Prevalence and determinants of double burden of malnutrition in Bangladesh: evidence from a nationwide cross-sectional survey

Halder, Henry Ratul; Siddiquee, Tanjim; Farjana, Syeda Afia; Roshid, Harun Or; Khan, Bayezid; Fatema, Nuzhat; Rahman, Md. Ashfikur; Razu, Shaharior Rahman

doi:10.1186/s41110-021-00140-w

Cited by 7 publications

(8 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5,6,15 In a study analyzing the data of 7662 mother-child pairs in Bangladesh, investigators reported an association between higher paternal education and a lower risk of DBM. 16 However, the influence of paternal education on household-level DBM in father-child pairs has been rarely investigated. 17 Using the most recent data from the US Agency for International Development Demographic and Household Surveys (DHS), we aimed to explore the association between parental education and DBM in both mother-child and father-child pairs.…”

Section: Introductionmentioning

confidence: 99%

“…The education level of fathers, who often act as household heads and decision-makers within the household, may be a factor in their health and the health of their children and other household members . In a study analyzing the data of 7662 mother-child pairs in Bangladesh, investigators reported an association between higher paternal education and a lower risk of DBM . However, the influence of paternal education on household-level DBM in father-child pairs has been rarely investigated …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association Between Parental Education and Simultaneous Malnutrition Among Parents and Children in 45 Low- and Middle-Income Countries

et al. 2023

View full text Add to dashboard Cite

ImportanceParental education is known to be associated with the health status of parents and their offspring. However, the association between parental education and the simultaneous manifestation of multiple forms of malnutrition within households remains underinvestigated globally.ObjectiveTo assess the association between parental education and the simultaneous manifestation of malnutrition of both parent and child (either overnutrition or undernutrition)—referred to as the double burden of malnutrition (DBM)—at the household level in mother-child and father-child pairs in low- and middle-income countries (LMICs).Design, Setting, and ParticipantsThis cross-sectional study used data from the US Agency for International Development Demographic and Health Surveys (January 1, 2010, to December 31, 2021) to identify mother-child pairs and father-child pairs from LMICs. The eligibility criteria were as follows: (1) children aged 0 to 59 months; (2) nonpregnant mothers at the time of the survey in the sample of mother-child pairs; and (3) valid measures of the weight, height, and hemoglobin level for the child and at least 1 of their parents.ExposuresHighest level of parental education obtained and number of years of education completed.Main Outcomes and MeasuresFour sets of multivariable logistic regression models were constructed to assess the association between parental education and DBM, and analysis was performed between March 10 and May 15, 2022.ResultsThis study included 423 340 mother-child pairs from 45 LMICs and 56 720 father-child pairs from 16 LMICs. The mean (SD) age of the mother-child pairs was 28.2 (6.1) and 1.9 (1.4) years, respectively; 48.8% of the children were female. We observed that 49.0% of mother-child pairs experienced DBM. Compared with mother-child pairs with no maternal education, higher maternal education was associated with a lower risk of DBM. For example, the odds ratio (OR) for tertiary maternal education was 0.71 (95% CI, 0.67-0.74). However, the association differed by DBM subtypes: higher maternal education was associated with a lower risk of both mothers and children being undernourished but with a higher risk of almost all DBM subtypes involving overnutrition. For example, compared with mother-child pairs with no maternal education, those with secondary education were less likely to develop simultaneous maternal and child undernutrition (OR, 0.83 [95% CI, 0.80-0.86]) but were more likely to experience simultaneous maternal and child overnutrition (OR, 2.20 [95% CI, 1.61-3.00]); similar results were observed for pairs with primary and tertiary education. The results in mother-child pairs remained consistent after controlling for paternal education. Among the father-child pairs, 26.5% had DBM, with fathers with tertiary education significantly more likely to experience simultaneous paternal overnutrition and child undernutrition (OR, 1.55 [95% CI, 1.23-1.95]) compared with pairs with no paternal education; they were also less likely to have both paternal and child undernutrition (OR, 0.70 [95% CI, 0.59-0.84]).Conclusions and RelevanceIn this study, maternal education and paternal education were independently associated with DBM, and the associations differed by DBM subtypes. These findings suggest that the different risks of malnutrition faced by households with various levels of education should thus be considered in policy evaluation.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association Between Parental Education and Simultaneous Malnutrition Among Parents and Children in 45 Low- and Middle-Income Countries

