Determinants of child wasting in Bhutan. Insights from nationally representative data
| Autor: | Nina Badgaiyan, Víctor M Aguayo, Laigden Dzed |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Child feeding Nutritional Status Medicine (miscellaneous) Odds 03 medical and health sciences 0302 clinical medicine Environmental health Epidemiology Prevalence Humans Nutritional Epidemiology Medicine 030212 general & internal medicine Multiple indicator Bhutan Infant Nutritional Physiological Phenomena Children Infant feeding Wasting 030109 nutrition & dietetics Nutrition and Dietetics Wasting Syndrome business.industry Body Weight Infant Newborn Public Health Environmental and Occupational Health Infant Feeding Behavior Research Papers Severe wasting Poor Feeding Female medicine.symptom business |
| Zdroj: | Public Health Nutrition |
| ISSN: | 1475-2727 1368-9800 |
| DOI: | 10.1017/s1368980016002111 |
| Popis: | ObjectiveTo characterize the epidemiology of wasting and identify the main predictors of wasting, severe wasting and poor weight-for-height in children.DesignWe analysed a nationally representative sample of 2028 children (Multiple Indicator Survey, 2010).SettingRoyal Kingdom of Bhutan.SubjectsChildren aged 0–23 months.ResultsWasting prevalence was significantly higher among infants aged 0–11 months than among children aged 12–23 months (12·0 v. 6·7 %; P=0·004) and among boys than girls (11·0 v. 7·5 %; P=0·04). Children from the Western region had 63 % higher odds of being wasted than children from the Central/Eastern regions (adjusted OR (AOR)=1·63; 95 % CI 1·14, 2·34). Poor feeding practices were among the most significant predictors of wasting and severe wasting. Children who were given prelacteal feeds in the first days of life had 2·5 times higher odds of being severely wasted than those who were not (AOR=2·49; 95 % CI 1·19, 5·19); inadequate complementary feeding in children aged 0–23 months was associated with 58 % higher odds of being wasted (AOR=1·58; 95 % CI 1·02, 2·47) and 2·3 times higher odds of being severely wasted (AOR=2·28; 95 % CI 1·13, 4·58). The association of poor infant feeding practices with wasting and severe wasting was particularly significant in infants (0–11 months).ConclusionsProgrammes for the detection and treatment of severely wasted children need to prioritize very young children (0–11 months), particularly in the Western region. Programmes for the prevention of wasting need to prioritize the improvement of complementary foods and feeding practices in children aged 6–23 months. |
| Databáze: | OpenAIRE |
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