Association between high-risk fertility behaviours and the likelihood of chronic undernutrition and anaemia among married Bangladeshi women of reproductive age

Rahman, Mosiur; Islam, Jahirul; Haque, Syed Emdadul; Saw, Yu Mon; Haque, Nurruzzaman; Duc, Nguyen Huu; Al-Sobaihi, Saber; Saw, Thu Nandar; Mostofa, Golam; Islam, Rafiqul

doi:10.1017/s136898001600224x

Cited by 29 publications

(48 citation statements)

References 26 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The current study highlighted the significant burden of high-risk fertility behavior on anemia occurrence among Ethiopian women. These findings were consistent with a Bangladeshi study, reporting an association between high-risk fertility behaviors and women's nutritional disadvantages [13]. Several mechanisms through which high-risk fertility behaviors could be related to increased likelihood for anemia have been identified previously [28][29][30][31][32].…”

Section: Resultssupporting

confidence: 91%

See 1 more Smart Citation

Association between maternal high-risk fertility behavior and anemia among reproductive age women in Ethiopia

Fadl¹,

Haile²,

Ice³

2020

Preprint

View full text Add to dashboard Cite

Objectives Anemia constitutes a major public health problem in low- and middle-income countries. The purpose of this study was to examine the individual and combined influence of high-risk fertility behavior on anemia among reproductive age women in Ethiopia.Methods Secondary data analysis was conducted using a nationally representative sample of women aged 15-49 years from the 2016 Ethiopia Demographic and Health Survey (n=5799). Anemia status was the outcome of interest. Maternal high-risk fertility behaviors were measured using maternal age at delivery, birth order and birth interval. Descriptive statistics and multivariable regression models were performed.Results Overall, 28.7% of women had anemia and 71.4% experienced at least one high-risk fertility behavior. In the multivariable model, there was a significant interaction between high-risk fertility behavior and place of residence on anemia. Women with any high-risk fertility behavior were more likely to have anemia than women without any high-risk fertility behavior. However, the strength of association differed by place of residence (AOR: 2.68; 95% CI, 1.26-5.67 for urban and AOR: 1.27; 95% CI, 1.01-1.61 for rural residents). Single high-risk fertility behavior was significantly associated with anemia only among urban residents (AOR: 2.65; 95% CI, 1.20-5.83). Multiple high-risk fertility behavior significantly increased the odds of anemia, with stronger association among urban residents (AOR: 2.82; 95% CI, 1.14-6.95) than rural residents (AOR: 1.56; 95% CI, 1.11-2.19).Conclusions Place of residence moderated the relationship between high-risk fertility behaviors and anemia. Our findings suggest the need for context-specific strategies and interventions to prevent anemia.

show abstract

Section: Resultssupporting

confidence: 91%

“…The majority of studies have assessed a subset of maternal high-risk fertility behavior individually. A few studies analyzed outcomes associated with the combined influence of maternal high-risk fertility behaviors [13,14]. Yet, such studies are limited in the African context.…”

Section: Introductionmentioning

confidence: 99%

Association between maternal high-risk fertility behavior and anemia among reproductive age women in Ethiopia

Fadl¹,

Haile²,

Ice³

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Evidence suggests that risky fertility behavior is the most pressing health issue in the LMICs considered as a significant cause of neonatal and under-five mortality [5,6]. High-risk fertility behaviors (HRFBs) can be expressed in terms of too-early or too-late women's age at delivery, shorter birth interval, and a higher number of live births [7,8]. High-risk pregnancies have severe ramifications on childhood mortality [5,[9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…A study from Ethiopia indicated a higher risk of under-five mortality associated with high-risk fertility behaviors, especially amongst women aged 15 to 18 years having a high ratio of continuous pregnancies, and shorter birth spacing [14]. Bangladesh Demographic and Health Survey (DHS) report showed that 41.8 % of women evinced a high risk of fertility behaviors, out of which 33% and 8.8% had single HRFB and possessed multiple HRFB, respectively [8]. The prevalence of teenage pregnancies in South Asian countries is high, as women are typically married at a younger age.…”

Section: Introductionmentioning

confidence: 99%

Impact of High-Risk Fertility Behavior on Under-five Mortality in Asia and Africa: Evidence from Demographic and Health Surveys

