Prevalence and Determinants of Stunting Among Preschool Children and Its Urban-Rural Disparities in Bangladesh
Prevalence and Determinants of Stunting Among Preschool Children and Its Urban-Rural Disparities in Bangladesh
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DOI：
10.1177/0379572118794770
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发表时间：
2018-12-01
影响因子：
1.9
通讯作者：
Sarker, Abdur Razzaque
中科院分区：
文献类型：
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作者：
Akram, Raisul;Sultana, Marufa;Sarker, Abdur Razzaque
背景：尽管过去十年在降低儿童发育迟缓率方面取得了进展，但在孟加拉国，营养不良仍然是一个公共卫生问题，那里的幼儿最容易受到伤害。目的：这项研究的目的是捕捉孟加拉国儿童发育迟缓的流行率和决定因素，并记录其城乡差异。方法：这项研究使用了2014年孟加拉国人口与健康调查的数据。进行双变量分析以找出发育迟缓患病率的差异，并进行多变量Logistic回归分析以评估发育迟缓与潜在危险因素的关系。结果：儿童发育迟缓总患病率为36.3%，农村(38.1%)明显高于城市(31.2%)。在所有三个回归模型中，36至47个月的儿童与6至12个月的儿童以及来自最贫穷家庭的儿童相比，患病几率明显更高。在农村地区，男性儿童明显更有可能发育不良(优势比=1.31；95%可信区间：1.12-1.53)。儿童发育迟缓的其他重要危险因素是母亲教育和体重指数、儿童腹泻、最初的母乳喂养和行政区划。结论：孟加拉国5岁以下儿童的发育迟缓在城市和农村地区存在差异，需要减少。公共卫生政策和干预措施需要分别考虑城市和农村地区的风险因素。
Background: Despite improvements in the reduction of child stunting rates over the last decade, poor nutritional status still remains a public health concern in Bangladesh, where young children are the most vulnerable. Objective: The objective of this study is to capture the prevalence and determinants of childhood stunting and document its urban-rural disparities in the context of Bangladesh. Methods: The study used data from the Bangladesh Demographic and Health Survey of 2014. A bivariate analysis was performed to find out the differentials in prevalence of stunting, and multivariate logistic regression was performed to also assess the association of stunting with potential risk factors. Results: The overall prevalence of stunting was 36.3% and was significantly higher in rural (38.1%) areas than urban (31.2%) areas. In all 3 regression models, significantly higher odds were found among children aged 36 to 47 months compared to 6 to 12 months and among the children from the poorest households. In rural areas, male children were significantly more likely to be stunted (odds ratio = 1.31; 95% confidence interval: 1.12-1.53). Other significant risk factors for childhood stunting were maternal education and body mass index, children suffering from diarrhea, initial breast-feeding, and administrative divisions. Conclusions: Disparities exist among urban and rural areas regarding stunting among the children younger than 5 in Bangladesh, which need to be reduced. Public health policies and interventions need to consider the risk factors in urban and rural areas separately.