Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months

Prevailing prevention measures against morbidity, such as vaccination and safe hygiene practices, vary among local cultural contexts, and little is known about the extent to which these behaviors mitigate poor nutritional status in young children in Southeast Asia. We examined the associations betwe...

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Main Authors: Chisa Shinsugi, Ann Mizumoto
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/1/34
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author Chisa Shinsugi
Ann Mizumoto
author_facet Chisa Shinsugi
Ann Mizumoto
author_sort Chisa Shinsugi
collection DOAJ
description Prevailing prevention measures against morbidity, such as vaccination and safe hygiene practices, vary among local cultural contexts, and little is known about the extent to which these behaviors mitigate poor nutritional status in young children in Southeast Asia. We examined the associations between nutrition status with full immunization coverage, and water, sanitation and hygiene status among children aged 12–59 months in the 2015–2016 Thailand Multiple Indicator Cluster Survey (n = 9060). When adjusted for confounding factors, children with incomplete immunization status were more likely to be stunted (adjusted odds ratio (aOR) 1.47; 95% confidence interval (CI): 1.24–1.75, <i>p</i> < 0.001), wasted (aOR 1.67, 95% CI: 1.31–2.12, <i>p</i> < 0.001), and overweight (aOR 1.24, 95% CI: 1.01–1.51, <i>p</i> < 0.05), whereas children who used unimproved water sources were more likely to be overweight (aOR 2.43, 95% CI: 1.27–4.64, <i>p</i> < 0.01). The further implementation of simple and cost-effective health promotion activities and practices at the household level may be important interventions for healthy child growth and development, particularly under restricted living conditions due to COVID-19.
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spelling doaj.art-7627f278f28245d5aa506ff04324c1012023-11-23T12:03:08ZengMDPI AGNutrients2072-66432021-12-011413410.3390/nu14010034Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 MonthsChisa Shinsugi0Ann Mizumoto1Department of Nutritional Epidemiology and Shokuiku, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo 162-8636, JapanIndependent Researcher, Singapore 436932, SingaporePrevailing prevention measures against morbidity, such as vaccination and safe hygiene practices, vary among local cultural contexts, and little is known about the extent to which these behaviors mitigate poor nutritional status in young children in Southeast Asia. We examined the associations between nutrition status with full immunization coverage, and water, sanitation and hygiene status among children aged 12–59 months in the 2015–2016 Thailand Multiple Indicator Cluster Survey (n = 9060). When adjusted for confounding factors, children with incomplete immunization status were more likely to be stunted (adjusted odds ratio (aOR) 1.47; 95% confidence interval (CI): 1.24–1.75, <i>p</i> < 0.001), wasted (aOR 1.67, 95% CI: 1.31–2.12, <i>p</i> < 0.001), and overweight (aOR 1.24, 95% CI: 1.01–1.51, <i>p</i> < 0.05), whereas children who used unimproved water sources were more likely to be overweight (aOR 2.43, 95% CI: 1.27–4.64, <i>p</i> < 0.01). The further implementation of simple and cost-effective health promotion activities and practices at the household level may be important interventions for healthy child growth and development, particularly under restricted living conditions due to COVID-19.https://www.mdpi.com/2072-6643/14/1/34malnutritioninfants and young childrenimmunizationsafe hygiene practicesprimary health careuniversal health coverage
spellingShingle Chisa Shinsugi
Ann Mizumoto
Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months
Nutrients
malnutrition
infants and young children
immunization
safe hygiene practices
primary health care
universal health coverage
title Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months
title_full Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months
title_fullStr Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months
title_full_unstemmed Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months
title_short Associations of Nutritional Status with Full Immunization Coverage and Safe Hygiene Practices among Thai Children Aged 12–59 Months
title_sort associations of nutritional status with full immunization coverage and safe hygiene practices among thai children aged 12 59 months
topic malnutrition
infants and young children
immunization
safe hygiene practices
primary health care
universal health coverage
url https://www.mdpi.com/2072-6643/14/1/34
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