Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh
Abstract Background Despite recent progress in rural economic development and food production, the prevalence of household food insecurity (FI) and use of unimproved toilet facilities are widespread in Bangladesh. Evidence regarding the consequencs of household FI and poor sanitation on child morbid...
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-022-13469-2 |
| _version_ | 1818202789537382400 |
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| author | Mohammad Ashraful Islam Mahfuzur Rahman Md. Fakhar Uddin Md. Tariqujjaman Gobinda Karmakar Mohammad Ashikur Rahman Matthew Kelly Darren Gray Tahmeed Ahmed Haribondhu Sarma |
| author_facet | Mohammad Ashraful Islam Mahfuzur Rahman Md. Fakhar Uddin Md. Tariqujjaman Gobinda Karmakar Mohammad Ashikur Rahman Matthew Kelly Darren Gray Tahmeed Ahmed Haribondhu Sarma |
| author_sort | Mohammad Ashraful Islam |
| collection | DOAJ |
| description | Abstract Background Despite recent progress in rural economic development and food production, the prevalence of household food insecurity (FI) and use of unimproved toilet facilities are widespread in Bangladesh. Evidence regarding the consequencs of household FI and poor sanitation on child morbidity is scarce. This study aimed to understand the association of FI and unimproved toilet facility with morbidity status of under-5 children in Bangladesh. Methods We used data from a cross-sectional survey that was conducted as part of an evaluation of the Maternal, Infant and Young Child Nutrition (MIYCN) Program in 9 districts of Bangladesh. The study population included children aged 6–59 months and their caregivers, identified using a two-stage cluster-sampling procedure. Child morbidity status was the outcome variable, and household FI status and type of toilet used were considered the main exposure variables in this study. We performed logistic regression, calculated adjusted odds ratios (AOR) to assess the association of child morbidity with household FI and unimproved toilet facility after adjusting for potential confounders. Results A total of 1,728 households were eligible for this analysis. About 23% of the households were food-insecure, and a large number of households had improved toilet facilities (93.4%). In the multivariable logistic regression model, we found that children in food-insecure households with unimproved toilet facility had 5.88 (AOR: 5.88; 95% CI 2.52, 13.70) times more chance, of being morbid compared to the children of food-secure households with improved toilet facility. A similar association of FI and toilet facilities with each of the morbidity components was observed, including diarrhea (AOR:3.6; 95% CI 1.79, 7.89), fever (AOR:3.47; 95% CI 1.72, 6.99), difficult or fast breathing with cough (AOR:3.88; 95% CI 1.99, 7.59), and difficult or fast breathing with blocked or running nose (AOR:1.29; 95% CI 0.56, 2.95). Conclusions Our study shows that household FI and unimproved toilet facility jointly have more deteriorative effects on child morbidity than either of these conditions alone. Therefore, it is recommended to consider these two critical factors while designing a public health intervention for reducing morbidity among under-five children. |
| first_indexed | 2024-12-12T03:15:02Z |
| format | Article |
| id | doaj.art-e1a660e5d39d4f24b8227c70d6e5799d |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-12T03:15:02Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-e1a660e5d39d4f24b8227c70d6e5799d2022-12-22T00:40:19ZengBMCBMC Public Health1471-24582022-05-0122111110.1186/s12889-022-13469-2Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in BangladeshMohammad Ashraful Islam0Mahfuzur Rahman1Md. Fakhar Uddin2Md. Tariqujjaman3Gobinda Karmakar4Mohammad Ashikur Rahman5Matthew Kelly6Darren Gray7Tahmeed Ahmed8Haribondhu Sarma9Nutrition and Clinical Services Division, icddr,bNutrition and Clinical Services Division, icddr,bNutrition and Clinical Services Division, icddr,bNutrition and Clinical Services Division, icddr,bNutrition and Clinical Services Division, icddr,bHealth, Nutrition and Population Programme, BRACDepartment of Global Health, National Centre for Epidemiology and Population Health, The Australian National UniversityDepartment of Global Health, National Centre for Epidemiology and Population Health, The Australian National UniversityNutrition and Clinical Services Division, icddr,bNutrition and Clinical Services Division, icddr,bAbstract Background Despite recent progress in rural economic development and food production, the prevalence of household food insecurity (FI) and use of unimproved toilet facilities are widespread in Bangladesh. Evidence regarding the consequencs of household FI and poor sanitation on child morbidity is scarce. This study aimed to understand the association of FI and unimproved toilet facility with morbidity status of under-5 children in Bangladesh. Methods We used data from a cross-sectional survey that was conducted as part of an evaluation of the Maternal, Infant and Young Child Nutrition (MIYCN) Program in 9 districts of Bangladesh. The study population included children aged 6–59 months and their caregivers, identified using a two-stage cluster-sampling procedure. Child morbidity status was the outcome variable, and household FI status and type of toilet used were considered the main exposure variables in this study. We performed logistic regression, calculated adjusted odds ratios (AOR) to assess the association of child morbidity with household FI and unimproved toilet facility after adjusting for potential confounders. Results A total of 1,728 households were eligible for this analysis. About 23% of the households were food-insecure, and a large number of households had improved toilet facilities (93.4%). In the multivariable logistic regression model, we found that children in food-insecure households with unimproved toilet facility had 5.88 (AOR: 5.88; 95% CI 2.52, 13.70) times more chance, of being morbid compared to the children of food-secure households with improved toilet facility. A similar association of FI and toilet facilities with each of the morbidity components was observed, including diarrhea (AOR:3.6; 95% CI 1.79, 7.89), fever (AOR:3.47; 95% CI 1.72, 6.99), difficult or fast breathing with cough (AOR:3.88; 95% CI 1.99, 7.59), and difficult or fast breathing with blocked or running nose (AOR:1.29; 95% CI 0.56, 2.95). Conclusions Our study shows that household FI and unimproved toilet facility jointly have more deteriorative effects on child morbidity than either of these conditions alone. Therefore, it is recommended to consider these two critical factors while designing a public health intervention for reducing morbidity among under-five children.https://doi.org/10.1186/s12889-022-13469-2Household food insecuritySanitationUnder-five children; Bangladesh |
| spellingShingle | Mohammad Ashraful Islam Mahfuzur Rahman Md. Fakhar Uddin Md. Tariqujjaman Gobinda Karmakar Mohammad Ashikur Rahman Matthew Kelly Darren Gray Tahmeed Ahmed Haribondhu Sarma Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh BMC Public Health Household food insecurity Sanitation Under-five children; Bangladesh |
| title | Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh |
| title_full | Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh |
| title_fullStr | Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh |
| title_full_unstemmed | Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh |
| title_short | Household food insecurity and unimproved toilet facilities associate with child morbidity: evidence from a cross-sectional study in Bangladesh |
| title_sort | household food insecurity and unimproved toilet facilities associate with child morbidity evidence from a cross sectional study in bangladesh |
| topic | Household food insecurity Sanitation Under-five children; Bangladesh |
| url | https://doi.org/10.1186/s12889-022-13469-2 |
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