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Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey

BACKGROUND: Childhood malnutrition is a critical public health concern in Pakistan. We aimed to explore factors associated with malnutrition in Pakistani children (< 5 years of age) using the Pakistan Demographic and Health Survey (PDHS) 2012–2013. METHODS: Sample of 3071 Pakistani children aged...

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Autores principales: Khan, Sadaf, Zaheer, Sidra, Safdar, Nilofer Fatimi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444880/
https://www.ncbi.nlm.nih.gov/pubmed/30935382
http://dx.doi.org/10.1186/s12889-019-6688-2
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author Khan, Sadaf
Zaheer, Sidra
Safdar, Nilofer Fatimi
author_facet Khan, Sadaf
Zaheer, Sidra
Safdar, Nilofer Fatimi
author_sort Khan, Sadaf
collection PubMed
description BACKGROUND: Childhood malnutrition is a critical public health concern in Pakistan. We aimed to explore factors associated with malnutrition in Pakistani children (< 5 years of age) using the Pakistan Demographic and Health Survey (PDHS) 2012–2013. METHODS: Sample of 3071 Pakistani children aged 0–59 months from the PDHS 2012–2013, with complete anthropometric measurements were included in the study. Nutritional status was evaluated using anthropometric indices; height-for-age, weight-for-height and weight-for-age, as proxy measures of three forms of under-five malnutrition including stunting, wasting and underweight respectively. Uni- and multivariate binary logistic regressions were used to examine the association between selected maternal-socio-demographic and child level variables (such as child sex, age, size at birth, antenatal clinic visits, recent diarrheal incidence and breastfeeding status) and three proxy measures of child nutritional status. RESULTS: About 44.4% of under-five children were stunted, 29.4% were underweight and 10.7% were wasted. Children whose mothers lived in rural areas (aOR = 0.67, 95%CI 0.48–0.92), were aged ≥18 years at marriage (aOR = 0.76, 95%CI 0.59–0.99) and had visited antenatal clinic more than 3 times during pregnancy (aOR = 0.61, 95%CI 0.38–0.98) were less likely to be stunted. Mother’s low educational level (aOR = 2.55, 95%CI 1.26–5.17), short stature (aOR = 2.31, 95%CI 1.34–3.98), child’s small size at birth (aOR = 1.67, 95%CI 1.14–2.45) and mother’s BMI were significantly associated with child’s underweight status. Children whose mothers had no education were more likely to be wasted (aOR = 3.61, 95%CI 1.33–9.82). CONCLUSION: The study suggests that most of the analysed factors that accounted for malnutrition in Pakistani children (such as mother’s age at marriage, educational level and mothers’ nutritional status) are preventable. Therefore, to reduce the burden of malnutrition interventions that can address these factors are required such as community based education and targeted nutritional interventions.
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spelling pubmed-64448802019-04-12 Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey Khan, Sadaf Zaheer, Sidra Safdar, Nilofer Fatimi BMC Public Health Research Article BACKGROUND: Childhood malnutrition is a critical public health concern in Pakistan. We aimed to explore factors associated with malnutrition in Pakistani children (< 5 years of age) using the Pakistan Demographic and Health Survey (PDHS) 2012–2013. METHODS: Sample of 3071 Pakistani children aged 0–59 months from the PDHS 2012–2013, with complete anthropometric measurements were included in the study. Nutritional status was evaluated using anthropometric indices; height-for-age, weight-for-height and weight-for-age, as proxy measures of three forms of under-five malnutrition including stunting, wasting and underweight respectively. Uni- and multivariate binary logistic regressions were used to examine the association between selected maternal-socio-demographic and child level variables (such as child sex, age, size at birth, antenatal clinic visits, recent diarrheal incidence and breastfeeding status) and three proxy measures of child nutritional status. RESULTS: About 44.4% of under-five children were stunted, 29.4% were underweight and 10.7% were wasted. Children whose mothers lived in rural areas (aOR = 0.67, 95%CI 0.48–0.92), were aged ≥18 years at marriage (aOR = 0.76, 95%CI 0.59–0.99) and had visited antenatal clinic more than 3 times during pregnancy (aOR = 0.61, 95%CI 0.38–0.98) were less likely to be stunted. Mother’s low educational level (aOR = 2.55, 95%CI 1.26–5.17), short stature (aOR = 2.31, 95%CI 1.34–3.98), child’s small size at birth (aOR = 1.67, 95%CI 1.14–2.45) and mother’s BMI were significantly associated with child’s underweight status. Children whose mothers had no education were more likely to be wasted (aOR = 3.61, 95%CI 1.33–9.82). CONCLUSION: The study suggests that most of the analysed factors that accounted for malnutrition in Pakistani children (such as mother’s age at marriage, educational level and mothers’ nutritional status) are preventable. Therefore, to reduce the burden of malnutrition interventions that can address these factors are required such as community based education and targeted nutritional interventions. BioMed Central 2019-04-01 /pmc/articles/PMC6444880/ /pubmed/30935382 http://dx.doi.org/10.1186/s12889-019-6688-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Khan, Sadaf
Zaheer, Sidra
Safdar, Nilofer Fatimi
Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey
title Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey
title_full Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey
title_fullStr Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey
title_full_unstemmed Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey
title_short Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey
title_sort determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 pakistan demographic and health survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444880/
https://www.ncbi.nlm.nih.gov/pubmed/30935382
http://dx.doi.org/10.1186/s12889-019-6688-2
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