背景:童年发育迟缓,消瘦和体重不足是重大的公共卫生挑战。对发育迟缓共存的认识存在差距,浪费,孟加拉国五岁以下儿童(5岁以下)体重不足。本研究旨在(I)描述发育迟缓共存的患病率,浪费,和体重不足,以及ii)检查发育迟缓共存的风险因素,浪费,孟加拉国5岁以下儿童体重不足。
方法:这项研究分别包括2014年和2017/18年孟加拉国人口健康调查(BDHS)的6,610名和7,357名5岁以下儿童。发育迟缓共存之间的关联,浪费,使用卡方检验的独立性评估体重不足和自变量。使用负二项回归检查相关自变量的影响。
结果:发育迟缓共存的患病率,浪费,体重不足逐渐从2014年的5.2%下降到2017/18年度的2.7%。出生时体重低的儿童((调整后的发病率比率,aIRR)2.31,95%CI1.64,3.24));36-47个月年龄段的儿童(aIRR2.26,95%CI1.67,3.08);来自社会经济最贫困家庭的儿童(aIRR2.02,95%CI1.36,2.98);未受过正规教育的母亲的孩子(aIRR1.98,95%CI1.25,3.15);体重不足的孩子是最重要的Further,发育迟缓并存的儿童发病率较低,浪费,与2014年调查中的儿童相比,2017-18年调查中观察到体重不足(aIRR0.59,95%CI0.49,0.70).
结论:35名5岁以下儿童中有1名存在发育迟缓,浪费,在孟加拉国体重不足。发育迟缓共存的负担,浪费,体重不足在出生时体重低的儿童中不成比例,社会经济最贫困,没有受过正规教育的母亲,和体重不足的母亲,表明个人的需要,家庭,以及社会层面的干预措施,以减少发育迟缓共存的后果,浪费,和体重不足。
BACKGROUND: Childhood stunting, wasting and underweight are significant public health challenges. There is a gap in knowledge of the coexistence of stunting, wasting, and underweight among children under five years (under-5) in Bangladesh. This
study aims to (i) describe the prevalence of the coexistence of stunting, wasting, and underweight and ii) examine the risk factors for the coexistence of stunting, wasting, and underweight among children under-5 in Bangladesh.
METHODS: This
study included 6,610 and 7,357 under-5 children from Bangladesh Demographic Health Surveys (BDHS) 2014 and 2017/18, respectively. The associations between the coexistence of stunting, wasting, and underweight and independent variables were assessed using the Chi-square test of independence. The effects of associated independent variables were examined using negative binomial regression.
RESULTS: The prevalence of coexistence of stunting, wasting, and underweight gradually declined from 5.2% in 2014 to 2.7% in 2017/18. Children born with low birth weight ((adjusted incidence rate ratios, aIRR) 2.31, 95% CI 1.64, 3.24)); children of age group 36-47 months (aIRR 2.26, 95% CI 1.67, 3.08); children from socio-economically poorest families (aIRR 2.02, 95% CI 1.36, 2.98); children of mothers with no formal education (aIRR 1.98, 95% CI 1.25, 3.15); and children of underweight mothers (aIRR 1.73, 95% CI 1.44, 2.08) were the most important risk factors. Further, lower incidence among children with the coexistence of stunting, wasting, and underweight was observed in the 2017-18 survey (aIRR 0.59, 95% CI 0.49, 0.70) compared to children in the 2014 survey.
CONCLUSIONS: One out of thirty-five under-5 children was identified to have coexistence of stunting, wasting, and underweight in Bangladesh. The burden of coexistence of stunting, wasting, and underweight was disproportionate among children born with low birth weight, socio-economically poorest, a mother with no formal education, and underweight mothers, indicating the need for individual, household, and societal-level interventions to reduce the consequences of coexistence of stunting, wasting, and underweight.