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Childhood disability and nutrition_Findings from a population-based case control study in rural Bangladesh.pdf (1.04 MB)

Childhood disability and nutrition: Findings from a population-based case control study in rural Bangladesh

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journal contribution
posted on 2022-08-01, 22:34 authored by Israt JahanIsrat Jahan, T Karim, Mahmudul Al ImamMahmudul Al Imam, MC Das, KM Ali, M Muhit, Gulam KhandakerGulam Khandaker
Background: Evidence regarding the complex relationship between childhood disability and malnutrition is limited in low and middle income countries. We aimed to measure the association between childhood disability and malnutrition in rural Bangladesh. Method: We conducted a population-based case control study among children aged <18 years in a rural sub-district (i.e., Shahjadpur) in Bangladesh. Children with permanent disability (i.e., Cases) and their age/sex-matched peers (i.e., Controls) were identified from the local community utilizing the key informant method. Socioeconomic, anthropometric, and educational information was collected using a pre-tested questionnaire. Only Cases underwent detailed medical assessment for clinical and rehabilitation information. Descriptive and bivariate analyses were performed. Results: Between October 2017 and February 2018, 1274 Cases and 1303 Controls were assessed. Cases had 6.6 times and 11.8 times higher odds of being severely underweight and severely stunted respectively than Controls. Although epileptic children had the highest overall prevalence of malnutrition, the age/sex-adjusted odds of malnutrition were significantly higher among children with physical impairments. Underweight and/or stunting among children with disability was significantly associated with parental educational qualification, socioeconomic status and mainstream school attendance. Conclusion: The significantly high proportion of severe malnutrition among children with disability calls for urgent action and implementation of inclusive nutrition intervention programs in rural Bangladesh.

History

Volume

11

Issue

11

Start Page

1

End Page

21

Number of Pages

21

eISSN

2072-6643

ISSN

2072-6643

Location

Switzerland

Publisher

MDPI

Publisher License

CC BY

Additional Rights

CC BY 4.0

Language

eng

Peer Reviewed

  • Yes

Open Access

  • Yes

Acceptance Date

2019-11-04

Era Eligible

  • Yes

Medium

Electronic

Journal

Nutrients

Article Number

2728