Determinants of coexisting forms of undernutrition among under‐five children: Evidence from the Bangladesh demographic and health surveys

Food Science & Nutrition, Journal Year: 2023, Volume and Issue: 11(9), P. 5258 - 5269

Published: June 9, 2023

In many underdeveloped and developing countries, epidemiological nutritional transitions are leading to an increase in malnutrition, resulting pediatric diseases eventually deaths. Therefore, this study intents determine the important factors of presence coexisting forms malnutrition (CFM), i.e., undernutrition. This used latest Bangladesh Demographic Health Survey (BDHS)-2017/18 dataset consisting 7127 under-five children. The logistic regression model has been utilized gain explicit in-depth knowledge relationship between undernutrition with socioeconomic demographic factors. Findings revealed that about 31%, 22%, 8% suffered from stunted, underweight, wasted, respectively. prevalence underweighted, CFM among children Sylhet division is higher than any other region. A child a secondary-level completed mother 27.6% (OR: 0.724, 95% CI: 0.58-0.90) less likely suffer uneducated mother. rate was highly educated parents. Age, birth order child, twin status, mother's age, body mass index (BMI), working parental educational qualification, cooking fuel, toilet facility, region, residence, wealth for determining status child. authors believe findings will be helpful policymakers take proper actions achieving sustainable development goal (SDGs) by reducing 2030.

Language: Английский

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Determinants of coexistence of undernutrition and anemia among under-five children in Rwanda; evidence from 2019/20 demographic health survey: Application of bivariate binary logistic regression model

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(4), P. e0290111 - e0290111

Published: April 5, 2024

Background Undernutrition and anemia are significant public health issues among under-5 children, with potential long-term consequences for growth, development, overall health. Thus, this study aims to conduct a bivariate binary logistic regression model by accounting the possible dependency of childhood undernutrition anemia. Methods The data came from DHS program’s measurement. A total 3,206 under-five children were involved in study. single composite index measure was calculated stunting, wasting, underweight using principal component analysis. is used assess association between given effect other predictors. Results Among considered study, 1482 (46.2%) 658 (20.5%) agonized undernutrition, respectively. In model; Urban [AOR = 0.751, 96% CI: 0.573–0.984; AOR 0.663, 95% 0.456–0.995] anemic mothers 1.160, 1.104–1.218; 1.663, 1.242–2.225] significantly associated both Improved water sources 0.681, 0.446–0.996], average-sized 0.567, 0.462–0.696], diarrhea 1.134, 1.120–2.792] Large-sized 0.882, 0.791–0.853] those fever 1.152, 1.312–2.981] children’s undernutrition. Conclusion prevalence under-five-year-old high Rwanda. following determinants statistically anemia: place residence; source drinking water; maternal anemia; being twin; birth size children; diarrhea; fever; child age. Anemia nutritional deficiencies must be treated concurrently under one program, evidence-based policies aimed at vulnerable populations.

Language: Английский

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The association between psychological distress, abusive experiences, and help-seeking among people with intimate partner violence

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: April 16, 2024

Abstract Background Intimate partner violence (IPV) is a serious public health problem associated with countless adverse physical and mental outcomes. It places an enormous economic burden on communities. The aim of this study was to examine the associations between psychological states (such as depression or hopeless) help-seeking experiences IPV survivors after experiencing IPV, based Allegheny County Health Survey (ACHS). Methods Data from 2015 2016 N = 8,012 adults were analyzed. 6-item version Kessler Psychological Stress Scale, located in Module 11 ACHS questionnaire, used measure stress participants. 12 questionnaire collected information participants’ intimate past months. Descriptive statistical analysis, Pearson’s chi-square two sample independent t-tests multivariate binary logistic regression models analyze relationship experience distress. Results A total 212 participants had experience, age, marital status, education, income, race significantly different those without experience. feeling hopeless (OR 2.02, 95% CI 1.37–2.99), restless fidgety 1.83, 1.27–2.65), perceiving everything effort 1.55, 1.08–2.22) worthless 1.49, 1.01–2.20) Help-seeking behaviors distress, such hopelessness 6.71, 1.38–32.60). Conclusions This explored association need expand community support. necessary implement targeted interventions, enhance training professionals, promote identification early cases well collaboration healthcare social support departments reduce occurrence distress following IPV.

