Socio-economic risk factors for early childhood underweight in Bangladesh

Chowdhury, Tuhinur Rahman; Chakrabarty, Sayan; Rakib, Muntaha; Saltmarsh, Sue; Davis, Kendrick

doi:10.1186/s12992-018-0372-7

Cited by 46 publications

(56 citation statements)

References 53 publications

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“…Besides, there is a general consensus that higher education leads to higher income. Hence, increasing household earnings enables parents to invest more on health care services and proper food intake for their children ( Chowdhury et al., 2018 ) might be the reason of lower stunting rate of educated parents.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with stunting and wasting in children under 2 years in Bangladesh

Chowdhury

Chakrabarty

Rakib

et al. 2020

Heliyon

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Child undernutrition has been a major concern for Bangladesh as it is amongst the highest stunting and wasting prevalent countries in the world. The objective of our study was to explore the socioeconomic determinants of stunting and wasting in children under two years. This study explored nationally representative sample of 7,230 children ranging in age from 0 to <24 months using two separate binary logistic regression models to determine the risk factors associated with child stunting and wasting. Our study estimated approximately 33 percent children to be stunted and 11 percent to be wasted. Our analysis found that, 12 to <24 months old children's height-for-age-z-score and weight-for-height-z-score deteriorated in comparison to those of below 6 months. Female children had significantly lower odds of stunting and wasting compared with male children. Study revealed that children from wealthier families were at lower risk of being stunted and wasted compared to children from poorer households. Parental education was determined as a significant predictor of stunting. Children who lived in Sylhet division were 1.26 times more likely to be stunted than the children of Dhaka division [OR = 1.26; 95% CI: 1.02–1.55]. Our study revealed age, gender, geographic distribution, and household's position in wealth index as common determinants of child stunting and wasting in Bangladesh. While parental education was significant predictor for child stunting, type of toilet facility was found as statistically significant determinant of child wasting in children of less than two years age.

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Section: Discussionmentioning

confidence: 99%

Factors associated with stunting and wasting in children under 2 years in Bangladesh

Chowdhury

Chakrabarty

Rakib

et al. 2020

Heliyon

Self Cite

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“…Various studies have identified different socioeconomic and maternal factors that are strongly associated with different forms of undernutrition (ie, stunting, wasting, and underweight). [5][6][7][8]28,29 Based on the published literature, a number of explanatory variables, such as age and sex of the children, maternal age, education, access to electronic media, residence, and socioeconomic status, were included in the decomposition analysis. Maternal education was categorized as no education, primary level of education, and secondary and higher secondary level of education.…”

Section: Major Explanatory Variablesmentioning

confidence: 99%

Inequality of childhood undernutrition in Bangladesh: A decomposition approach

Sarker

Sultana

Sheikh

et al. 2019

Health Planning & Management

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Summary Background Undernutrition is one of the major public health concerns in Bangladesh. This study examined the trends and patterns of childhood undernutrition, inequality, and its socioeconomic contributors in Bangladesh. Methods Data were extracted from the last four rounds of the Bangladesh Demographic Health Survey (BDHS). A regression‐based decomposition method was applied to assess the socioeconomic contributors of inequality. Results Although the prevalence of childhood undernutrition has declined during the period 2004 to 2014, the rate of undernutrition is higher among the children of mothers who had lower education, live in rural areas, and are from the poorest wealth quintile. Socioeconomic status accounted for almost half of the total inequality in the prevalence of both stunting and underweight among children, whereas maternal education was ranked second among the contributors. Conclusions Findings of the study indicate that undernutrition inequalities in terms of socioeconomic aspects appear to have widened over time. Improving economic activity and maternal education will improve the nutritional status of children and as a consequence reduce inequality. Therefore, investments in education, creation of working opportunities, and empowerment of vulnerable and disadvantaged people along with nutrition‐specific interventions will be important measures to eliminate this inequality at the population level.

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“…Also, they have consumed family food, and contamination is more likely to occur in food, especially in rural areas since sanitation is bad. 15,17 The result of this study shows a significant relationship between the total number of toddlers in households with underweight in rural areas, but it is not significantly related to the urban areas. This result shows families with more than 1 child in a rural area have a risk of toddlers being underweight by 1.24 times compared to families who only have 1 toddler.…”

Section: Methodsmentioning

confidence: 65%

Household Factors Associated with Underweight in Children 24-59 Month in Urban and Rural in Indonesia

Yunitasari

Sartika

Setiarini

2020

MKMI

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The underweight still remains a public health problem for toddlers in Indonesia. The purpose of the study to identify the factors related to the underweight incident for toddlers at 24-59 months in urban and rural areas of Indonesia. This research used cross-sectional study design. This study used secondary data on the Total Diet Study-Individual Food Consumption Survey of 2014. The sample size in this study was 5165 toddlers from 24-59 months and distinguished by urban and rural areas. Bivariate Analysis used chi square. This study estimates that 20.3% of children aged 24-59 months were underweight with a greater proportion in rural areas 22.5%. Significant factors related to the underweight incidence in the urban and rural areas were the father's education level (urban; p = 0.02 and rural; p = 0.005) and mother’s education level (urban; p = 0.001 and rural; p = 0.005), number of household members (urban; p = 0.03 and rural; p = 0.012), and energy adequacy level (urban; p = 0.012 and rural; p = 0.005). The factor that was estimated to be significantly related to the underweight incidence just in rural areas as children’s age (p = 0.012), the total number of children in one house (p = 0.047). Multisectoral collaboration is needed to reduce nutritional problems, especially in rural areas. The efforts to improve community nutrition by improving the socio-economic condition of the community should be based on regional capabilities and local wisdom in the region.

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Socio-economic risk factors for early childhood underweight in Bangladesh

Cited by 46 publications

References 53 publications

Factors associated with stunting and wasting in children under 2 years in Bangladesh

Factors associated with stunting and wasting in children under 2 years in Bangladesh

Inequality of childhood undernutrition in Bangladesh: A decomposition approach

Household Factors Associated with Underweight in Children 24-59 Month in Urban and Rural in Indonesia

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