Two Level Logistic Regression Model of Factors Influencing in Early Childbearing and its Consequences on Nutritional Status of Bangladeshi Mothers: Nationally Representative Data

K. Sumon, M. Sayem, A. Mamun, P. Bharati, S. Chakrabarty, M. A. Taleb, M. Sabiruzzaman, Md. Golam Hossain
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Abstract

Background: Early marriage and early pregnancy is a social as well as a medical problem in developing countries, which may have an impact on the health and nutritional status of teenage mothers. Therefore, the objective of this study was to determine the influencing factors of early childbearing (ECB) and its consequences on the nutritional status of Bangladeshi mothers. Methods: Data was extracted from Bangladesh Demographic and Health Survey (BDHS-2014). Women who delivered their first baby before the age of 20 years are considered ECB mothers. Nutritional status was measured by body mass index (BMI). Chi-square test and both univariable and multivariable logistic regressions, and z-proportional test were used in this study. Results: The prevalence of ECB among currently non-pregnant mothers in Bangladesh was 83%. The logistic regression model provided the following six risk factors of ECB: (i) living location (division) (p<0.01), (ii) respondents’ education (p<0.05), (iii) husbands’ education (p<0.05), (iv) household wealth quintiles (p<0.01), (v) respondents’ age at first marriage (p<0.05), and (vi) number of family members (p<0.05). Still, 17.6% of mothers were undernourished in Bangladesh; among them, 18.5% and 13.4% were ECB and non- ECB mothers respectively. ECB mothers had a greater risk to be undernourished than non-ECB mothers [COR=1.26, 95% CI: 1.11-1.43; p<0.01]. Conclusions: In this study, some modifiable factors were found as predictors of ECB in Bangladesh. ECB mothers were more prone to become under-nourished. These findings can be considered to reduce the number of ECB mothers in Bangladesh consequently improve their nutritional status.
孟加拉国母亲早育影响因素及其对营养状况影响的两水平Logistic回归模型:全国代表性数据
背景:早婚早孕在发展中国家既是一个社会问题也是一个医疗问题,这可能对少女母亲的健康和营养状况产生影响。因此,本研究的目的是确定早育(ECB)的影响因素及其对孟加拉国母亲营养状况的影响。方法:数据取自孟加拉国人口与健康调查(BDHS-2014)。在20岁之前生下第一个孩子的女性被认为是欧洲央行的母亲。以体重指数(BMI)测定营养状况。本研究采用卡方检验、单变量和多变量logistic回归及z-比例检验。结果:孟加拉国目前未怀孕母亲的ECB患病率为83%。logistic回归模型提供了以下6个ECB风险因素:(i)居住地(分区)(p<0.01), (ii)被调查者的教育程度(p<0.05), (iii)丈夫的教育程度(p<0.05), (iv)家庭财富分位数(p<0.01), (v)被调查者初婚年龄(p<0.05), (vi)家庭成员数(p<0.05)。尽管如此,孟加拉国仍有17.6%的母亲营养不良;其中,18.5%为欧洲央行母亲,13.4%为非欧洲央行母亲。ECB母亲比非ECB母亲有更大的营养不良风险[COR=1.26, 95% CI: 1.11-1.43;p < 0.01)。结论:在本研究中,发现了一些可修改的因素作为孟加拉国央行的预测因素。欧洲央行的母亲更容易营养不良。这些发现可以被认为减少了孟加拉国ECB母亲的数量,从而改善了她们的营养状况。
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