Language: Английский

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Determinants of concurrent wasting and stunting among children 6 to 23 mo in Indonesia

Nutrition, Journal Year: 2024, Volume and Issue: 122, P. 112390 - 112390

Published: Feb. 7, 2024

Language: Английский

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Factors influencing malnutrition among adolescent girls in The Gambia: a mixed-methods exploratory study

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 8, 2025

Abstract Background In The Gambia, existing research to understand and address malnutrition among adolescent girls is limited. Prior the conduct of large-scale studies, formative needed. aim this mixed methods, cross-sectional study was explore cultural contexts relevant nutritional status, feasibility appropriateness recruitment data collection methods (questionnaires anthropometric measures), plausibility collected. Methods took place in May–June 2021 an urban conurbation Brikama local government area (LGA) two rural villages Mansakonko LGA, Gambia. purposive sampling frame all-female sample included residence selected or settings being aged 10–14 15–19 years. Thirty-two 10 19 years, with equal numbers were recruited. Four focus groups discussions (FGDs), eight participants each, held perspectives on practices; concepts under- overweight, methods. same completed questionnaires socioeconomic circumstances, health, access community resources, nutrition knowledge, sleep, physical activity, had measures taken. FGDs then reconvened discuss acceptability measures, views providing biological samples future. FGD analysed using thematic analysis. Body mass index (BMI)-for-age height-for-age z-scores, mid-upper arm circumference, waist: hip ratios assessed descriptive statistics used obtained. Results Five themes identified group discussions: 1. Cultural norms: harmful vs. beneficial nutrition-related health; 2. Concepts healthy diet weight; 3. Approaches tackling overnutrition; 4. Study recruitment: barriers facilitators; 5. proposed are mostly feasible acceptable. Questionnaire highlighted limited resources (e.g. food markets electricity) as important individual, household factors influencing settings. reflected double burden presence stunting (41%), underweight (31%), living overweight obesity (10%). A higher proportion compared (50% vs 12.5% respectively, p = 0.03). Over 70% those classified perceived their weight normal. Conclusion This exploratory provides novel inform larger-scale females Urban–rural variance malnutrition, facilitators adolescents taking part research, key considerations.

Language: Английский

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Factors Associated with Underweight in Children Aged 6-59 Months in the Kibuye Health District, Gitega Health Province, Burundi

International Journal of Child Health and Nutrition, Journal Year: 2025, Volume and Issue: 14(2), P. 126 - 139

Published: May 16, 2025

The study, conducted in the Kibuye health district Burundi, aimed to investigate factors associated with underweight children aged 6-59 months. An analytical cross-sectional study was on a sample of 273 households at least one randomly selected child months Kibuye, Burundi district. Socio-demographic, socio-economic, morbidity, behavioral, and environmental data were collected using structured questionnaire. Children's weight measured standard procedure (seca scale), height UNICEF board, age obtained from birth certificate. Anthropometric analyzed Emergency Nutrition Assessment (ENA for Smart) software. Modeling performed logistic regression eliminate confounding factors, all independent variables whose significance level less than or equal 20% bivariate analysis included explore In this prevalence 32.9%. After multivariate analysis, (OR=7.82, 95% CI = [2.21-27.6]), gender (OR=2.61, [1.31-5.23]), maternal education (OR=0, 32, [0.15-0.65]), exclusive breastfeeding (OR=0.28, [0.13-0.60]), latrine type (OR=8.08, [1.06-61.38]), water source (OR=2.76, [1.33-5.74]), mothers' knowledge balanced diet (OR=0.23, [0.08-0.64]) consequences malnutrition (OR= 0.21, [0.07-0.61]) identified as significantly

Language: Английский

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Coexistence of Anemia with Stunting, Wasting, and Underweight Among Children Aged 6-59 Months: Insights from the National Family Health Survey

