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Spatial variations and determinants of vitamin A and iron rich food consumption among Bangladeshi children aged 6-23 months.

作者信息

Rima Fahmida Sultana, Kundu Satyajit, Tarannum Sumaiya, Jannatul Tabita, Sharif Azaz Bin

机构信息

Department of Public Health, North South University, Dhaka, Bangladesh.

Public Health, School of Medicine and Dentistry, Griffith University, Gold Coast, QLD, 4222, Australia.

出版信息

Sci Rep. 2025 May 23;15(1):17881. doi: 10.1038/s41598-025-92068-8.


DOI:10.1038/s41598-025-92068-8
PMID:40404808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12098975/
Abstract

Consuming foods high in vitamin A and iron is crucial for children's growth and well-being. However, deficiencies remain a public health problem in Bangladesh. This study explores spatial variation and determinants of vitamin A and iron-rich food consumption among children aged 6-23 months. In this study, data from 2528 children from the Bangladesh Demographic and Health Survey (BDHS) 2022 was used. BDHS 2022 employed a cross-sectional study design to collect data. The outcomes measured were vitamin A and iron-rich foods consumption within 24 h preceding the survey by including factors such as mother's age, education, occupation, child age, sex, Antenatal care (ANC) visits, medical illness (diarrhea, fever, cough), use of deworming drugs, wealth index, place of residence, division etc. Spatial patterns were analyzed with ArcGIS version 10.8 and associated factors were assessed using multilevel mixed effect logistic regression model. The prevalence of vitamin A and iron-rich foods consumption was 72% (95% CI 0.70-0.74) and 61.8% (95% CI 0.60-0.64) respectively. Clustering of vitamin A (Moran's I: 0.055, p < 0.001) and iron-rich food (I: 0.101, p < 0.001) consumption was observed, with hot spots in Rangpur, Rajshahi, and Khulna. From the mixed effects logistic regression analysis, maternal employment (aOR = 1.6; 95% CI 1.2-2.0), maternal education (aOR = 2.0; 95% CI 1.1-3.5), paternal education (aOR = 2.0; 95% CI 1.4-3.0), ≥ 4 ANC visits (aOR = 1.7; 95% CI 1.1-2.6), older children aged 18-23 months (aOR = 4.0; 95% CI 3.0-5.3), deworming drugs (aOR = 1.6; 95% CI 1.2-2.2) and residing in Khulna (aOR = 2.3; 95% CI 1.5-3.5), Rajshahi (aOR = 1.9; 95% CI 1.2-2.9) have shown statistically significant association with increased consumption of vitamin A and iron-rich foods. Furthermore, a lower likelihood of iron-rich food consumption was observed among children having diarrhea (aOR = 0.7; 95% CI 0.5-0.9), compared to children who didn't have diarrhea. Poor consumption of vitamin A-rich foods was found in Chittagong (aOR = 0.6; 95% CI 0.4-0.98) and Sylhet (aOR = 0.6; 95% CI 0.4-0.9). The findings revealed significant disparities both in regions and protective factors associated with vitamin A and iron-rich food intake among children in Bangladesh. Understanding these spatial variations and key determinants can guide targeted interventions, particularly in cold spot regions, to improve child nutrition in Bangladesh.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc0/12098975/4a501cd57f5d/41598_2025_92068_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc0/12098975/9769204e70fd/41598_2025_92068_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc0/12098975/c81c4587ac0c/41598_2025_92068_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc0/12098975/4a501cd57f5d/41598_2025_92068_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc0/12098975/9769204e70fd/41598_2025_92068_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc0/12098975/c81c4587ac0c/41598_2025_92068_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cc0/12098975/4a501cd57f5d/41598_2025_92068_Fig3_HTML.jpg

相似文献

[1]
Spatial variations and determinants of vitamin A and iron rich food consumption among Bangladeshi children aged 6-23 months.

Sci Rep. 2025-5-23

[2]
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[3]
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引用本文的文献

[1]
Early Childhood Anemia in Ghana: Prevalence and Predictors Using Machine Learning Techniques.

Children (Basel). 2025-7-12

[2]
Vitamin A rich food consumption and its predictors among children aged 6 up to 23 months old in Ethiopia.

Sci Rep. 2025-7-2

本文引用的文献

[1]
Wealth-related inequality in vitamin A rich food consumption among children of age 6-23 months in Ethiopia; Wagstaff decomposition of the 2019 mini-DHS data.

PLoS One. 2024

[2]
Objective assessment of shared plate eating using a wearable camera in urban and rural households in Ghana.

Front Nutr. 2024-9-12

[3]
Prevalence of Anemia and its associated factors among 6-59 months age children visiting public hospitals at Afar Region, Northeast Ethiopia: a hospital-based cross-sectional study.

BMC Pediatr. 2024-9-17

[4]
The role of parental education and occupation on undernutrition among children under five in Bangladesh: A rural-urban comparison.

PLoS One. 2024

[5]
Vitamin A-related nutrition knowledge gaps and predictors among caregivers of preschool children in Eastern Uganda: a cross-sectional study.

BMC Nutr. 2024-6-11

[6]
Iron-rich food consumption and predictors among children aged 6-59 months old in Ethiopia: A multilevel complex sample analysis of the Ethiopian mini-demographic and health survey 2019 data.

PLoS One. 2024

[7]
A review on vitamin A deficiency and depleted immunity in South Asia: From deficiency to resilience.

Nutrition. 2024-8

[8]
The Iron Metabolism with a Specific Focus on the Functioning of the Nervous System.

Biomedicines. 2024-3-6

[9]
Prevalence and determinants of anemia due to micronutrient deficiencies among children aged 12-59 months in India-Evidence from Comprehensive National Nutrition Survey, 2016-18.

PLOS Glob Public Health. 2024-1-18

[10]
Spatial variation and determinants of inappropriate complementary feeding practice and its effect on the undernutrition of infants and young children aged 6 to 23 months in Ethiopia by using the Ethiopian Mini-demographic and health survey, 2019: spatial and multilevel analysis.

Front Public Health. 2023

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