AccScience Publishing / IJPS / Volume 2 / Issue 1 / DOI: 10.18063/IJPS.2016.01.003
RESEARCH ARTICLE

Cross-sectional study of child malnutrition and associated risk factors among children aged under five in West Bengal, India

Sanjit Sarkar1*
© Invalid date by the Authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Using a cross-sectional study of 485 sample households in 2013, the present paper examines the prevalence and risk factors of child malnutrition among children under the age of five in West Bengal, India. As a part of this investigation, children’s underweight status, wasting, and stunting were examined in order to determine child nutritional status using the WHO growth standard. We performed bivariate analyses in order to elucidate differentials in nutritional indices and fitted multinomial logistic regression models to examine the net effect of different socio-economic factors on the likelihood of child malnutri-tion. Analysis results revealed stunting (51%) as the most common form of malnutrition among children aged under five, followed by underweight status (41%), and wasting (22%).Gender discrimination among children increases with age, whereby girls are more deprived (as measured by nutritional indic-es) compared to boys later in childhood relative to younger ages. Results from multinomial analyses re-veal age, religion, caste, and birth-order of the child as significant predictors of child’s nutritional status.

Keywords
underweight
wasting
stunting
WHO Growth Standard
gender discrimination
References
[1]

Aneja B, Singh P, Tandon M, et al. (2001). Etiological factors of malnutrition among infants in two urban slums of Delhi. Indian Pediatrics, 38(2): 160–165.

[2]

Banapurmath C, Nagaraj M, Banapurmath S, et al. (1996). Breastfeeding practices in villages of central Karnataka. Indian Pediatrics, 33(6): 477–479.

[3]

Bhadoria A S, Sareen N and Kapil U. (2013). Prevalence of underweight, stunting and wasting among children in urban slums of Delhi. International Journal of Nutrition, Pharmacology, Neuroloiglcal Diseases, 3(3): 323–324. http://dx.doi.org/10.4103/2231-0738.114885.

[4]

Bhandari N, Mazumder S, Bahl R, et al. (2004). An educational intervention to promote appropriate complementary feeding practices and physical growth in infants and young children in rural Haryana, India. Journal of Nutrition, 134(9): 2342–2348.

[5]

Bharati S, Chakrabarty S, Som S, et al. (2010). Socio-economic determinants of underweight children in West Bengal, India. Asian Pacific Journal of Tropical Medicine, 3(4): 322–327. http://dx.doi.org/10.1016/S1995-7645(10)60078-8.

[6]

Bharati S, Pal M, and Bharati P. (2008). Determinants of nutritional status of pre-school children in India. Journal of Biosocial Science, 40(6): 801–814. http://dx.doi.org/10.1017/S0021932008002812.

[7]

Bisai S, Bose K and Ghosh A. (2008). Nutritional status of Lodha children in a village of Paschim Medinipur district, West Bengal. Indian Journal of Public Health, 52(4): 203–206.

[8]

Biswas S, Bose K, Mukhopadhyay A, et al. (2009). Prevalence of undernutrition among pre-school children of Chapra, Nadia District, West Bengal, India, measured by composite index of anthropometric failure (CIAF). Anthropologischer Anzeiger, 67(3): 269–279. http://dx.doi.org/10.1127/0003-5548/2009/0025.

[9]

Biswas S, Bose K, Bisai S, et al. (2009). Prevalence of thinness among rural Bengalee pre-school children in Chapra, Nadia District, West Bengal, India. Malaysian Journal of Nutrition, 15(2): 155–164.

[10]

DasGupta M. (1987). Selective discrimination against female children in Rural Punjab, India. Population and Development Review, 13(1): 77–100. http://dx.doi.org/10.2307/1972121.

[11]

Debnath A and Bhattacharjee N. (2014). Factors associated with malnutrition among tribal children in India: a non-parametric approach. Journal of Tropical Pediatrics, 60(3): 211–215. http://dx.doi.org/10.1093/tropej/fmt106.

[12]

Dey I and Chaudhuri R N. (2008). Gender inequality in nutritional status among under five children in a village in Hooghly district, West Bengal. Indian Journal of Public Health, 52(4): 218–220.

[13]

Fall C. (2009). Maternal nutrition: effects on health in the next generation. Indian Journal of Medical Research, 130(5): 593–599.

[14]

Gangadharan L and Maitra P. (2000). Does child mortality reflect gender bias? Evidence from Pakistan. Indian Economic Review, 35(2): 113–131.

