Abstract
This study aimed to determine the effect of the presence of under-5 siblings (⩾1) in a household on childhood malnutrition in urban Bangladesh. During 2000 and 2013, a total of 16 948 under-5 children were enrolled in the Diarrhoeal Disease Surveillance of icddr,b. Under-5 siblings were categorised as ⩾1 and none except the child himself. In univariate analysis, the presence of siblings was associated with 1.13 (risk ratios=1.13; 95% CI:1.06–1.20) times higher risk of being stunted, 1.17 (1.09–1.25) times for wasted and 1.19 (1.13–1.26) times underweight compared with their peers who did not have siblings. In multivariate analysis, such associations remained significant for stunting (1.08; 1.01–1.15), wasting (1.12; 1.04–1.21) and underweight (1.13, 1.06–1.19) after controlling for possible confounders such as age of child, sex, parental education, maternal employment, family size, wealth quintile and time (year). The presence of under-5 siblings increases the risk of malnutrition in children in urban Bangladesh.
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Acknowledgements
Hospital surveillance was funded by icddr,b and the Government of the People’s Republic of Bangladesh through IHP-HNPRP. icddr,b is also thankful to the Governments of Australia, Bangladesh, Canada, Sweden and the United Kingdom for providing core/unrestricted support.
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Das, J., Das, S., Hasan, T. et al. Childhood malnutrition in households with contemporary siblings: a scenario from urban Bangladesh. Eur J Clin Nutr 69, 1178–1179 (2015). https://doi.org/10.1038/ejcn.2015.75
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DOI: https://doi.org/10.1038/ejcn.2015.75