Stunting and its associated factors in under-five children: evidence from Bangladesh Demographic and Health Survey 2014

Md. Sahidul Islam, M. S. Islam, R. Chowdhury, M. M. Zaman
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Abstract

Impaired growth and development experienced by children, referred to as stunting, is a major impediment to human development. Although the Bangladesh economy has experienced high growth in recent decades, malnutrition still remains a public health problem. This study assesses the prevalence and risk factors associated with stunting among children under-five in Bangladesh. This analysis uses data from the Bangladesh Demographic and Health Survey 2014, a community-based cross-sectional study. A total of 6,965 children were enrolled in the study. The prevalence of stunting was 36.5% [95% confidence interval (CI): 34.8-38.3%] and 40.2% [95% CI: 37.4-43.1%] for children aged 0-59 months and 0-23 months respectively. Multivariate logistic regression revealed that the significant factors for stunting for children aged 0-59 months and 0-23 months were maternal working status, mother education, mothers age at childbirth, birth order, delivery mode, receiving antenatal clinic visit, media habits, perceived size of child at birth, child sex, children having had diarrhea in last two weeks, wealth and geographical region. In order to meet the nutrition indicators under zero hunger sustainable development goal and 2025 target of World Health Assembly, policy interventions are needed to reduce stunting specially focusing on eastern region of Bangladesh. Bangabandhu Sheikh Mujib Medical University Journal 2022;15(4):22-31
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5岁以下儿童发育迟缓及其相关因素:来自2014年孟加拉国人口与健康调查的证据
儿童生长发育受损,即发育迟缓,是人类发展的主要障碍。尽管近几十年来孟加拉国经济高速增长,但营养不良仍然是一个公共卫生问题。本研究评估了孟加拉国五岁以下儿童发育迟缓的患病率和相关风险因素。该分析使用了2014年孟加拉国人口与健康调查的数据,这是一项基于社区的横断面研究。共有6965名儿童参加了这项研究。0-59月龄和0-23月龄儿童发育迟缓患病率分别为36.5%[95%可信区间(CI): 34.8-38.3%]和40.2% [95% CI: 37.4-43.1%]。多因素logistic回归分析显示,0 ~ 59月龄和0 ~ 23月龄儿童发育迟缓的显著影响因素为产妇工作状态、母亲受教育程度、产妇分娩年龄、分娩顺序、分娩方式、产前门诊就诊情况、媒体习惯、出生时感知大小、儿童性别、儿童近2周腹泻情况、经济状况和地理区域。为了实现零饥饿可持续发展目标和世界卫生大会2025年具体目标下的营养指标,需要采取政策干预措施,减少发育迟缓,特别是以孟加拉国东部地区为重点。孟加拉谢赫穆吉布医科大学学报,2022;15(4):22-31
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35
审稿时长
12 weeks
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