Parental tobacco use is associated with increased risk of child malnutrition in Bangladesh

Best, Cora M.; Sun, Kai; Pee, Saskia de; Bloem, Martin W.; Stallkamp, Gudrun; Semba, Richard D.

doi:10.1016/j.nut.2007.06.014

Cited by 35 publications

(40 citation statements)

References 3 publications

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“…In our ‫الطفل.‬ ‫تغذية‬ ‫جمال‬ ‫يف‬ study, maternal smoking and tobacco chewing was significantly associated with child stunting at the individual level, as shown by previous studies in developing countries. 9,15,28 The use of tobacco can cause growth retardation in utero 29 and divert money away from food and towards tobacco, particularly among the poor. 30 Child growth in Cambodia can be improved by increasing public awareness about the dangers of tobacco use and implementing interventions to combat the notion, propagated primarily by older women smokers, that smoking reduces stress during pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Determinants of reduced child stunting in Cambodia: analysis of pooled data from three Demographic and Health Surveys

Ikeda

Irie²,

Shibuya

2013

Bull. World Health Organ.

115

103

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Section: Discussionmentioning

confidence: 99%

Determinants of reduced child stunting in Cambodia: analysis of pooled data from three Demographic and Health Surveys

Ikeda

Irie²,

Shibuya

2013

Bull. World Health Organ.

115

103

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“…Because few of the poorest households purchase large amounts of rice, a monetary value for in-kind rice was included in total food expenditure calculations (21). Rice produced on a household's land, received as in-kind payment for labor, and received as a gift was reported in kilograms and assigned a monetary value determined by the daily market price of rice recorded at the time of the survey.…”

Section: Discussionmentioning

confidence: 99%

Household Dietary Diversity and Food Expenditures Are Closely Linked in Rural Bangladesh, Increasing the Risk of Malnutrition Due to the Financial Crisis

Thorne‐Lyman

Valpiani

Sun

et al. 2010

The Journal of Nutrition

Self Cite

205

105

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In Bangladesh, rice prices are known to be positively associated with the prevalence of child underweight and inversely associated with household nongrain food expenditures, an indicator of dietary quality. The collection of reliable data on household expenditures is relatively time consuming and requires extensive training. Simple dietary diversity scores are increasingly used as measures of food security and as proxies for nutrient adequacy. This study examines associations between a simple dietary diversity score and commonly used indicators of socioeconomic status in Bangladesh. Data representative of rural Bangladesh was collected from 188,835 households over 18 rounds of bi-monthly data collection from 2003-2005. A simple household dietary diversity score was developed by summing the number of days each household consumed an item from each of 7 food groups over a 7-d period. The dietary diversity score was associated with per capita nongrain food expenditures (r = 0.415), total food expenditures (r = 0.327), and total household expenditures (r = 0.332) using Spearman correlations (all P < 0.0001). The frequency of meat and egg consumption showed greater variation across quintiles of total monthly expenditure than other items contributing to the dietary diversity score. After controlling for other measures of socioeconomic status in multiple linear regression models, the dietary diversity score was significantly associated with monthly per capita food and total expenditures. Low dietary diversity during the period prior to major food price increases indicates potential risk for worsening of micronutrient deficiencies and child malnutrition in Bangladesh.

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“…Environmental tobacco smoke (ETS) shows positive, negative and null associations depending on the country [38].…”

Section: Methodsmentioning

confidence: 99%

Understanding Child Stunting in India: A Comprehensive Analysis of Socio-Economic, Nutritional and Environmental Determinants Using Additive Quantile Regression

et al. 2013

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BackgroundMost attempts to address undernutrition, responsible for one third of global child deaths, have fallen behind expectations. This suggests that the assumptions underlying current modelling and intervention practices should be revisited.ObjectiveWe undertook a comprehensive analysis of the determinants of child stunting in India, and explored whether the established focus on linear effects of single risks is appropriate.DesignUsing cross-sectional data for children aged 0–24 months from the Indian National Family Health Survey for 2005/2006, we populated an evidence-based diagram of immediate, intermediate and underlying determinants of stunting. We modelled linear, non-linear, spatial and age-varying effects of these determinants using additive quantile regression for four quantiles of the Z-score of standardized height-for-age and logistic regression for stunting and severe stunting.ResultsAt least one variable within each of eleven groups of determinants was significantly associated with height-for-age in the 35% Z-score quantile regression. The non-modifiable risk factors child age and sex, and the protective factors household wealth, maternal education and BMI showed the largest effects. Being a twin or multiple birth was associated with dramatically decreased height-for-age. Maternal age, maternal BMI, birth order and number of antenatal visits influenced child stunting in non-linear ways. Findings across the four quantile and two logistic regression models were largely comparable.ConclusionsOur analysis confirms the multifactorial nature of child stunting. It emphasizes the need to pursue a systems-based approach and to consider non-linear effects, and suggests that differential effects across the height-for-age distribution do not play a major role.

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Parental tobacco use is associated with increased risk of child malnutrition in Bangladesh

Cited by 35 publications

References 3 publications

Determinants of reduced child stunting in Cambodia: analysis of pooled data from three Demographic and Health Surveys

Determinants of reduced child stunting in Cambodia: analysis of pooled data from three Demographic and Health Surveys

Household Dietary Diversity and Food Expenditures Are Closely Linked in Rural Bangladesh, Increasing the Risk of Malnutrition Due to the Financial Crisis

Understanding Child Stunting in India: A Comprehensive Analysis of Socio-Economic, Nutritional and Environmental Determinants Using Additive Quantile Regression

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