Institute of Statistical Research and Training, University of Dhaka, Dhaka, Bangladesh.
PLoS One. 2024 Mar 21;19(3):e0300403. doi: 10.1371/journal.pone.0300403. eCollection 2024.
Functional difficulty in children is a crucial public health problem still undervalued in developing countries. This study explored the socio-demographic factors and anthropometry associated with children's functional difficulty in Bangladesh. Data for 2-4-year-old children, obtained from Multiple Indicator Cluster Survey 2019, were used in this study. The mixed-effects logistic regression model was used to analyse the data. Children whose mothers had functional difficulty were found to be 2.75 times more likely to have functional difficulty than children whose mothers had no functional difficulty (95% CI 1.63-4.63). Male children were more likely to experience functional difficulty than female children (OR = 1.48). Furthermore, stunting was found to be significantly associated with functional difficulty (OR = 1.50). The study also revealed that division and mother's education, specifically, children with mothers having higher secondary + education, had significant association with the outcome variable. The findings provided a vital overview of child disability in a developing country.
儿童功能障碍是一个至关重要的公共卫生问题,但在发展中国家仍未得到足够重视。本研究探讨了与孟加拉国儿童功能障碍相关的社会人口因素和人体测量学因素。本研究使用了 2019 年多指标类集调查中 2-4 岁儿童的数据。采用混合效应逻辑回归模型对数据进行分析。与母亲无功能障碍的儿童相比,母亲有功能障碍的儿童发生功能障碍的可能性高 2.75 倍(95%CI 1.63-4.63)。男童比女童更有可能出现功能障碍(OR=1.48)。此外,发育迟缓与功能障碍显著相关(OR=1.50)。研究还表明,分区和母亲的教育,特别是母亲接受过高中及以上教育的儿童,与因变量有显著关联。研究结果提供了发展中国家儿童残疾的重要概述。