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SOCIOECONOMIC AND DEMOGRAPHIC VARIATION IN NUTRITIONAL STATUS OF UNDER-FIVE BANGLADESHI CHILDREN AND TREND OVER THE TWELVE-YEAR PERIOD 1996–2007

Published online by Cambridge University Press:  13 July 2016

Masuda Mohsena ,
Rie Goto  and
C. G. Nicholas Mascie-Taylor
Masuda Mohsena*
Affiliation:
Department of Community Medicine, Ibrahim Medical College, Dhaka, Bangladesh
Rie Goto
Affiliation:
Department of Biological Anthropology, University of Cambridge, UK
C. G. Nicholas Mascie-Taylor
Affiliation:
Department of Biological Anthropology, University of Cambridge, UK
*
1Corresponding author. Email: [email protected]
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Summary

The nutritional status of under-five-year-old children is a sensitive indicator of a country’s health status as well as economic condition. The objectives of this study were to analyse trends in the nutritional status in Bangladeshi children over the period 1996–2007 and to examine the associations between nutritional and socioeconomic status variables. Bangladesh Demographic Health Surveys (BDHS) were the source of data, and a total of 16,278 children were examined. The Z-scores of the children were analysed as continuous as well as categorical variables (stunted, underweight and wasted). The socioeconomic status variables used were region, urban–rural residence, education and occupation of the parents, house type and household possession score. A series of General Linear Model and Sequential Linear and Binary Logistic Regression analyses were done to assess the relationship between demographic and socioeconomic variables and nutritional status. The trends of Z-scores were analysed by survey, as well as by child birth cohort. Region, house type, educational level of parents and household possession score showed significant associations with all three Z-scores of children after removing the effects of age, period of DHS and other explanatory variables in the model. No significant sex difference was observed between any of the Z-scores. There were improvements in mean WAZ and HAZ between 1996 and 2007 but deterioration in mean WHZ over this period. The obesity rate was below 2% in 2007, although the absolute numbers of obese children had nearly doubled in this 12-year period. Children from poorer households showed greater improvement than their better-off counterparts. The study reveals that over the years there has been substantial improvement in nutritional status of under-five children in Bangladesh and the main gains have been amongst the lower socioeconomic groups; it is also evident that malnutrition in Bangladesh is a multidimensional problem, like poverty itself, and warrants a proper policy mix and programme intervention.

Type
Research Article
Information
Journal of Biosocial Science , Volume 49 , Issue 2 , March 2017 , pp. 222 - 238
Copyright
Copyright © Cambridge University Press, 2016 

