Childhood disability and nutrition: Findings from a population-based case control study in rural Bangladesh
journal contributionposted 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.
Number of Pages21
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BangladeshChildhood disabilityMalnutritionEpidemiologyKey informant methodAdolescentBody HeightBody WeightCase-Control StudiesChildChild Nutrition DisordersChild Nutritional Physiological PhenomenaChild, PreschoolDisabled ChildrenFemaleHumansInfantInfant, NewbornMaleNutritional StatusPrevalenceProtein-Energy MalnutritionRural PopulationSocial ClassThinness0908 Food Sciences1111 Nutrition and DieteticsEpidemiology