Chowdhury Tuhinur Rahman, Chakrabarty Sayan, Rakib Muntaha, Winn Stephen, Bennie Jason
Department of Agribusiness and Applied Economics, North Dakota State University, Fargo, ND, 58105, USA.
Centre for Health Research, University of Southern Queensland, Springfield, QLD, 4300, Australia.
Arch Public Health. 2022 Apr 21;80(1):126. doi: 10.1186/s13690-022-00870-x.
Malnutrition is considered a major public health challenge and is associated with a range of health issues, including childhood stunting. Stunting is a reliable and well-recognized indicator of chronic childhood malnutrition. The objective of this study is to determine the risk factors associated with stunting among 17,490 children below five years of age in Bangladesh.
Correlates of child stunting were examined using data generated by a cross-sectional cluster survey conducted in Bangladesh in 2019. The data includes a total of 17,490 children (aged < 5 years) from 64,400 households. Multiple logistic regressions were used to determine the risk factors associated with child stunting and severe stunting.
The prevalence of stunting and severe stunting for children was 25.96% and 7.97%, respectively. Children aged 24 to < 36 months [Odds Ratio (OR) = 2.65, 95% CI: 2.30, 3.05] and aged 36 to < 48 months [OR = 2.33, 95% CI: 2.02, 2.69] had more risk of stunting compared to the children aged < 6 months. Children from Sylhet division had the greatest risk of stunting of all the eight divisions [OR = 1.26, 95% CI: 1.09, 1.46]. Children of secondary complete or higher educated mothers were less likely to develop stunting [OR = 0.66, 95% CI: 0.56, 0.79] compared with children of mothers having no education at all. Similarly, children of secondary complete or higher educated father [OR = 0.74, 95% CI: 0.63, 0.87] were found to have lower risk of stunting compared with children whose father hadn't any education. Substantially lower risk of stunting was observed among children whose mother and father both completed secondary education or above [OR = 0.59, 95% CI: 0.52, 0.69]. Children from the richest households [OR = 0.49, 95% CI: 0.41, 0.58] had 51% lower odds of stunting compared to children from the poorest households.
After controlling for socioeconomic and demographic factors, parental education and household position in the wealth index were found to be the most important determinants of child stunting in Bangladesh.
营养不良被视为一项重大的公共卫生挑战，与一系列健康问题相关，包括儿童发育迟缓。发育迟缓是儿童慢性营养不良的一个可靠且广为人知的指标。本研究的目的是确定孟加拉国17490名五岁以下儿童发育迟缓的相关风险因素。
利用2019年在孟加拉国进行的一项横断面整群调查所产生的数据，对儿童发育迟缓的相关因素进行了研究。数据包括来自64400户家庭的总共17490名儿童（年龄<5岁）。采用多重逻辑回归来确定与儿童发育迟缓和严重发育迟缓相关的风险因素。
儿童发育迟缓和严重发育迟缓的患病率分别为25.96%和7.97%。与6个月以下的儿童相比，24至<36个月龄的儿童[优势比（OR）=2.65，95%置信区间：2.30，3.05]和36至<48个月龄的儿童[OR=2.33，95%置信区间：2.02，2.69]发育迟缓的风险更高。在所有八个分区中，来自锡尔赫特分区的儿童发育迟缓风险最高[OR=1.26，95%置信区间：1.09，1.46]。与母亲完全没有受过教育的儿童相比，母亲受过中等及以上教育的儿童发育迟缓的可能性较小[OR=0.66，95%置信区间：0.56，0.79]。同样，与父亲没有受过任何教育的儿童相比，父亲受过中等及以上教育的儿童[OR=0.74，95%置信区间：0.63，0.87]发育迟缓的风险较低。在父母双方都完成中等及以上教育的儿童中，观察到发育迟缓的风险大幅降低[OR=0.59，95%置信区间：0.52，0.69]。与最贫困家庭的儿童相比，最富有家庭的儿童发育迟缓的几率低51%[OR=0.49，95%置信区间：0.41，0.58]。
在控制了社会经济和人口因素后，发现父母教育程度和家庭在财富指数中的地位是孟加拉国儿童发育迟缓的最重要决定因素。
