The effect of birth interval on malnutrition in Bangladeshi infants and young children
The effect of birth interval on malnutrition in Bangladeshi infants and young children
复制标题
DOI：
10.1017/s0021932000002893
复制
发表时间：
2000-07-01
影响因子：
1.5
通讯作者：
Ahmed, S
中科院分区：
文献类型：
--
作者：
Mozumder, ABMKA;Barkat-E-Khuda;Ahmed, S
本研究旨在调查出生间隔时间对婴儿和6-39个月儿童营养不良的独立影响。本研究的数据来自1988年12月至12月期间在孟加拉国Sirajgani区的Sirajganj和坦盖尔区的Gopalpur进行的洪水后调查。这项调查记录了1887名儿童的体重。交叉表和逻辑回归程序被应用于分析数据。年龄别体重低于NCHS中位数的70%（中度至严重营养不良）和60%（严重营养不良）的儿童比例与先前和随后的出生间隔的不同持续时间制成表格。研究人员计算了不同出生间隔的婴儿出现中度或重度营养不良的几率，并控制了以下因素：存活的年长兄弟姐妹的数量;母亲的教育程度和年龄;住房面积（财富的代表）;指数儿童的年龄和性别;以及指数儿童在过去2周内腹泻的患病率。大约三分之一的婴儿和幼儿中度营养不良，严重营养不良年龄别体重低于60%的儿童比例随生育间隔时间、母亲受教育程度和居住面积的增加而下降。营养不良儿童的比例随着年龄较大的幸存儿童的人数而增加。如果儿童是女性，母亲受教育程度较低，有几个兄弟姐妹，并且之前或之后的兄弟姐妹在24个月内出生，则儿童营养不良的风险较高。这项研究表明，较长的生育间隔对减少儿童营养不良具有潜在的重要性。
This study was undertaken to investigate the independent effect of the length of birth interval on malnutrition in infants, and children aged 6-39 months. Data for this study were drawn from a post-flood survey conducted during October-December 1988 at Sirajganj of the Sirajgani district and at Gopalpur of the Tangail district in Bangladesh. The survey recorded the individual weights of 1887 children. Cross-tabulations and logistic regression procedures were applied to analyse the data. The proportion of children whose weight-for-age was below 70% (moderate-to-severely malnourished) and 60% (severely malnourished) of the NCHS median was tabulated against various durations of previous and subsequent birth intervals. The odds of being moderately or severely malnourished were computed for various birth intervals, controlling for: the number of older surviving siblings; maternal education and age; housing area (a proxy for wealth); age and sex of the index child; and the prevalence of diarrhoea in the previous 2 weeks for the index child.About one-third of infants and young children were moderately malnourished and 15% were severely malnourished. The proportion of children who were under 60% weight-for-age decreased with the increase in the length of the subsequent birth interval, maternal education and housing area. The proportion of malnourished children increased with the number of older surviving children. Children were at higher risk of malnutrition if they were female, their mothers were less educated, they had several siblings, and either previous or subsequent siblings were born within 24 months. This study indicates the potential importance of longer birth intervals in reducing malnutrition in children.