Determinants of coexistence of stunting, wasting, and underweight among children under five years in the Gambia; evidence from 2019/20 Gambian demographic health survey: application of multivariate binary logistic regression model

Asmare, Abebew Aklog; Agmas, Yitateku Adugna

doi:10.1186/s12889-022-14000-3

Cited by 21 publications

(22 citation statements)

References 55 publications

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“…This study used the multivariate binary logistic regression models to estimate the effect of the independent variable on the binary outcome of psychological distress. The multivariate binary logistic regression models are statistical models for estimating the effect of predictors on dichotomous outcome variables [ 30 ]. The results of the multivariate binary logistic regression models were expressed using odds ratios (ORs) and 95% confidence intervals (CIs).…”

Section: Methodsmentioning

confidence: 99%

The association between psychological distress, abusive experiences, and help-seeking among people with intimate partner violence

Zhang,

Wong,

Constantino

et al. 2024

BMC Public Health

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Background Intimate partner violence (IPV) is a serious public health problem associated with countless adverse physical and mental health outcomes. It places an enormous economic and public health burden on communities. The aim of this study was to examine the associations between psychological states (such as depression or hopeless) and help-seeking experiences of IPV survivors after experiencing IPV, based on the Allegheny County Health Survey (ACHS). Methods Data from 2015 to 2016 Allegheny County Health Survey with N = 8,012 adults were analyzed. The 6-item version of the Kessler Psychological Stress Scale, located in Module 11 of the ACHS questionnaire, was used to measure psychological stress in participants. Module 12 of the ACHS questionnaire collected information on participants’ experiences of intimate partner violence and help-seeking in the past 12 months. Descriptive statistical analysis, Pearson’s chi-square or two sample independent t-tests statistical analysis, and multivariate binary logistic regression models were used to analyze the relationship between IPV experience and psychological distress. Results A total of 212 of the 8,012 participants had IPV experience, with age, marital status, education, income, and race significantly different from those without IPV experience. The psychological stress of participants feeling hopeless (OR = 2.02, 95% CI = 1.37–2.99), restless or fidgety (OR = 1.83, 95% CI = 1.27–2.65), perceiving everything was an effort (OR = 1.55, 95% CI = 1.08–2.22) and worthless (OR = 1.49, 95% CI = 1.01–2.20) was associated with the IPV experience. Help-seeking behaviors of IPV survivors were associated with psychological distress, such as hopelessness (OR = 6.71, 95% CI = 1.38–32.60). Conclusions This study explored the association between IPV experience, help-seeking and psychological distress, and the need to expand community support. It is necessary to implement targeted interventions, enhance training of professionals, and promote the identification of early IPV cases as well as collaboration between healthcare and social support departments to reduce the occurrence of IPV or psychological distress following IPV.

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Section: Methodsmentioning

confidence: 99%

The association between psychological distress, abusive experiences, and help-seeking among people with intimate partner violence

Zhang,

Wong,

Constantino

et al. 2024

BMC Public Health

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“…These were enumerated by

Z

‐score (i.e., standardized score) based on WHO 2006 child growth standards (Rutstein & Rojas, 2006). The

Z

‐score for the

i^{th}

child (

Z_{i}

) is defined as

Z_{i} = \frac{X_{i} - μ}{σ}

, where

X_{i}

is underweight, stunting, and wasting of the

i^{th}

child and

μ

and

σ

indicate the median and SD (i.e., standard deviation), respectively (Asmare & Agmas, 2022; Hosen et al, 2023). After the

Z_{i}

for each child is calculated, the status of stunted, wasted, and underweight was recoded into dichotomies as follows:

Stunted goodbreak= ({, \begin{matrix} 0 goodbreak= " No " if HAZ \geq goodbreak- 2 \\ 1 goodbreak= " Yes " if HAZ < goodbreak- 2 \end{matrix})

Wasted goodbreak= ({, \begin{matrix} 0 goodbreak= " No " if WHZ \geq goodbreak- 2 \\ 1 goodbreak= " Yes " if WHZ < goodbreak- 2 \end{matrix})

Underweight goodbreak= ({, \begin{matrix} 0 goodbreak= " No " if WAZ ... \end{matrix})

…”

Section: Methodsmentioning

confidence: 99%

Determinants of coexisting forms of undernutrition among under‐five children: Evidence from the Bangladesh demographic and health surveys

