Rahman Mosfequr
Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
Cad Saude Publica. 2016 Feb;32(2):e00011215. doi: 10.1590/0102-311X00011215. Epub 2016 Mar 4.
This paper examines the net effect of birth order on child nutritional status in Bangladesh using data from the Bangladesh Demographic Health Survey, 2011 (BDHS). Analyses were restricted to 4,120 surviving, lastborn singleton children who were younger than 36 months at the time of the survey. Logistic regression was used to assess the association between birth order and child nutritional status. Results indicate 38.1% children are stunted and 8.2% children are fifth or higher order birth. Order of birth is one of the significant predictors of child being stunted. Third order, fourth order, and fifth or higher order children are 24%, 30%, and 72%, respectively, more likely to be stunted after adjusting for all other variables. Besides birth order, results also indicate that child age, size at birth, birth intention, maternal education, maternal body mass index, wealth index, place of residence and mass media access exert strong influences over child malnutrition. Reducing birth rates which limit number of births and birth order as well may reduce child malnutrition in Bangladesh.
本文利用2011年孟加拉国人口与健康调查（BDHS）的数据，研究了出生顺序对孟加拉国儿童营养状况的净影响。分析仅限于调查时年龄小于36个月的4120名存活的最后出生的单胎儿童。采用逻辑回归分析来评估出生顺序与儿童营养状况之间的关联。结果显示，38.1%的儿童发育迟缓，8.2%的儿童是第五胎或更高胎次出生。出生顺序是儿童发育迟缓的重要预测因素之一。在对所有其他变量进行调整后，第三胎、第四胎以及第五胎或更高胎次的儿童发育迟缓的可能性分别高出24%、30%和72%。除出生顺序外，结果还表明，儿童年龄、出生时的大小、生育意愿、母亲教育程度、母亲体重指数、财富指数、居住地点和媒体接触情况对儿童营养不良有很大影响。降低生育率，这可能同时限制生育数量和出生顺序，或许能减少孟加拉国儿童的营养不良情况。
