孟加拉国6至23个月儿童的不健康食品消费及其决定因素：来自2022年人口与健康调查的见解

Unhealthy food consumption and its determinants among children aged 6-23 months in Bangladesh: insights from the Demographic and Health Survey 2022.

作者信息

Hassan Rafid, Hossain Md Shahadoth, Mahbub Md Jarif, Amin Md Ruhul, Saha Sanjib

机构信息

Nutrition Research Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.

Institute of Nutrition and Food Science, University of Dhaka, Dhaka, 1000, Bangladesh.

出版信息

BMC Public Health. 2025 Jul 18;25(1):2498. doi: 10.1186/s12889-025-23668-2.

DOI:10.1186/s12889-025-23668-2

PMID:40682001

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12273152/

Abstract

BACKGROUND

Low- and middle-income countries (LMICs), including Bangladesh, are experiencing a nutritional transition characterized by rising unhealthy food consumption (UFC), which increases the risk of nutrient deficiencies and chronic diseases in children. Despite this concern, research on UFC among Bangladeshi children aged 6-23 months is limited. Therefore, this study aims to estimate the prevalence and identify the factors contributing to UFC in this age group.

METHODS

This study analyzed the Bangladesh Demographic and Health Survey (BDHS) 2022 dataset, including 2,499 children aged 6-23 months. UFC was defined as the consumption of sweetened beverages or sentinel unhealthy foods within the past 24 hours. Multivariate logistic regression was used to identify factors associated with UFC.

RESULTS

The prevalence of UFC among children was 61.8%, with 49.2% consuming sentinel unhealthy foods and 31.4% consuming sweetened beverages. The strongest predictor of UFC was older child aged 18-23 months (AOR: 3.31, 95% CI: 2.55-4.32), and consuming minimum diversified diet (AOR: 2.50, 95% CI: 1.98-3.15). Other significant factors included recent morbidity (AOR: 1.24, 95% CI: 1.01-1.53), maternal employment (AOR: 1.36, 95% CI: 1.04-1.77), media exposure (AOR: 1.28, 95% CI: 1.02-1.59), and lower paternal education [primary (AOR: 1.72, 95% CI: 1.21-2.44); secondary (AOR: 1.58, 95% CI: 1.14-2.18)]. However, maternal decision-making power (AOR: 0.75, 95% CI: 0.58-0.96) and intended pregnancies (AOR: 0.76, 95% CI: 0.59-0.97) were associated with lower odds of UFC. Regional disparities were observed, with higher UFC prevalence in Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur.

CONCLUSION

The study highlights Bangladeshi children's high prevalence of UFC, which demands public health interventions together with integrating behavior change communication into health, community and family-level services.

摘要

背景

包括孟加拉国在内的低收入和中等收入国家（LMICs）正在经历营养转型，其特征是不健康食品消费（UFC）不断增加，这增加了儿童营养缺乏和慢性病的风险。尽管存在这一问题，但关于6至23个月大的孟加拉国儿童UFC的研究有限。因此，本研究旨在估计这一年龄组UFC的患病率，并确定导致UFC的因素。

方法

本研究分析了2022年孟加拉国人口与健康调查（BDHS）数据集，其中包括2499名6至23个月大的儿童。UFC被定义为在过去24小时内饮用含糖饮料或食用特定的不健康食品。采用多因素逻辑回归分析确定与UFC相关的因素。

结果

儿童UFC的患病率为61.8%，其中49.2%的儿童食用特定的不健康食品，31.4%的儿童饮用含糖饮料。UFC的最强预测因素是18至23个月大的儿童（优势比：3.31，95%置信区间：2.55-4.32），以及食用最低多样化饮食（优势比：2.50，95%置信区间：1.98-3.15）。其他重要因素包括近期发病（优势比：1.24，95%置信区间：1.01-1.53）、母亲就业（优势比：·36，95%置信区间：1.04-1.77）、媒体接触（优势比：1.28，95%置信区间：1.02-1.59）以及父亲教育程度较低[小学（优势比：1.72，95%置信区间：1.21-2.44）；中学（优势比：1.58，95%置信区间：1.14-2.18）]。然而，母亲的决策权（优势比：0.75，95%置信区间：0.58-0.96）和计划怀孕（优势比：0.76，95%置信区间：0.59-0.97）与UFC的较低几率相关。观察到地区差异，达卡、库尔纳、迈门辛、拉杰沙希和朗布尔的UFC患病率较高。