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首页> 外文期刊>Indian journal of public health. >Dynamics in child undernutrition in Bangladesh: Evidence from nationally representative surveys between 1997 and 2014
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Dynamics in child undernutrition in Bangladesh: Evidence from nationally representative surveys between 1997 and 2014

机译：孟加拉国儿童营养不良的动态：1997年至2014年间全国代表性调查的证据

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Background: Bangladesh has been struggling to reduce the prevalence of childhood undernutrition, which impedes physical and mental capability and accelerates morbidity and mortality. Objectives: The objective of the paper is to examine the changes over time in the association between potential covariates and nutritional status of Bangladeshi children. Methods: The study combined and analyzed data from six waves of Demographic and Health Surveys between 1997 and 2014. Multivariable binary logistic regression models have been fitted to data from individual waves. Overall association has been investigated using forest plots, and meta-regression has been utilized to assess the pace of change in the association over time. Results: Parental education and place of residence showed a consistent association with nutritional status of children. Children from parents with no little education were more likely to be undernourished than those from parents with secondary or higher level of education (odds ratio [OR] in 1997 = 3.34, 95% confidence interval [CI] = 2.65–4.22, OR in 2004 = 1.93, 95% CI = 1.58–2.37). On the other hand, gaps in the association of wealth and childhood nutrition have been widening consistently so that in 2014 children from households from the lowest 40% wealth category were 2.66 times (OR = 2.66, 95% CI = 2.13–3.33) as likely as to be undernourished than those from upper 20%. Conclusions: The findings have policy implications in terms of developing programs directed to mothers with a relatively poor socioeconomic background. A specific example would be providing nutritional education in relation to importance of childhood nutrition or cheaper nutritious food.
机译：背景：孟加拉国一直在努力减少儿童营养不良的患病率，这阻碍了身心健康，并加速了发病率和死亡率。目标：本文的目的是研究孟加拉儿童潜在协变量与营养状况之间的关联随时间的变化。方法：本研究合并并分析了1997年至2014年之间六次人口与健康调查中的数据。多变量二元logistic回归模型已适用于个别波浪中的数据。已使用森林图调查了整体关联，并且使用了元回归来评估关联随时间变化的步伐。结果：父母的教育程度和居住地与儿童的营养状况保持一致。那些受过很少教育的父母的孩子比受过中等或更高学历的父母的孩子更容易营养不良（1997年的几率[OR] = 3.34，95％的置信区间[CI] = 2.65–4.22，或2004年的OR） = 1.93，95％CI = 1.58-2.37）。另一方面，财富与儿童营养之间的关联性差距一直在扩大，因此，2014年，来自40％最低财富类别的家庭的孩子的可能性是2.66倍（OR = 2.66，95％CI = 2.13–3.33）营养不足的比例要高于最高20％的人群。结论：这些发现对针对社会经济背景相对较弱的母亲制定计划具有政策意义。一个具体的例子是提供有关儿童营养或廉价营养食品重要性的营养教育。

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