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Factors Associated with Undernutrition in Children under the Age of Two Years: Secondary Data Analysis Based on the
Jawad Tariq1, Amal Sajjad2, Rubeena Zakar3
1Department of Sociology, Forman Christian College University, 54600 Lahore, Pakistan. jawadtariq@fccollege.edu.pk.
Insights
In Pakistan, nearly all young children lack adequate diets. Key factors contributing to stunting, wasting, and underweight include child
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Pakistan faces a severe child malnutrition crisis, with 96% of children under two lacking adequate diets.
- Stunting, wasting, and underweight are significant public health concerns impacting child development.
Purpose of the Study:
- To identify sociodemographic, nutritional, and health factors associated with stunting, wasting, and underweight in Pakistani children under two.
- To inform targeted interventions for improving child nutritional status.
Main Methods:
- Secondary data analysis of the Pakistan Demographic and Health Survey (2012-2013).
- Analysis included 984 children under two years old.
- Bivariate and multivariable binary logistic regression models were employed.
Main Results:
- Prevalence rates: stunting (28.3%), wasting (12.1%), underweight (27.9%).
- Increased odds of stunting and underweight were linked to child's age, maternal low BMI, limited information access, high birth order, consanguinity, paternal low education, rural residence, poor sanitation, and low vitamin A intake.
- Wasting was associated with not being breastfed.
Conclusions:
- Child age, maternal and paternal factors, socioeconomic status, and environmental conditions significantly influence child undernutrition in Pakistan.
- Interventions should address poverty, parental education, micronutrient intake, and regional disparities to improve child nutrition.
Abstract:
In Pakistan, 96% of the children under the age of two years do not receive an adequate diet. The main aim of this paper is to identify the sociodemographic, nutritional, and health-related factors associated with stunting, wasting, and underweight in children under the age of two years in Pakistan. Secondary data analysis was performed based on the Pakistan Demographic and Health Survey, 2012⁻2013. The analysis was limited to children under the age of two years (n = 984). Analysis was done using bivariate and multivariable binary logistic regression. The incidence of stunting, wasting, and underweight in children was 28.3%, 12.1%, and 27.9%, respectively. The odds of stunting, wasting, and underweight increased with the child's age. The odds of stunting and underweight increased with the mother's low body mass index, low access to information, high birth order of child, consanguineous marriages, father's low education, rural settlement, poor toilet facilities, and low vitamin A consumption. The odds of wasting increased in children who were not being breastfed, but no significant relation was seen with stunting and underweight. There is a need to improve child nutritional status in Pakistan by addressing issues such as poverty, low parental education, low micronutrient intake, and targeting provinces where undernutrition was found to be higher.
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