Sumon

Salan

Kabir

et al. 2023

Food Science & Nutrition

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In many underdeveloped and developing countries, epidemiological and nutritional transitions are leading to an increase in malnutrition, resulting in pediatric diseases and eventually deaths. Therefore, this study intents to determine the important factors of the presence of coexisting forms of malnutrition (CFM), i.e., pediatric undernutrition. This study used the latest Bangladesh Demographic and Health Survey (BDHS)‐2017/18 dataset consisting of 7127 under‐five children. The logistic regression model has been utilized to gain explicit and in‐depth knowledge of the relationship between the presence of pediatric undernutrition with socioeconomic and demographic factors. Findings revealed that about 31%, 22%, and 8% suffered from stunted, underweight, and wasted, respectively. The prevalence of stunted, underweighted, wasted, and CFM among children in the Sylhet division is higher than in any other region. A child of a secondary‐level completed mother is 27.6% (OR: 0.724, 95% CI: 0.58–0.90) less likely to suffer from undernutrition than a child of an uneducated mother. The rate of undernutrition of children was less among children of highly educated parents. Age, birth order of the child, twin status, mother's age, body mass index (BMI), working status, parental educational qualification, cooking fuel, toilet facility, region, residence, and wealth index are important for determining the nutritional status of a child. The authors believe that the study findings will be helpful to the policymakers to take proper actions for achieving the sustainable development goal (SDGs) by reducing pediatric undernutrition in Bangladesh by 2030.

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“…Additionally, many Asian nations suffer from malnutrition, with almost 70% of all malnourished children being Asian (Prakash et al, 2022). Among developing nations, Pakistan has one of the highest rates of child stunting (Asmare and Agmas, 2022). Bangladesh has one of the world's highest malnutrition rates, affecting approximately six million children chronically.…”

Section: Introductionmentioning

confidence: 99%

“…, 2022). Among developing nations, Pakistan has one of the highest rates of child stunting (Asmare and Agmas, 2022). Bangladesh has one of the world’s highest malnutrition rates, affecting approximately six million children chronically.…”

Section: Introductionmentioning

confidence: 99%

Nutritional and physical fitness status of school children among major ethnic and Dalit populations, Rajshahi, Bangladesh: a cross-sectional study

Marandi,

Akter,

Rana

et al. 2024

NFS

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Purpose This study aims to assess the nutritional status and physical fitness status of school children among major ethnic and Dalit populations, in Rajshahi, Bangladesh. Design/methodology/approach Data were collected through structured questionnaires administered to mothers or caregivers of the children, followed by physical fitness assessments. Anthropometric indicators were used to evaluate nutritional status, including body mass index-for-age, height-for-age, and weight-for-height, based on Centre for Disease Control guidelines. Physical fitness was assessed through tests for flexibility, abdominal, muscular, speed, and lower limb strength. Statistical analysis was performed using SPSS. Findings Approximately 45% of boys and 55% of girls had normal nutritional status. However, the study also identified varying percentages of children with stunted, underweight, wasted, and mixed nutritional issues, highlighting the prevalence of malnutrition among this population. Boys consistently outperformed girls in terms of physical fitness across all age groups, with 84% to 90% of boys meeting established fitness criteria. Girls face a 1.8-fold and 2.2-fold increased risk of wasted and underweight conditions compared to boys. Lower-income group children exhibit a 2.6-fold and 1.6-fold increased risk of wasted conditions and underweight conditions. Children consuming meals twice a day have a 2.1-fold and 2.5-fold elevated risk of wasted and underweight conditions compared to others. Originality/value This study highlights the need for interventions and strategies to improve the nutritional and health status of ethnic children in Rajshahi, Bangladesh, considering their diverse dietary habits and lifestyles. By addressing these issues, the authors can empower these communities to actively contribute to the social and economic development of the region.

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Determinants of coexistence of stunting, wasting, and underweight among children under five years in the Gambia; evidence from 2019/20 Gambian demographic health survey: application of multivariate binary logistic regression model

Cited by 21 publications

References 55 publications

The association between psychological distress, abusive experiences, and help-seeking among people with intimate partner violence

The association between psychological distress, abusive experiences, and help-seeking among people with intimate partner violence

Determinants of coexisting forms of undernutrition among under‐five children: Evidence from the Bangladesh demographic and health surveys

Nutritional and physical fitness status of school children among major ethnic and Dalit populations, Rajshahi, Bangladesh: a cross-sectional study

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