Chowdhury Tuhinur Rahman, Chakrabarty Sayan, Rakib Muntaha, Afrin Sabiha, Saltmarsh Sue, Winn Stephen
Department of Economics, Shahjalal University of Science & Technology, Sylhet Kumargaon, Sylhet 3114, Bangladesh.
University of Southern Queensland, Springfield, QLD 4300, Australia.
Heliyon. 2020 Sep 14;6(9):e04849. doi: 10.1016/j.heliyon.2020.e04849. eCollection 2020 Sep.
Child undernutrition has been a major concern for Bangladesh as it is amongst the highest stunting and wasting prevalent countries in the world. The objective of our study was to explore the socioeconomic determinants of stunting and wasting in children under two years. This study explored nationally representative sample of 7,230 children ranging in age from 0 to <24 months using two separate binary logistic regression models to determine the risk factors associated with child stunting and wasting. Our study estimated approximately 33 percent children to be stunted and 11 percent to be wasted. Our analysis found that, 12 to <24 months old children's height-for-age-z-score and weight-for-height-z-score deteriorated in comparison to those of below 6 months. Female children had significantly lower odds of stunting and wasting compared with male children. Study revealed that children from wealthier families were at lower risk of being stunted and wasted compared to children from poorer households. Parental education was determined as a significant predictor of stunting. Children who lived in Sylhet division were 1.26 times more likely to be stunted than the children of Dhaka division [OR = 1.26; 95% CI: 1.02-1.55]. Our study revealed age, gender, geographic distribution, and household's position in wealth index as common determinants of child stunting and wasting in Bangladesh. While parental education was significant predictor for child stunting, type of toilet facility was found as statistically significant determinant of child wasting in children of less than two years age.
儿童营养不良一直是孟加拉国的一个主要问题，因为该国是世界上发育迟缓与消瘦发生率最高的国家之一。我们研究的目的是探究两岁以下儿童发育迟缓和消瘦的社会经济决定因素。本研究使用两个独立的二元逻辑回归模型，对7230名年龄在0至24个月以下的具有全国代表性的儿童样本进行了探究，以确定与儿童发育迟缓和消瘦相关的风险因素。我们的研究估计，约33%的儿童发育迟缓，11%的儿童消瘦。我们的分析发现，与6个月以下儿童相比，12至24个月大儿童的年龄别身高Z评分和身高别体重Z评分有所下降。女童发育迟缓和消瘦的几率显著低于男童。研究表明，与贫困家庭的儿童相比，富裕家庭的儿童发育迟缓和消瘦的风险较低。父母教育程度被确定为发育迟缓的一个重要预测因素。生活在锡尔赫特地区的儿童发育迟缓的可能性是达卡地区儿童的1.26倍[比值比=1.26；95%置信区间：1.02-1.55]。我们的研究表明，年龄、性别、地理分布和家庭在财富指数中的位置是孟加拉国儿童发育迟缓和消瘦的共同决定因素。虽然父母教育程度是儿童发育迟缓的重要预测因素，但在两岁以下儿童中，厕所设施类型被发现是儿童消瘦的统计学显著决定因素。
