{"title":"孟加拉国6-23个月儿童的不健康食品消费及其决定因素：来自2022年人口与健康调查的见解。","authors":"Rafid Hassan, Md Shahadoth Hossain, Md Jarif Mahbub, Md Ruhul Amin, Sanjib Saha","doi":"10.1186/s12889-025-23668-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Low- and middle-income countries (LMICs), including Bangladesh, are experiencing a nutritional transition characterized by rising unhealthy food consumption (UFC), which increases the risk of nutrient deficiencies and chronic diseases in children. Despite this concern, research on UFC among Bangladeshi children aged 6-23 months is limited. Therefore, this study aims to estimate the prevalence and identify the factors contributing to UFC in this age group.</p><p><strong>Methods: </strong>This study analyzed the Bangladesh Demographic and Health Survey (BDHS) 2022 dataset, including 2,499 children aged 6-23 months. UFC was defined as the consumption of sweetened beverages or sentinel unhealthy foods within the past 24 hours. Multivariate logistic regression was used to identify factors associated with UFC.</p><p><strong>Results: </strong>The prevalence of UFC among children was 61.8%, with 49.2% consuming sentinel unhealthy foods and 31.4% consuming sweetened beverages. The strongest predictor of UFC was older child aged 18-23 months (AOR: 3.31, 95% CI: 2.55-4.32), and consuming minimum diversified diet (AOR: 2.50, 95% CI: 1.98-3.15). Other significant factors included recent morbidity (AOR: 1.24, 95% CI: 1.01-1.53), maternal employment (AOR: 1.36, 95% CI: 1.04-1.77), media exposure (AOR: 1.28, 95% CI: 1.02-1.59), and lower paternal education [primary (AOR: 1.72, 95% CI: 1.21-2.44); secondary (AOR: 1.58, 95% CI: 1.14-2.18)]. However, maternal decision-making power (AOR: 0.75, 95% CI: 0.58-0.96) and intended pregnancies (AOR: 0.76, 95% CI: 0.59-0.97) were associated with lower odds of UFC. Regional disparities were observed, with higher UFC prevalence in Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur.</p><p><strong>Conclusion: </strong>The study highlights Bangladeshi children's high prevalence of UFC, which demands public health interventions together with integrating behavior change communication into health, community and family-level services.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2498"},"PeriodicalIF":3.5000,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273152/pdf/","citationCount":"0","resultStr":"{\"title\":\"Unhealthy food consumption and its determinants among children aged 6-23 months in Bangladesh: insights from the Demographic and Health Survey 2022.\",\"authors\":\"Rafid Hassan, Md Shahadoth Hossain, Md Jarif Mahbub, Md Ruhul Amin, Sanjib Saha\",\"doi\":\"10.1186/s12889-025-23668-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Low- and middle-income countries (LMICs), including Bangladesh, are experiencing a nutritional transition characterized by rising unhealthy food consumption (UFC), which increases the risk of nutrient deficiencies and chronic diseases in children. Despite this concern, research on UFC among Bangladeshi children aged 6-23 months is limited. Therefore, this study aims to estimate the prevalence and identify the factors contributing to UFC in this age group.</p><p><strong>Methods: </strong>This study analyzed the Bangladesh Demographic and Health Survey (BDHS) 2022 dataset, including 2,499 children aged 6-23 months. UFC was defined as the consumption of sweetened beverages or sentinel unhealthy foods within the past 24 hours. Multivariate logistic regression was used to identify factors associated with UFC.</p><p><strong>Results: </strong>The prevalence of UFC among children was 61.8%, with 49.2% consuming sentinel unhealthy foods and 31.4% consuming sweetened beverages. The strongest predictor of UFC was older child aged 18-23 months (AOR: 3.31, 95% CI: 2.55-4.32), and consuming minimum diversified diet (AOR: 2.50, 95% CI: 1.98-3.15). Other significant factors included recent morbidity (AOR: 1.24, 95% CI: 1.01-1.53), maternal employment (AOR: 1.36, 95% CI: 1.04-1.77), media exposure (AOR: 1.28, 95% CI: 1.02-1.59), and lower paternal education [primary (AOR: 1.72, 95% CI: 1.21-2.44); secondary (AOR: 1.58, 95% CI: 1.14-2.18)]. However, maternal decision-making power (AOR: 0.75, 95% CI: 0.58-0.96) and intended pregnancies (AOR: 0.76, 95% CI: 0.59-0.97) were associated with lower odds of UFC. Regional disparities were observed, with higher UFC prevalence in Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur.</p><p><strong>Conclusion: </strong>The study highlights Bangladeshi children's high prevalence of UFC, which demands public health interventions together with integrating behavior change communication into health, community and family-level services.</p>\",\"PeriodicalId\":9039,\"journal\":{\"name\":\"BMC Public Health\",\"volume\":\"25 1\",\"pages\":\"2498\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-07-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273152/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12889-025-23668-2\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12889-025-23668-2","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Unhealthy food consumption and its determinants among children aged 6-23 months in Bangladesh: insights from the Demographic and Health Survey 2022.
Background: Low- and middle-income countries (LMICs), including Bangladesh, are experiencing a nutritional transition characterized by rising unhealthy food consumption (UFC), which increases the risk of nutrient deficiencies and chronic diseases in children. Despite this concern, research on UFC among Bangladeshi children aged 6-23 months is limited. Therefore, this study aims to estimate the prevalence and identify the factors contributing to UFC in this age group.
Methods: This study analyzed the Bangladesh Demographic and Health Survey (BDHS) 2022 dataset, including 2,499 children aged 6-23 months. UFC was defined as the consumption of sweetened beverages or sentinel unhealthy foods within the past 24 hours. Multivariate logistic regression was used to identify factors associated with UFC.
Results: The prevalence of UFC among children was 61.8%, with 49.2% consuming sentinel unhealthy foods and 31.4% consuming sweetened beverages. The strongest predictor of UFC was older child aged 18-23 months (AOR: 3.31, 95% CI: 2.55-4.32), and consuming minimum diversified diet (AOR: 2.50, 95% CI: 1.98-3.15). Other significant factors included recent morbidity (AOR: 1.24, 95% CI: 1.01-1.53), maternal employment (AOR: 1.36, 95% CI: 1.04-1.77), media exposure (AOR: 1.28, 95% CI: 1.02-1.59), and lower paternal education [primary (AOR: 1.72, 95% CI: 1.21-2.44); secondary (AOR: 1.58, 95% CI: 1.14-2.18)]. However, maternal decision-making power (AOR: 0.75, 95% CI: 0.58-0.96) and intended pregnancies (AOR: 0.76, 95% CI: 0.59-0.97) were associated with lower odds of UFC. Regional disparities were observed, with higher UFC prevalence in Dhaka, Khulna, Mymensingh, Rajshahi, and Rangpur.
Conclusion: The study highlights Bangladeshi children's high prevalence of UFC, which demands public health interventions together with integrating behavior change communication into health, community and family-level services.
期刊介绍：
BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.
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