Haque Md Ahshanul, Farzana Fahmida Dil, Sultana Sabiha, Raihan Mohammad Jyoti, Rahman Ahmed Shafiqur, Waid Jillian L, Choudhury Nuzhat, Ahmed Tahmeed
Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, 68, Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, Bangladesh.
James P Grant School of Public Health, BRAC University, Dhaka, 1212, Bangladesh.
BMC Public Health. 2017 Feb 16;17(1):205. doi: 10.1186/s12889-017-4108-z.
Hunger is associated with food insecurity at the household level and is considered as a global public health problem with long term adverse consequences on children's health. This study aims to determine the factors associated with child hunger from a nationally representative sample in Bangladesh among food insecure households.
Data was derived from the Food Security and Nutritional Surveillance Project; 14,712 children aged 6-59 months belonging to food insecure households contributed to the analysis. Information on food security at the household level was collected for 30 days preceding the survey. Descriptive statistics served to illustrate the variables studied and multiple logistic regression analysis was conducted to identify the significant risk factors for child hunger.
Overall 10% of the children were found to be hungry. After adjusting for seasonality, residence type and education level of household head, the variables - female headed households [OR: 1.87 (1.43-2.45); p < 0.001], severely food insecure households [OR: 10.5 (1.43-76.6); p < 0.05], households having women with no education [OR: 1.56 (1.27-1.92); p < 0.05], poorest asset quintile [OR: 1.50 (1.11-2.15); p < 0.05] and the amount of rice consumed per household per week [OR: 0.94 (0.92-0.96); p < 0.001] were found to be significantly and independently associated with child hunger.
Out of the potential risk factors examined, our study found significant and independent association of five variables with child hunger: sex of the household head, household food insecurity status, educational status of household women and asset index. Despite all sampled household being food insecure, degree of household food insecurity status appeared to be the strongest predictor of child hunger.
饥饿与家庭层面的粮食不安全相关，被视为一个对儿童健康有长期不良后果的全球公共卫生问题。本研究旨在从孟加拉国粮食不安全家庭的全国代表性样本中确定与儿童饥饿相关的因素。
数据来源于粮食安全与营养监测项目；属于粮食不安全家庭的14712名6至59个月大的儿童参与了分析。在调查前30天收集了家庭层面的粮食安全信息。描述性统计用于说明所研究的变量，并进行多因素逻辑回归分析以确定儿童饥饿的显著风险因素。
总体上发现10%的儿童处于饥饿状态。在对季节性、居住类型和户主教育水平进行调整后，发现以下变量与儿童饥饿显著且独立相关：女性户主家庭[比值比（OR）：1.87（1.43 - 2.45）；p < 0.001]、严重粮食不安全家庭[OR：10.5（1.43 - 76.6）；p < 0.05]、家中女性未受过教育的家庭[OR：1.56（1.27 - 1.92）；p < 0.05]、最贫困资产五分位数家庭[OR：1.50（1.11 - 2.15）；p < 0.05]以及每户每周大米消费量[OR：0.94（0.92 - 0.96）；p < 0.001]。
在所研究的潜在风险因素中，我们的研究发现五个变量与儿童饥饿存在显著且独立的关联：户主性别、家庭粮食不安全状况、家庭女性教育状况和资产指数。尽管所有抽样家庭都粮食不安全，但家庭粮食不安全状况的程度似乎是儿童饥饿的最强预测因素。
