Urban-rural differences in the associated factors of severe under-5 child undernutrition based on the composite index of severe anthropometric failure (CISAF) in Bangladesh

Severe undernutrition among under-5 children is usually assessed using single or conventional indicators (i.e., severe stunting, severe wasting, and/or severe underweight). But these conventional indicators partly overlap, thus not providing a comprehensive estimate of the proportion of malnourished...

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Bibliographic Details
Published in:BMC public health 2021-11, Vol.21 (1), p.2147-2147, Article 2147
Main Authors: Anik, Asibul Islam, Chowdhury, Mohammad Rocky Khan, Khan, Hafiz T A, Mondal, Md Nazrul Islam, Perera, Nirmala K P, Kader, Manzur
Format: Article
Language:English
Subjects:
Age
Anthropometry
Bangladesh
Bangladesh - epidemiology
Birth weight
Bivariate analysis
Body mass index
Body measurements
Care and treatment
Child
Child Nutrition Disorders - epidemiology
Children
Children & youth
CIAF
CISAF
Cross-Sectional Studies
Data collection
Demographic aspects
Development and progression
Drinking water
Families & family life
Female
Health aspects
Households
Humans
Indicators
Infant
Malnutrition
Malnutrition - epidemiology
Malnutrition in children
Maternal & child health
Methods
Morbidity
Mothers
Parents & parenting
Patient outcomes
Postpartum period
Prevalence
Questionnaires
Regional disparities
Regression analysis
Regression models
Rural areas
Rural Population
Sanitation
Severe child undernutrition
Social aspects
Social factors
Socioeconomic Factors
Socioeconomics
Undernutrition
Underweight
Urban areas
Urban research
Urban-rural disparity
Wealth
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Summary:Severe undernutrition among under-5 children is usually assessed using single or conventional indicators (i.e., severe stunting, severe wasting, and/or severe underweight). But these conventional indicators partly overlap, thus not providing a comprehensive estimate of the proportion of malnourished children in the population. Incorporating all these conventional nutritional indicators, the Composite Index of Severe Anthropometric Failure (CSIAF) provides six different undernutrition measurements and estimates the overall burden of severe undernutrition with a more comprehensive view. This study applied the CISAF indicators to investigate the prevalence of severe under-5 child undernutrition in Bangladesh and its associated socioeconomic factors in the rural-urban context. This study extracted the children dataset from the 2017-18 Bangladesh Demographic Health Survey (BDHS), and the data of 7661 children aged under-5 were used for further analyses. CISAF was used to define severe undernutrition by aggregating conventional nutritional indicators. Bivariate analysis was applied to examine the proportional differences of variables between non-severe undernutrition and severe undernutrition group. The potential associated socioeconomic factors for severe undernutrition were identified using the adjusted model of logistic regression analysis. The overall prevalence of severe undernutrition measured by CISAF among the children under-5 was 11.0% in Bangladesh (rural 11.5% vs urban 9.6%). The significant associated socioeconomic factors of severe undernutrition in rural areas were children born with small birth weight (AOR: 2.84), children from poorest households (AOR: 2.44), and children aged
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-021-12038-3