Amir-ud-Din

Naz²,

Rubi

et al. 2020

Preprint

View full text Add to dashboard Cite

Background High-risk fertility behaviors (HRFBs) are common in African and South Asian countries and can potentially affect child survival. This study examines the high-risk fertility behaviors concerning child mortality across the countries. Method Data from a series of Demographic and Health Surveys from the year 1987 to 2016 from 24 South Asian and African countries (N=1,224,832) were included in this study. Four HRFB parameters - women’s age <18 or >=34 years at childbirth, birth spacing <24 months, and child order of birth >3, were categorized into three exposure levels: i) exposure to any HRFBs category (exposure to any of four parameters); ii) exposure to single and multiple HRFB category (a combination of two or more parameters); and iii) the specific type of HRFB category (either single or multiple HRFB categories). Bivariate descriptive analysis and a multivariate logistic regression model were used to examine the association between under-five child mortality and various measures of HRFBs. Results Our pooled data analysis reported that HRFBs was associated with an increased risk of under-five child mortality in Asian and African countries. Children of women exposed to HRFBs were at increased risk of under-five mortality by 77% (Adjusted Odds Ratio (AOR) = 1.771, 95% confidence interval (CI): 1.722 - 1.821). Children born within 24 months’ birth interval were four times more likely to die (AOR = 4.995, 95% CI: 4.842-5.152) than their counterparts. However, a single high-risk category was not associated with under-five mortality, and birth order was found to be a protective factor against under-five mortality. Age of women (<18 or >=34 years) was found to be a risk factor of Under-five child mortality in 16 countries. The association between under-five mortality risk and birth interval of less than 24 months was highly significant in all countries. Conclusion Women’s age at childbirth, birth interval, and birth order were significantly associated with under-five mortality. Quality care for women and newborns need to be ensured through investment in the healthcare system, and by promoting health services with more focus given to the valuable populations through sexual and reproductive health education programs and empowering women.

show abstract

“…In fact, iron intakes were estimated based on food consumption and did not consider iron provided by groundwater. A study has shown that groundwater could provide significant amounts of iron to women in rural areas of Bangladesh [ 30 ]. Therefore, for women living in rural areas of Bangladesh, the levels fortification should be defined taking into consideration of the amounts of iron taken from groundwater, and consequently the decision to fortify both wheat flour and rice with iron or only a single food vehicle should be based on the actual gap between iron intakes from all sources and needs.…”

Section: Discussionmentioning

confidence: 99%

An Assessment of the Potential Impact of Fortification of Staples and Condiments on Micronutrient Intake of Young Children and Women of Reproductive Age in Bangladesh

Leyvraz

Laillou²,

Rahman

et al. 2016

Nutrients

View full text Add to dashboard Cite

Bangladesh has experienced rapid economic growth and achieved major health improvements in the past decade, but malnutrition rates remain high. A nationally representative study conducted in 2011 assessed the dietary habits of 841 children 24–59 months old, 1428 children 6–14 years old, and 1412 nonpregnant, nonlactating women. The study’s objective was to assess dietary intakes of key micronutrients and the consumption pattern of potentially fortifiable foods, and then to model the potential impact of the fortification of key staple foods. The current intakes of several micronutrients—namely, iron, zinc, folate, vitamin A, and vitamin B12—were found to be insufficient to meet the needs of Bangladesh’s children and women. The fortification of rice with iron and zinc and edible oil with vitamin A has the potential to fill a significant part of the nutrient gap, as these are consumed widely and in significant amounts. Wheat flour and sugar are not as promising food vehicles in the Bangladeshi context, as they were consumed by a smaller portion of the population and in smaller amounts. In conclusion, fortification of rice and oil is recommended to address the large gap in micronutrient intakes.

show abstract

Association between high-risk fertility behaviours and the likelihood of chronic undernutrition and anaemia among married Bangladeshi women of reproductive age

Abstract: Maternal high-risk fertility behaviours are shockingly frequent practices among women in Bangladesh. High-risk fertility behaviours are important predictors of the increased likelihood of women's chronic undernutrition, anaemia and the coexistence of anaemia and undernutrition.

Cited by 29 publications

References 26 publications

Association between maternal high-risk fertility behavior and anemia among reproductive age women in Ethiopia

Association between maternal high-risk fertility behavior and anemia among reproductive age women in Ethiopia

Impact of High-Risk Fertility Behavior on Under-five Mortality in Asia and Africa: Evidence from Demographic and Health Surveys

An Assessment of the Potential Impact of Fortification of Staples and Condiments on Micronutrient Intake of Young Children and Women of Reproductive Age in Bangladesh

Contact Info

Product

Resources

About