Health care science · 2025
Prevalence and Potential Risk Predictors of Undernutrition Among Under-Five Children in Island Areas of Bangladesh.
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Aziz Md Abdul, Haque Mohammad Mozibul, Nawar Afia, Sharmin Kazi Nazira, Hossain Md Altaf, Saha Suvanker
Аннотация
BACKGROUND: Undernutrition poses a major threat for the growth and development of children in remote island regions of Bangladesh.
METHODS: This study investigated the prevalence and risk predictors of undernutrition among children under five in the island regions of Bangladesh. A cross-sectional study was conducted in 13 unions across two islands, with a random sample of 549 children.
RESULTS: Descriptive analyses showed that underweight (Z-score < -2), wasting (Z-score < -2), and stunting (Z-score < -2) were prevalent, with rates of 36.80%, 24.60%, and 47.20%, respectively. Significant predictors of underweight included a history of diarrhea (AOR = 2.24, p < 0.001), acute respiratory infection (ARI) (AOR = 1.84, p < 0.01), anemic caregivers (AOR = 1.52, p < 0.05), and belonging to day labor families (AOR = 0.29, p < 0.01). Childhood wasting was significantly associated with partial vaccination (AOR = 2.84, p < 0.001), large family size (AOR = 1.79, p < 0.05), higher birth order (AOR = 0.58, p < 0.05), diarrhea (AOR = 3.09, p < 0.001), anemic mothers (AOR = 1.89, p < 0.05), primary (AOR = 3.35, p < 0.05) and secondary (AOR = 4.11, p < 0.01) maternal education, and fathers working abroad (AOR = 0.42, p < 0.05) or as daily laborers (AOR = 0.17, p < 0.001). Stunting was more common among children with partial vaccination, diarrhea, and ARI, and less common among those with a history of fever or those from day laborer families.
CONCLUSION: Overall, undernutrition among children in the island areas of Bangladesh is influenced by multiple factors, necessitating a multisectoral approach to improve their nutritional status.
METHODS: This study investigated the prevalence and risk predictors of undernutrition among children under five in the island regions of Bangladesh. A cross-sectional study was conducted in 13 unions across two islands, with a random sample of 549 children.
RESULTS: Descriptive analyses showed that underweight (Z-score < -2), wasting (Z-score < -2), and stunting (Z-score < -2) were prevalent, with rates of 36.80%, 24.60%, and 47.20%, respectively. Significant predictors of underweight included a history of diarrhea (AOR = 2.24, p < 0.001), acute respiratory infection (ARI) (AOR = 1.84, p < 0.01), anemic caregivers (AOR = 1.52, p < 0.05), and belonging to day labor families (AOR = 0.29, p < 0.01). Childhood wasting was significantly associated with partial vaccination (AOR = 2.84, p < 0.001), large family size (AOR = 1.79, p < 0.05), higher birth order (AOR = 0.58, p < 0.05), diarrhea (AOR = 3.09, p < 0.001), anemic mothers (AOR = 1.89, p < 0.05), primary (AOR = 3.35, p < 0.05) and secondary (AOR = 4.11, p < 0.01) maternal education, and fathers working abroad (AOR = 0.42, p < 0.05) or as daily laborers (AOR = 0.17, p < 0.001). Stunting was more common among children with partial vaccination, diarrhea, and ARI, and less common among those with a history of fever or those from day laborer families.
CONCLUSION: Overall, undernutrition among children in the island areas of Bangladesh is influenced by multiple factors, necessitating a multisectoral approach to improve their nutritional status.