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Moreover, the questionable quality of the education they receive raises additional concerns in this regard. Literature also suggests that educated mothers have a better quality of life, are more likely to have insights on child diet, receive ANC, and achieve greater physical and financial freedom [8,18,20,21,[27][28][29]35,37,[73][74][75]. Educated women often have autonomy with regard to their personal life, household decisions, resource use, and dignity in their communities [73].…”

Section: Discussionmentioning

confidence: 99%

“…Households' socioeconomic status is another predictor of stunting and nutritional status. Different authors found that a child from a higher wealth-indexed family is less likely to be stunted or malnourished because of a higher ability to buy diverse diets and healthseeking behaviour [8,19,21,[35][36][37][38][39][40][41][42][43]. For example, a family with substantial financial and social capital can ensure an improved sanitation facility and safe drinking water, resulting in reduced stunting [8,15,27,36,37,[44][45][46].…”

Section: Introductionmentioning

confidence: 99%

“…Different authors found that a child from a higher wealth-indexed family is less likely to be stunted or malnourished because of a higher ability to buy diverse diets and healthseeking behaviour [8,19,21,[35][36][37][38][39][40][41][42][43]. For example, a family with substantial financial and social capital can ensure an improved sanitation facility and safe drinking water, resulting in reduced stunting [8,15,27,36,37,[44][45][46]. Similarly, improved sanitation mitigates the risk of diarrhoea which reduces the risk of malnutrition [20,44,[47][48][49][50][51][52][53].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Nutritional status of under-five aged children of ready-made garment workers in Bangladesh: A cross-sectional study

Haque

Rafi²,

Zaman³

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Background The ready-made garment (RMG) sector is a significant contributor to the economic growth of Bangladesh, accounting for 10% of the country’s GDP and more than 80% of its foreign exchange earnings. The workforce in this sector is predominantly made up of women, with 2.5 million women working in the industry. However, these women face numerous challenges in carrying out their culturally-expected household responsibilities, including childcare, due to severe resource constraints. As a result, the children of these working women have a higher incidence of malnutrition, particularly stunted growth. This study aims to identify the factors that contribute to stunting in children under the age of five whose mothers work in the RMG sector in Bangladesh. Methods The study collected data from 267 female RMG workers in the Gazipur district of Bangladesh using a simple random sampling technique. Chi-square tests were used to determine the associations between the factors influencing child stunting, and Multinomial Logit Models were used to estimate the prevalence of these factors. Results The study found that the prevalence of moderate and severe stunting among the children of RMG workers living in the Gazipur RMG hub was 19% and 20%, respectively. The study identified several significant predictors of child stunting, including the mother’s education level, nutritional knowledge, control over resources, receipt of antenatal care, household size, sanitation facilities, and childbirth weight. The study found that improving the mother’s education level, increasing household size, and receiving antenatal care during pregnancy were important factors in reducing the likelihood of child stunting. For example, if a mother’s education level increased from no education to primary or secondary level, the child would be 0.211 (0.071–0.627) and 0.384 (0.138–1.065) times more likely to have a normal weight and height, respectively, than to be moderately stunted. Conclusion The study highlights the challenges faced by working women in the RMG sector, who often receive minimal wages and have limited access to antenatal care services. To address these challenges, the study recommends policies that support antenatal care for working-class mothers, provide daycare facilities for their children, and implement a comprehensive social safety net program that targets child nutrition. Improving the socioeconomic status of mothers is also critical to reducing child malnutrition in this population.

show abstract

The double burden of malnutrition among women of reproductive age and preschool children in low- and middle-income countries: A scoping review and thematic analysis of literature

et al. 2023

View full text Add to dashboard Cite

Prevalence and determinants of double burden of malnutrition in Bangladesh: evidence from a nationwide cross-sectional survey

Cited by 7 publications

References 46 publications

Association Between Parental Education and Simultaneous Malnutrition Among Parents and Children in 45 Low- and Middle-Income Countries

Association Between Parental Education and Simultaneous Malnutrition Among Parents and Children in 45 Low- and Middle-Income Countries

Nutritional status of under-five aged children of ready-made garment workers in Bangladesh: A cross-sectional study

The double burden of malnutrition among women of reproductive age and preschool children in low- and middle-income countries: A scoping review and thematic analysis of literature

Contact Info

Product

Resources

About