[15]

Gribble J N, Murray N J and Menotti E P. (2008). Reconsidering childhood undernutrition: can birth spacing make a difference? An analysis of the 2002–2003 EI Salvador National Family Health Survey. Maternal and Child Nutrition, 5(1): 49–63. http://dx.doi.org/10.1111/j.1740-8709.2008.00158.x.

[16]

Griffiths P, Matthews Z and Hinde A. (2002). Gender, family, and the nutritional status of children in three culturally contrasting states of India. Social Science & Medicine, 55(5): 775–790. http://dx.doi.org/10.1016/S0277-9536(01)00202-7.

[17]

Habyarimana F, Zewotir T and Ramroop S. (2014). A proportional odds model with complex sampling design to identify key determinants of malnutrition of children under five years in Rwanda. Mediterranean Journal of Social Sciences, 5(23): 1642–1648. http://dx.doi.org/10.5901/mjss.2014.v5n23p1642.

[18]

Hill K and Upchurch D M. (1995). Gender differences in child health: evidence from the demographic and health survey. Population and Development Review, 21(1):127–151. http://dx.doi.org/10.2307/2137416.

[19]

Imai K S, Annim S K, Kulkarni VS, et al. (2014). Women’s empowerment and prevalence of stunted and underweight children in rural India. World Development, 62:88–105. http://dx.doi.org/10.1016/j.worlddev.2014.05.001.

[20]

International Institute for Population Sciences. (2005–2007). National Family Health Survey (NFHS-3). International Institute for Population Sciences, Mumbai.

[21]

Islam M A, Rahman M M and Mahalanabis D. (1994). Maternal and socioeconomic factors and the risk of severe malnutrition in a child: a case-control study. European Journal of Clinical Nutrition, 48(6):416–424.

[22]

Kamiya Y. (2011). Socioeconomic determinants of nutritional status of children in Lao PDR: effects of household and community factors. Journal of Health Population and Nutrition, 29(4): 339–348. http://dx.doi.org/10.3329/jhpn.v29i4.8449.

[23]

Khan R and Raza M. (2014). Determinants of malnutrition in Indian children: new evidence from IDHS through CIAF. Quality and Quantity, 50(1): 299–316. http://dx.doi.org/10.1007/s11135-014-0149-x.

[24]

Khokhar A, Singh S, Talwar R, et al. (2003). A study of malnutrition among children aged 6 months to 2 years from a resettlement colony of Delhi. Indian Journal of Medical Sciences, 57(7): 286–289.

[25]

Kishor S. (1993). “May God give sons to all”: gender and child mortality in India. American Sociological Review, 58(2): 247–265. http://dx.doi.org/10.2307/2095969.

[26]

Kumar A and Mohanty K S. (2011). Socio-economic differentials in childhood immunization in India, 1992–2006. Journal of Population Research, 28(4):301–324. http://dx.doi.org/10.1007/s12546-011-9069-y.

[27]

Kumar A and Singh A. (2013). Decomposing the gap in childhood undernutrition between poor and non-poor in ur-ban India, 2005–06. PLoS ONE, 8(5): e64972. http://dx.doi.org/10.1371/journal.pone.0064972.

[28]

Kumar D, Goel N K, Mittal P C, et al. (2006). Influence of infant-feeding practices on nutritional status of under-five children. Indian Journal of Pediatrics, 73(5): 417–421. http://dx.doi.org/10.1007/BF02758565.

[29]

Kumar H N, Mohanan P, Kotian S, et al. (2008). Prevalence of overweight and obesity among pre-school children in semi urban south India. Indian Pediatrics, 45(6): 497–499.

[30]

Kumari S. (2005). Nutritional status of scheduled caste pre-school children. Indian Journal of Public Health, 49(4): 258–259.

[31]

Mandal S, Prabhakar V R, Pal J, et al. (2014). An assessment of nutritional status of children aged 0–14 years in a slum area of Kolkata. International Journal of Medicine and Public Health, 4(2): 159–162. http://dx.doi.org/10.4103/2230-8598.133118.

[32]

Martins V J B, Toledo Florêncio T M M, Grillo L P, et al. (2011). Long-lasting effects of undernutrition. International Journal of Environmental Research and Public Health, 8(6): 1817–1846. http://dx.doi.org/10.3390/ijerph8061817.

[33]

Mathers C, Stevens G and Mascarenhas M. (2009). Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization. Retrived on October 28, 2016 from http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf.

[34]

Meshram I I, Laxmaiah A, Gal Reddy C, et al. (2011). Prevalence of under-nutrition and its correlates among under 3 year-old children in rural areas of Andhra Pradesh, India. Annals of Human Biology, 38(1): 93–101. http://dx.doi.org/10.3109/03014460.2010.498387.

