Is Unwanted Birth Associated with Child Malnutrition in Bangladesh?
1Associate professor, Department of Population Science and Human Resource Development, University of Rajshahi, Bangladesh, mosfeque@gmail.com.
Insights
Unwanted pregnancies in Bangladesh are linked to higher rates of child malnutrition, including stunting, wasting, and underweight. Preventing unintended pregnancies may improve child health outcomes.
Area of Science:
- Public Health
- Maternal and Child Health
- Nutritional Epidemiology
Background:
- Unintended pregnancy is a known risk factor for maternal and child health outcomes.
- The specific relationship between unintended pregnancy and child malnutrition, particularly in high-prevalence settings like Bangladesh, requires further investigation.
Purpose of the Study:
- To examine the association between pregnancy intendedness and child malnutrition (stunting, wasting, underweight) in Bangladesh.
- To identify if children born from unwanted pregnancies face a higher risk of malnutrition.
Main Methods:
- Utilized data from the 2011 Bangladesh Demographic and Health Survey.
- Analyzed data from 6,506 last-born, singleton children under five years of age.
- Employed multivariate logistic regression to assess the relationship between pregnancy intention and malnutrition indicators.
Main Results:
- Significant prevalence of childhood malnutrition: 40% stunting, 16% wasting, 35% underweight.
- 14% of index pregnancies were reported as unwanted, and 16% as mistimed.
- Children from unwanted pregnancies showed increased odds of being stunted (OR 1.4), wasted (OR 1.4), and underweight (OR 1.3) compared to those from intended pregnancies.
Conclusions:
- Maternal pregnancy intentions are significantly associated with child stunting, wasting, and underweight in Bangladesh.
- Findings suggest that preventing unwanted pregnancies could be a strategy to mitigate childhood malnutrition.
- Further research may explore the causal pathways linking pregnancy intention to nutritional status.
Context:
The association between unintended pregnancy and maternal and child health has been well documented. However, the relationship of unintended pregnancy with child malnutrition is not well understood, and may be important in countries such as Bangladesh that have high levels of these events.
Methods:
Data from the 2011 Bangladesh Demographic and Health Survey on 6,506 last-born, singleton children younger than five were used to investigate the relationship between pregnancy intendedness and the prevalence of stunting, wasting and underweight during early childhood. Multivariate logistic regression analyses were used to identify associations.
Results:
Substantial proportions of children were stunted (40%), wasted (16%) and underweight (35%) at the time of the survey. Mothers reported that at the time of conception, 14% of their index pregnancies had been unwanted and 16% had been mistimed. Compared with children whose conception had been intended, those whose conception had been unwanted were more likely to be stunted (46% vs. 39%), wasted (19% vs. 15%) or underweight (43% vs. 33%). In regression analyses, children who had been unwanted at the time of conception had an elevated risk of being stunted (odds ratio, 1.4), wasted (1.4) or underweight (1.3).
Conclusion:
Maternal pregnancy intentions are associated with child stunting, wasting and underweight. If these associations are causal, preventing unwanted pregnancies may help reduce the prevalence of childhood malnutrition in Bangladesh.
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