Gender disparity in minimum dietary diversity failure among currently breastfed children aged 6-23 months in Bangladesh: evidence from Bangladesh Multiple Indicator Cluster Survey, 2019.

IF 2.4 Q3 NUTRITION & DIETETICS
Journal of Nutritional Science Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI:10.1017/jns.2023.89
Md Ismail Hossain, Samia Kabir, Faozia Afia Zinia
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Abstract

Research on children's dietary diversity plays a crucial role in designing effective health interventions. Thus, this study aimed to identify the factors contributing to minimum dietary diversity failure (MDDF) among male and female children aged 6-23 months in Bangladesh. The data for this study was obtained from the Bangladesh Multiple Indicator Cluster Survey, 2019, which included children currently breastfed within a specific age range. Multivariable binary logistic regression was employed to assess the strength and significance of the association. The findings revealed that approximately 59⋅4 % of children in Bangladesh experienced MDDF, with 57⋅8 % of male children and 61 % of female children affected. Proportion test uncovered a significant gender disparity (χ2=6⋅58, P-value = 0⋅01) among children aged 6-23 months. However, the multivariable binary logistic regression analysis revealed that both male and female children shared common risk factors for MDDF, which included child age, maternal educational status, wealth status, number of antenatal care visits, and division. In our study, we observed varied spatial patterns in minimal dietary diversity. Sherpur, Netrokona, Sunamganj, and Sylhet districts showed the highest failure rates. Notably, all are flood-affected areas, impacting food availability and diversity. For targeted regional development programmes, district mapping results may offer valuable insights to policymakers, especially in areas with a high prevalence of dietary diversity failure. By understanding these risk factors, policymakers and stakeholders can implement targeted strategies to improve dietary diversity among children, promoting better health and well-being for the young population in Bangladesh.

孟加拉国目前母乳喂养的6-23个月儿童中最低饮食多样性失败方面的性别差异:来自2019年孟加拉国多指标类集调查的证据。
儿童饮食多样性研究在设计有效的健康干预措施方面起着至关重要的作用。因此,本研究旨在确定在孟加拉国6-23个月的男女儿童中导致最小膳食多样性失败(MDDF)的因素。本研究的数据来自2019年孟加拉国多指标类集调查,其中包括目前在特定年龄范围内母乳喂养的儿童。采用多变量二元逻辑回归来评估这种关联的强度和显著性。调查结果显示,孟加拉国约有59.4%的儿童经历过MDDF,其中57.8%的男孩和61%的女孩受到影响。比例检验结果显示,6 ~ 23月龄儿童性别差异显著(χ2=6⋅58,p值= 0⋅01)。然而,多变量二元logistic回归分析显示,男性和女性儿童具有共同的MDDF危险因素,包括儿童年龄、母亲受教育程度、财富状况、产前检查次数和部门。在我们的研究中,我们观察到最小饮食多样性的不同空间格局。Sherpur、Netrokona、Sunamganj和Sylhet地区的不合格率最高。值得注意的是,这些地区都是受洪水影响的地区,影响了粮食供应和多样性。对于有针对性的区域发展计划,区域测绘结果可能为决策者提供有价值的见解,特别是在饮食多样性缺乏的地区。通过了解这些风险因素,决策者和利益攸关方可以实施有针对性的战略,改善儿童饮食多样性,促进孟加拉国青年人口的健康和福祉。
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来源期刊
Journal of Nutritional Science
Journal of Nutritional Science NUTRITION & DIETETICS-
CiteScore
3.00
自引率
0.00%
发文量
91
审稿时长
7 weeks
期刊介绍: Journal of Nutritional Science is an international, peer-reviewed, online only, open access journal that welcomes high-quality research articles in all aspects of nutrition. The underlying aim of all work should be, as far as possible, to develop nutritional concepts. JNS encompasses the full spectrum of nutritional science including public health nutrition, epidemiology, dietary surveys, nutritional requirements, metabolic studies, body composition, energetics, appetite, obesity, ageing, endocrinology, immunology, neuroscience, microbiology, genetics, molecular and cellular biology and nutrigenomics. JNS welcomes Primary Research Papers, Brief Reports, Review Articles, Systematic Reviews, Workshop Reports, Letters to the Editor and Obituaries.
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