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References

Bhutta, Z., Baswany, F., Feroze, A. & Rizv, A. (2009) The impact of the food and economic crisis on child health and nutrition. UNICEF Conference, East Asia and the Pacific Islands. UNICEF, Singapore.Google Scholar
Bulbul, T. & Hoque, M. (2014) Prevalence of childhood obesity and overweight in Bangladesh: findings from a countrywide epidemiological study. BMC Pediatrics 14, 86.CrossRefGoogle ScholarPubMed
Dancer, D., Rammohan, A. & Smith, M. D. (2008) Infant mortality and child nutrition in Bangladesh. Health Economics 17(9), 1015–1035.CrossRefGoogle ScholarPubMed
Das, S., Hossain, M. Z. & Islam, M. A. (2008) Predictors of child chronic malnutrition in Bangladesh. Proceedings of the Pakistan Academy of Sciences 45(3), 137–155.Google Scholar
Frost, M. B., Forste, R. & Haas, D. W. (2005) Maternal education and child nutritional status in Bolivia: finding the links. Social Science & Medicine 60(2), 395–407.CrossRefGoogle ScholarPubMed
Headey, D., Hoddinott, J., Ali, D., Tesfaye, R. & Dereje, M. (2015) The other Asian enigma: explaining the rapid reduction of undernutrition in Bangladesh. World Development 66, 749–761.CrossRefGoogle Scholar
Helen Keller International/Institute of Public Health and Nutrition (2006) Household and Community Level Determinants of Malnutrition in Bangladesh. Helen Keller International, Dhaka, Bangladesh.Google Scholar
Horton, R. & Lo, S. (2013) Nutrition: a quintessential sustainable development goal. Lancet 382(9890), 371–372.CrossRefGoogle ScholarPubMed
Kanjilal, B., Mazumdar, P. G., Mukherjee, M. & Rahman, M. H. (2010) Nutritional status of children in India: household socio-economic condition as the contextual determinant. International Journal for Equity in Health 9(1), 19.CrossRefGoogle ScholarPubMed
Mascie-Taylor, C. G. N. (2010) Research design and statistical methods in both laboratory and field settings. In Mascie-Taylor, C. G. N., Yasukouchi, A. & Ulijaszek, S. (eds) Human Variation – From the Laboratory to the Field. Taylor and Francis, pp. 239–268.CrossRefGoogle Scholar
Mitra, S. N., Al-Sabir, A., Cross, A. R. & Jamil, K. (1997) Bangladesh Demographic and Health Survey, 1996–1997. National Institute of Population Research and Training (NIPORT), Mitra and Associates and Macro International Inc., Dhaka and Calverton, MD.Google Scholar
Mohsena, M., Goto, R. & Mascie-Taylor, C. G. N. (2015) Regional variation in maternal and childhood undernutrition in Bangladesh: evidence from Demographic and Health Surveys. WHO South-East Asia Journal of Public Health 4(2), 139–149.CrossRefGoogle ScholarPubMed
Mohsena, M., Goto, R. & Mascie-Taylor, C. G. N. (2016) Maternal nutritional status (as measured by height, weight and BMI) in Bangladesh: trends and socio-economic association over the period 1996 to 2007. Public Health Nutrition 19(8), 1438–1445.CrossRefGoogle ScholarPubMed
Mohsena, M., Mascie-Taylor, C. N. & Goto, R. (2010) Association between socio-economic status and childhood undernutrition in Bangladesh: a comparison of possession score and poverty index. Public Health Nutrition 13(10), 1498–1504.CrossRefGoogle ScholarPubMed
National Institute of Population Research and Training, Mitra and Associates & ORC Macro (2001) Bangladesh Demographic and Health Survey 1999–2000. National Institute of Population Research and Training (NIPORT), Mitra and Associates (MA) and ORC Macro (ORCM), Dhaka, Bangladesh, and Calverton, MD.Google Scholar
National Institute of Population Research and Training, Mitra and Associates & Macro International Inc . (2005) Bangladesh Demographic and Health Survey 2004. National Institute of Population Research and Training, Mitra and Associates, and Macro International, Dhaka, Bangladesh, and Calverton, MD.Google Scholar
National Institute of Population Research and Training, Mitra and Associates & Macro International Inc . (2009) Bangladesh Demographic and Health Survey 2007. National Institute of Population Research and Training, Mitra and Associates and Macro International, Dhaka, Bangladesh, and Calverton, MD.Google Scholar
Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C. et al. (2014) Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 384(9945), 766–781.CrossRefGoogle ScholarPubMed
Pollack, C. E., Chideya, S., Cubbin, C., Williams, B., Dekker, M. & Braveman, P. (2007) Should health studies measure wealth? A systematic review. American Journal of Preventive Medicine 33(3), 250–264.CrossRefGoogle ScholarPubMed
Rahman, A. & Chowdhury, S. (2007) Determinants of chronic malnutrition among preschool children in Bangladesh. Journal of Biosocial Science 39(2), 161–173.CrossRefGoogle ScholarPubMed
Rahman, S., Islam, M. T. & Alam, D. S. (2014) Obesity and overweight in Bangladeshi children and adolescents: a scoping review. BMC Public Health 14, 70.CrossRefGoogle ScholarPubMed
REACH Partnership (2014) Undernutrition in Bangladesh: A Common Narrative. URL: http://www.reachpartnership.org/documents/312104/fdc17310–1130–47b8–8935–e24ba8cf2e7e.Google Scholar
Smith, L. C., Ruel, M. T. & Ndiaye, A. (2005) Why is child malnutrition lower in urban than in rural areas? Evidence from 36 developing countries. World Development 33(8), 1285–1305.CrossRefGoogle Scholar
United Nations (2005) The Millennium Development Goals Report 2005. United Nations, New York. URL: http://www.un.org/webcast/summit2005/MDGBook.pdf.Google Scholar
Uthman, O. A. (2008) A multilevel analysis of the effect of household wealth inequality on under-five child under-nutrition: evidence from the 2003 Nigeria Demographic and Health Survey. Internet Journal of Nutrition and Wellness 6(2).Google Scholar
Van De Poel, E., Hosseinpoor, A. R., Speybroeck, N., Van Ourti, T. & Vega, J. (2008) Socioeconomic inequality in malnutrition in developing countries. Bulletin of the World Health Organization 86(4), 282–291.CrossRefGoogle ScholarPubMed
Victora, C. G., De Onis, M., Hallal, P. C., Blossner, M. & Shrimpton, R. (2010) Worldwide timing of growth faltering: revisiting implications for interventions. Pediatrics 125(3), e473–e480.CrossRefGoogle ScholarPubMed
WHO Multicentre Growth Reference Study Group (2006) WHO Child Growth Standards based on length/height, weight and age. Acta Paediatrica (Supplement) 450, 76–85.Google Scholar
WHO (2015) Global Strategy on Diet, Physical Activity, and Health: Childhood Overweight and Obesity. URL: http://www.who.int/mediacentre/factsheets/fs311/en/.Google Scholar
Zere, E. & Mcintyre, D. (2003) Inequities in under-five child malnutrition in South Africa. International Journal for Equity in Health 2(1), 7.CrossRefGoogle ScholarPubMed