The Effects of Birth Spacing on Nutritional Status in the form of Stunting of Under Five Children in Bangladesh: Evidence Based on BDHS, 2014 Data

Mahfuzur Rahman Khokan
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引用次数: 1

Abstract

In this paper, it has been examined the effect of preceding birth interval on nutritional status in the form of Stunting of the children aged under 5 years of age in Bangladesh.For the purpose of the analysis, Bangladesh Demographic and Health Survey (BDHS), 2014 data has been used. The study cases are the children under 5 years aged born during last delivery of their mother. The response variable is Nutritional Status of under 5 year children in the form of stunting. The key independent variables is the length of the preceding birth interval, measured as the number of months between the births of the child under study.Bivariate analysis along with a Chi-square test has been performed to examine the association between preceding birth interval and stunting of the children. To determine the effect of preceding birth interval, three different logistic regression models (Model-I: considering only the preceding birth intervals, Model-II: covariate of model-I along with demographic and socioeconomic factors and Model-III: covariates of model-II along with health related factors) were considered.  The occurrence of stunting has been found to be inversely related with the preceding birth interval for the children aged under 5 years in Bangladesh. This inverse association has been found statistically significant for three models.After adjusting the demographic, socio-economic and health-related factors, the OR (odds ratio) shows that the percentage of being stunted is 73% higher for the children whose preceding birth interval is less than 24 (<24) while it is 37% higher for the children whose preceding birth interval is between months compared to whose birth interval is more than 60 (60>) months with 99% confidence interval (1.27, 2.36)***and (1.07, 1.45)***respectively. Dhaka Univ. J. Sci. 67(2): 139-144, 2019 (July)
出生间隔对孟加拉国五岁以下儿童营养状况(表现为发育迟缓)的影响:基于BDHS的证据,2014年数据
在这篇论文中,它已经检查了之前的出生间隔对营养状况的影响,在孟加拉国的5岁以下儿童发育迟缓的形式。为进行分析,使用了2014年《孟加拉国人口与健康调查》的数据。研究案例是母亲最后一次分娩时出生的5岁以下儿童。反应变量是5岁以下儿童的营养状况,表现为发育迟缓。关键的自变量是前出生间隔的长度,以被研究儿童出生之间的月数来衡量。采用双变量分析和卡方检验来检验产前间隔与儿童发育迟缓之间的关系。为了确定前生育间隔的影响,考虑了三种不同的逻辑回归模型(模型1:仅考虑前生育间隔,模型2:模型1的协变量与人口统计学和社会经济因素,模型3:模型2的协变量与健康相关因素)。在孟加拉国,已发现5岁以下儿童发育迟缓的发生与之前的出生间隔成反比。这种负相关关系在三个模型中具有统计学意义。在调整了人口统计学、社会经济和健康相关因素后,OR(比值比)显示,前出生间隔小于24个月的儿童发育迟缓的比例高出73%,其99%的置信区间分别为(1.27,2.36)***和(1.07,1.45)***。达卡大学学报(自然科学版),67(2):139- 144,2019 (7)
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