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: May 16, 2025

Background: Anemia and undernutrition (stunting, wasting, underweight) remain critical public health challenges among children aged 6–59 months in India, with severe implications for cognitive physical development. Despite national programs like Poshan Abhiyaan Mukt Bharat, the coexistence of these conditions persists, exacerbating long-term socioeconomic burdens. This study examines prevalence determinants coexisting anemia using recent data to inform targeted interventions. Data Methods: The utilized from National Family Health Survey-5 (NFHS-5, 2019–21), encompassing 208,007 months. was defined as hemoglobin <11.0 g/dL, while indicators were derived WHO standards. Multilevel logistic regression models employed assess associations, adjusting child, maternal, household factors. analysis accounted hierarchical structure complex survey design. Results: 68.0%, 36.7% stunting, 18.5% 32.5% underweight. Coexistence rates alarmingly high: stunting (26.0%), underweight (22.9%), wasting (12.7%). Key risk factors included younger child age (12–35 months), higher birth order, short intervals, maternal anemia, low education. Socioeconomic disparities evident, poorest households marginalized social groups (SC/ST) at risk. Regional variations highlighted elevated odds western India lower northeast. Improved BMI (≥25) education protective. Conclusion: highlights persistent burden Indian months, heightened vulnerability 12–35 include poor nutrition, disparities, perpetuating intergenerational malnutrition. Western faces a burden, necessitating interventions disadvantaged groups. Integrated strategies focusing on education, improved enhanced healthcare access are addressing challenges.

Language: Английский

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Risk factors associated with underweight in children aged one to two years: a longitudinal study

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: July 15, 2024

Underweight is a prevalent health issue in children. This study aimed to identify factors associated with underweight children aged 1-2 years Hamadan city. Unlike the studies conducted this field, which are cross-sectional and do not provide information on effect of age changes underweight, our longitudinal approach provides insights into weight over time. On other hand, focuses high-risk group 1 2 years, has only been addressed few studies.

Language: Английский

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Bayesian multilevel modelling of the association between socio-economic status and stunting among under-five-year children in Tanzania

Journal of Health Population and Nutrition, Journal Year: 2023, Volume and Issue: 42(1)

Published: Nov. 29, 2023

Abstract Background Stunting is associated with socioeconomic status (SES) which multidimensional. This study aimed to compare different SES indices in predicting stunting. Methods was the secondary data analysis using Tanzania Demographics and Health Surveys (TDHS). The used 7492, 6668, 8790 under-five-year children from TDHS 2004/5, 2010, 2015/16, respectively. Household Wealth Index (HWI); Water Sanitation, Assets, Maternal education Income (WAMI); Education, Occupation (WEO); Multidimensional Poverty (MPI) were compared. summated scores, principal component (PCA), random forest (RF) approaches construct indices. Bayesian maximum likelihood multilevel generalized linear mixed models (MGLMM) constructed determine association between each index Results revealed that 42.3%, 38.4%, 32.4% of studied stunted Compared other indicators SES, MPI had a better prediction stunting for 2004/5 while WAMI 2010. For score increase WAMI, odds 64% [BPOR = 0.36; 95% CCI 0.3, 0.4] lower there 1 1.1; 1.1, 1.2] times higher 2015/16. Conclusion under PCA best measures predict Because predictor two surveys (TDHS 2015/16), studies dealing should use as proxy measure SES. Use BE-MGLMM modelling encouraged. Strengthened availability items forming inevitable child growth potentials. Further investigate determinants spatial take into account heterogeneity.

Language: Английский

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Multilevel multivariate modeling on the association between undernutrition indices of under-five children in East Africa countries: evidence from recent demographic health survey (DHS) data

BMC Nutrition, Journal Year: 2023, Volume and Issue: 9(1)

Published: July 7, 2023

Abstract Background Malnutrition is the main cause of illness and death in children under age five. It affects millions worldwide, putting their health future jeopardy. Therefore, this study aimed to identify estimate effects important determinants anthropometric indicators by taking into account association cluster effects. Method The was carried out 10 countries East Africa: Burundi, Ethiopia, Comoros, Uganda, Rwanda, Tanzania, Zimbabwe, Kenya, Zambia, Malawi. A weighted total sample 53,322 five included. Given impact other predictors such as maternal, child, socioeconomic variables, a multilevel multivariate binary logistic regression model employed analyze relationship between stunting, wasting, underweight. Result included children, 34.7%, 14.8%, 5.1% were stunted, underweight, wasted, respectively. Almost half (49.8%) female, 22.0% lived urban areas. estimated odds from secondary higher education mothers being stunted wasted 0.987; 95% CI: 0.979 – 0.994 0.999; 0.995 0.999, respectively, times no mothers. Children middle-class families less likely be underweight than poorer families. Conclusion prevalence stunting sub-Saharan Africa region, but wasting lower. According study's findings, undernourishment among young continues significant public issue African region. Governmental non-governmental organizations should therefore plan participation focusing on paternal poorest households order improve undernutrition status Additionally, improving delivery healthcare at facilities, places residence, children's education, drinking water sources are essential for lowering child indicators.

Language: Английский

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