童婚对孟加拉国五岁以下儿童营养状况的影响:来自2011年、2014年和2017-18年孟加拉国人口与健康调查数据的证据

Murad Alam Khan, Md Ahshanul Haque, M. Tariqujjaman, M. Sarmin, Tahmeed Ahmed, M. Mahfuz
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摘要

童婚仍然是孟加拉国的一个重大问题,该国有 3 800 万女孩在 18 岁之前结婚。童婚对其后代的健康和营养状况造成不利影响。本研究分析了 2011 年、2014 年和 2017-2018 年进行的孟加拉国人口与健康调查(BDHS)的数据。研究人员使用了描述性统计和多元逻辑回归分析,控制了潜在的社会经济和人口变量,并在所有分析中使用 Stata 调整了样本权重。结果显示,73% 的妇女在 18 岁之前结婚。童婚母亲所生子女发育迟缓的几率比正常儿童高出 19%,体重不足的几率比正常儿童高出 13%,但消瘦与母亲童婚没有直接关系。调整后的分析表明,童婚与发育迟缓(调整后的几率比(aOR):1.19;95% 置信区间(CI):1.08,1.33)、体重不足(aOR:1.13;95% CI:1.01,1.26)和消瘦(aOR:1.05;95% CI:0.97,1.13)显著相关。这项研究发现,童婚现象非常普遍。母性童婚与五岁以下儿童发育迟缓和体重不足有很大关系。需要探索这些关联的内在机制,以制定有效的干预措施来解决这些问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of child marriage on nutritional status among their under‐five children in Bangladesh: Evidence from Bangladesh Demographic and Health Survey data 2011, 2014 and 2017–18
Child marriage remains a significant concern in Bangladesh, where 38 million girls are married before reaching the age of 18. Child marriage contributes adversely to the health and nutritional status of their offspring. The current analysis investigated the association between maternal child marriage and nutritional outcomes including stunting, wasting and underweight of their under‐five children.This study analyzed data from the Bangladesh Demographic and Health Surveys (BDHS) conducted in 2011, 2014 and 2017–2018. The researchers used descriptive statistics and multiple logistic regression analyses, controlling for potential socioeconomic and demographic variables, and adjusted the sample weight in all analyses using Stata.The analyses included pooled data of 25 323 ever‐married women and their under‐five children. Results showed that 73% of women were married before the age of 18. Children born to mothers married as children themselves were 19% more likely to be stunted and 13% was underweight but wasting wasn't directly linked to maternal child marriage. Adjusted analysis showed that child marriage was significantly associated with stunting [adjusted odds ratio (aOR): 1.19; 95% confidence interval (CI): 1.08, 1.33], underweight (aOR: 1.13; 95% CI: 1.01, 1.26), wasting (aOR: 1.05; 95% CI: 0.97, 1.13).This study observed a high prevalence of child marriage. Maternal child marriage was significantly associated with stunting, and underweight of their under‐five children. Mechanisms underlying these associations need to be explored to develop effective interventions to address these issues.
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