;to 21.8% in 2019(Global Nutrition Report 2019.…”

Section: Introductionmentioning

confidence: 99%

Mother’s Knowledge, Attitude and Practices and its Influence toward Nutritional Status of Children in Terengganu

Juhari,

Suan

2024

J Gizi Pangan

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This cross-sectional study aimed to identify the nutritional status, Knowledge, Attitude and Practice (KAP) regarding stunting among mothers and its relationship with stunting among children below two years old in Terengganu. A total of 330 mother-child pairs from Terengganu were recruited through purposive sampling. Anthropometric measurement comprised weight and height. Information on socio–demographic, and a validated questionnaire on knowledge, attitude and practice of stunting were selfreported. Chi-square test was applied in this study with p<0.05 considered significant outcome. The majority (61.2%) of the mothers aged 30−39 years old, with tertiary educational level (51.5%) and in the low income group (86.4%). The prevalence of stunting, wasting and underweight was 25.2%, 9.4% and 14.2% respectively for the children below two years old in Terengganu. KAP analysis revealed that 44.5% of mothers had moderate level of knowledge, while 68.8% and 92.7% had good level of attitude and practice, respectively. A significant association (p<0.05) was found between knowledge of mothers with stunting among the children, while no significant association between attitudes and practice with stunting. The present study found that mothers’ knowledge significantly impacted their child’s growth status in relation to stunting. Future intervention programmes should incorporate nutrition education focusing on mothers’ knowledge to prevent stunting among children.

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Associated Factors to Prevalence of Childhood under Nutrition in Malaysia: Findings from the National Health and Morbidity Survey (NHMS 2016)

Cited by 10 publications

References 21 publications

Vaccine Knowledge, Awareness and Hesitancy: A Cross Sectional Survey among Parents Residing at Sandakan District, Sabah

Vaccine Knowledge, Awareness and Hesitancy: A Cross Sectional Survey among Parents Residing at Sandakan District, Sabah

Nutritional Status of Under-Five Children and The Relationship with Household Food Wastage and Food Security in Samarahan, Malaysia

Mother’s Knowledge, Attitude and Practices and its Influence toward Nutritional Status of Children in Terengganu

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