Maternal high-risk fertility behavior and association with chronic undernutrition among children under age 5 y in India, Bangladesh, and Nepal: Do poor children have a higher risk?
Maternal high-risk fertility behavior and association with chronic undernutrition among children under age 5 y in India, Bangladesh, and Nepal: Do poor children have a higher risk?
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DOI：
10.1016/j.nut.2017.10.001
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发表时间：
2018-05-01
期刊：
影响因子：
4.4
通讯作者：
Mostofa, Golam
中科院分区：
文献类型：
--
作者：
Rahman, Mosiur;Haque, Syed Emdadul;Mostofa, Golam
目的：我们旨在研究5岁以下儿童中产妇高危生育行为与慢性营养不良之间是否存在关联。此外，我们还探讨了贫困与高危生育行为之间的关系，以及它们在降低儿童营养不良风险方面所起的相对作用。方法：对年龄在15 - 49岁、至少有一个5岁以下儿童的已婚妇女的回答进行分析；并考虑了来自印度、孟加拉国和尼泊尔的三个具有全国代表性的横截面样本。结果：在印度、孟加拉国和尼泊尔，产妇的高危生育行为与儿童慢性营养不良的风险增加有关。多个高风险类别似乎对测量结果有更深远的影响。研究结果还表明，在营养不良的风险方面，贫困母亲或经历过高风险生育的母亲的孩子并不是唯一处于不利地位的。结论：研究结果表明，就慢性营养不良的风险而言，高风险生育行为的负面影响遍及所有经济背景，而不仅仅局限于贫困母亲或高风险生育母亲的孩子。(C) 2017爱思唯尔公司版权所有。
Objectives: We aimed to examine whether an association exists between maternal high-risk fertility behavior and chronic undernutrition among children under 5 y of age. In addition, we explored the relationship between poverty and high-risk fertility behavior and the relative roles they play as obstacles in the reduction of the risk of undernutrition among children.Methods: The analysis was based on responses from married women ages 15 to 49 who lived with at least one child under the age of 5; and three cross-sectional, nationally representative samples from India, Bangladesh, and Nepal were considered.Results: Maternal high-risk fertility behavior was associated with an increased risk of chronic undernutrition among children in India, Bangladesh, and Nepal. Multiple high-risk categories appeared to have more profound consequences on the outcomes measured. Findings also demonstrated that with regard to the risk of undernutrition, children of mothers who were either poor or who experienced high-risk fertility were not uniquely disadvantaged.Conclusions: The results suggest that with regard to the risk of chronic undernutrition, the negative effect of high-risk fertility behavior extends across all economic backgrounds and is not limited to children of mothers who were either poor or who experienced high-risk fertility. (C) 2017 Elsevier Inc. All rights reserved.