[35]

Miller B. (1981). The Endangered Sex: Neglect of Female Children in Rural North India. Ithaca: Cornell University Press.

[36]

National Sample Survey Office. (2010). Nutritional intake in India. Retrieved on November 3, 2016 from ttp://mospi.nic.in/Mospi_New/site/inner.aspx?status=3&menu_id=31.

[37]

Payandeh A, Saki A, Safarian M, et al. (2013). Prevalence of malnutrition among preschool children in northeast of Iran, a result of a population based study. Global Journal of Health Science, 5(2): 208–212. http://dx.doi.org/10.5539/gjhs.v5n2p208.

[38]

Rah J H, Cronin A A, Badgaiyan B, et al. (2015). Household sanitation and personal hygiene practices are associated with stunting in rural India: a cross-sectional analysis of surveys. BMJ Open, 5(2): e005180. http://dx.doi.org/10.1136/bmjopen-2014-005180.

[39]

Rao V G, Yadav R, Dolla C K, et al. (2005). Undernutrition and childhood morbidities among tribal pres-chool children. Indian Journal of Medical Research, 122(1): 43–47.

[40]

Ratnu R. (2013). Prevalence of Under Nutrition in 0-5 Year Children of Junagadh District, Gujarat. Achutha Menon Centre for Health Science Studies, Thiruvananthapuram–695011, Kerala: Sree Chitra Tirunal Institute for Medical Sciences and Technology.

[41]

Sabharwal N S. (2011). Caste, religion and malnutrition linkages. Economic and Political Weekly, 40(50):16–18.

[42]

Sabharwal N S. (2011). Caste, religion and malnutrition linkages. Economic and Political Weekly, 40(50):16–18. Sen A. (1988). Family and food: sex-bias in poverty. In P Bardhan and T N Srinivasan (eds), Rural Poverty in South Asia. New York: Columbia University Press.

[43]

Shrimpton R and Rokx C. (2012). The double burden of malnutrition: a review of global evidence. Retrieved on Sep-tember 15, 2015 from http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2013/07/15/000445729_20130715150604/Rendered/PDF/795250WP0Doubl00Box037737900PUBLIC0.pdf.

[44]

Singh M B, Fotedar R, Lakshminarayana J, et al. (2006). Studies on the nutritional status of children aged 0–5 years in a drought affected desert area of western Rajasthan. India. Public Health Nutrition, 9(8): 961–967. http://dx.doi.org/10.1017/PHN2006993.

[45]

Singh A, Hazra A and Ram F. (2007). Women’s autonomy and sex differential in child mortality in India. Genus, 63(3–4): 55–75.

[46]

Som S, Pal M and Bharati P. (2007). Role of individual and household level factors on stunting: a comparative study in three Indian states. Annals of Human Biology, 34(6): 632–646. http://dx.doi.org/10.1080/03014460701671772.

[47]

Sreedhara M S and Banapurmath C. (2014). A study of nutritional status of infants in relation to their complementary feeding practices. Current Pediatric Research, 18(1): 39–41.

[48]

Talapalliwar M R and Garg B S. (2014). Nutritional status and its correlates among tribal children of Melghat, Central India. The Indian Journal of Pediatrics, 81(11): 1151–1157. http://dx.doi.org/10.1007/s12098-014-1358-y.

[49]

United Nations Inter-agency Group for Child Mortality Estimation. (2011). Levels & trends in child mortality. Retrieved on November 15, 2015 from http://www.unicef.org/media/files/Child_Mortality_Report_2011_Final.pdf.

[50]

UNICEF, WHO, and The World Bank. (2014). Level and trends in child malnutrition, UNICEF-WHO-The World Bank joint child malnutrition estimates. Retrieved on October 30, 2015 from http://www.who.int/nutgrowthdb/estimates2014/en/.

[51]

Victora C G, Adair L, Fall C, et al. (2008). Maternal and child undernutrition: consequences for adult health and human capital. The Lancet, 371(9609): 340–357. http://dx.doi.org/10.1016/S0140-6736(07)61692-4.

[52]

Victora C G, de Onis M, Hallal P C, et al. (2010). Worldwide timing of growth faltering: revisiting implications for interventions. Pediatrics, 125(3): e473–e480. http://dx.doi.org/10.1542/peds.2009-1519.

[53]

WHO Technical Report Series. (1995). Physical status: the use and interpretation of anthropometry. Retrieved on November 2, 2015 from http://apps.who.int/iris/bitstream/10665/37003/1/WHO_TRS_854.pdf.

Share
Back to top
International Journal of Population Studies, Electronic ISSN: 2424-8606 Print ISSN: 2424-8150, Published by AccScience Publishing