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Low maternal education and socio‐economic status were associated with household food insecurity in children under five with diarrhoea in Bangladesh
Author(s) -
Chowdhury Mohammad Rocky Khan,
Khan MMH,
Rafiqul Islam Md.,
Perera Nirmala K. P.,
Shumack Matthew K.,
Kader Manzur
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13325
Subject(s) - medicine , environmental health , logistic regression , public health , food insecurity , odds ratio , demography , multilevel model , odds , scale (ratio) , socioeconomic status , developing country , food security , population , geography , economic growth , nursing , cartography , archaeology , pathology , machine learning , sociology , computer science , economics , agriculture
Aim Household food insecurity ( HFI ) is insufficient access to nutritionally safe and adequate foods to meet the dietary needs for an active and healthy life. We examined the prevalence and determinants of HFI in Bangladeshi children under five with diarrhoea. Methods This study included 365 children (55% boys) who had diarrhoea in the two weeks before the 2011 Bangladesh Demographic Health Survey ( BDHS ‐2011). The Household Food Insecurity Access Scale ( HFIAS ) was used to assess HFI and Pearson's chi‐square test and binary logistic regression analysis were used to investigate the association between HFI and multilevel factors. Results The prevalence of HFI among children under five with diarrhoea in the two weeks prior to the BDHS ‐2011 survey was 48%. HFI was significantly higher among the children of uneducated mothers, who were two times more likely to experience HFI , with an adjusted odds ratio ( OR ) of 2.14 and children who were from the lowest socio‐economic status families, who were more than seven times more likely to experience HFI , with an adjusted OR of 7.55. Conclusion Low maternal education and low socio‐economic status were significantly associated with HFI in Bangladeshi children under five with diarrhoea and public health campaigns should take this into account.