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Individual-, maternal- and household-level factors associated with stunting among children aged 0-23 months in Bangladesh

Version 2 2024-06-03, 03:23
Version 1 2024-03-26, 05:22
journal contribution
posted on 2024-06-03, 03:23 authored by Sabuj Kanti Mistry, Md Belal Hossain, Fouzia Khanam, Fahmida Akter, Mahmood Parvez, Fakir Md Yunus, Kaosar Afsana, Mahfuzar Rahman
AbstractObjectiveChildhood stunting remains a major public health concern in Bangladesh. To accelerate the reduction rate of stunting, special focus is required during the first 23 months of a child’s life when the bulk of growth takes place. Therefore the present study explored individual-, maternal- and household-level factors associated with stunting among children under 2 years of age in Bangladesh.DesignData were collected through a nationwide cross-sectional survey conducted between October 2015 and January 2016. A two-stage cluster random sampling procedure was applied to select 11 428 households. In the first stage, 210 enumerations areas (EA) were selected with probability proportional to EA size (180 EA from rural areas, thirty EA from urban slums). In the second stage, an average of fifty-four households were selected from each EA through systematic random sampling.SettingRural areas and urban slums of Bangladesh.ParticipantsA total of 6539 children aged 0–23 months.ResultsOverall, 29·9 % of the children were stunted. After adjusting for all potential confounders in the modified Poisson regression model, child’s gender, birth weight (individual level), maternal education, age at first pregnancy, nutrition (maternal level), administrative division, place of residence, socio-economic status, food security status, access to sanitary latrine and toilet hygiene condition (household level) were significantly associated with stunting.ConclusionsThe study identified a number of potentially addressable multilevel risk factors for stunting among young children in Bangladesh that should be addressed through comprehensive multicomponent interventions.

History

Journal

PUBLIC HEALTH NUTRITION

Volume

22

Pagination

85-94

Location

England

ISSN

1368-9800

eISSN

1475-2727

Language

English

Publication classification

C1.1 Refereed article in a scholarly journal

Issue

1

Publisher

CAMBRIDGE UNIV PRESS