Childhood Disability and Nutrition: Findings from a Population-Based Case Control Study in Rural Bangladesh
Israt Jahan1,2,3, Tasneem Karim1,2,4,5, Mahmudul Hassan Al Imam1,2,3
1CSF Global, Dhaka 1213, Bangladesh.
Insights
Children with disabilities in rural Bangladesh face significantly higher rates of severe malnutrition, including being underweight and stunted. This highlights the urgent need for inclusive nutrition programs to address this critical public health issue.
Area of Science:
- Global Health
- Pediatrics
- Nutrition Science
Background:
- Limited evidence exists on the link between childhood disability and malnutrition in low- and middle-income countries.
- This study investigated the association between childhood disability and malnutrition in rural Bangladesh.
Purpose of the Study:
- To measure the association between childhood disability and malnutrition in children under 18 years old in rural Bangladesh.
Main Methods:
- A population-based case-control study was conducted in Shahjadpur, Bangladesh.
- 1274 children with disabilities (Cases) and 1303 matched controls were assessed.
- Data collected included socioeconomic, anthropometric, and educational information; Cases received detailed medical assessments.
Main Results:
- Children with disabilities had 6.6 times higher odds of being severely underweight and 11.8 times higher odds of being severely stunted compared to controls.
- Children with physical impairments showed significantly higher adjusted odds of malnutrition.
- Malnutrition in disabled children was associated with parental education, socioeconomic status, and school attendance.
Conclusions:
- A high proportion of severe malnutrition exists among children with disabilities in rural Bangladesh.
- Urgent action is needed to implement inclusive nutrition intervention programs.
- Addressing malnutrition in disabled children requires integrated approaches considering socioeconomic and educational factors.
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.
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