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Prevalence and factors associated with underweight children: a population-based subnational analysis from Pakistan

dc.contributor.authorKumar, Ramesh
dc.contributor.authorAbbas, Faisal
dc.contributor.authorMahmood, Tahir
dc.contributor.authorSomrongthong, Ratana
dc.date.accessioned2019-12-04T11:55:28Z
dc.date.available2019-12-04T11:55:28Z
dc.date.issued2019de
dc.relation.ISSN2044-6055de
dc.identifier.urihttp://resolver.sub.uni-goettingen.de/purl?gs-1/16839
dc.description.abstractOBJECTIVES: This study aims to determine the prevalence of and factors associated with underweight children under the age of 5 in Punjab, Pakistan. DESIGN: We analysed cross-sectional household-level subnationally representative Multiple Indicator Cluster Survey. SETTINGS: Punjab province, Pakistan. PARTICIPANTS: 24 042 children under 5 years of age. DATA ANALYSIS: Multilevel multivariate logistic regression analysis. RESULTS: Prevalence of moderately and severely underweight children was found to be (33.3% and 11.3%, respectively). Multivariate multilevel logistic regression results show that as the child grows older the likelihood of the child being underweight increases significantly (eg, children between 12 and 23 months are one and half times more likely to be underweight, whereas children between the ages of 36 and 47 months are two and a half times more likely to be underweight). Gender was found to be another significant factor contributing to underweight prevalence among children under the age of 5. The likelihood of a girl child being underweight is more than that of a boy child being underweight (OR 0.92, 95% CI 0.8 to 1.0). Similarly, a child whose birth order is three or more is two times more likely to be underweight (OR 1.96, 95% CI 1.5 to 2.5) relative to a child of a lower birth order. Moreover, diarrhoea also significantly increases the likelihood of the child being underweight (OR 1.31, 95% CI 1.1 to 1.5). Child size is another determinant for underweight prevalence among children under 5, for example, a child with a size smaller than average at the time of birth is 2.7 times more likely to be moderately underweight than a child with an average or larger than average size at the time of birth. CONCLUSION: Rigorous community-based interventions should be developed and executed throughout the province to improve this grave situation of underweight prevalence in Punjab. Mother's education should be uplifted by providing them formal education and providing awareness about the importance of proper nutrition for children.de
dc.language.isoengde
dc.rightsopenAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectcommunity child health; epidemiology; nutrition; public healthde
dc.subject.ddc330
dc.titlePrevalence and factors associated with underweight children: a population-based subnational analysis from Pakistande
dc.typejournalArticlede
dc.identifier.doi10.1136/bmjopen-2019-028972
dc.type.versionpublishedVersionde
dc.relation.pISSN2044-6055
dc.relation.eISSN2044-6055
dc.bibliographicCitation.volume9de
dc.bibliographicCitation.issue7de
dc.type.subtypejournalArticle
dc.identifier.pmid31366654
dc.bibliographicCitation.articlenumbere028972de
dc.description.statuspeerReviewedde
dc.bibliographicCitation.journalBMJ Opende


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