Evidence map›Paper›PMID 34622024›Full record

ArticleHealth science reports2021

Assessing the double burden of malnutrition among Bangladeshi reproductive-aged women: A comparison between unconditional and conditional quantile regression.

Jahidur Rahman Khan, Jahida Gulshan

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Article in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 · Its place in the literature

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3 citing papers in PubMed.

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5 · Who and what money

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2 authors.

Jahidur Rahman KhanHealth Research Institute, Faculty of Health University of Canberra Canberra Australian Capital Territory Australia.ORCID https://orcid.org/0000-0002-3029-6303
Jahida GulshanInstitute of Statistical Research and Training (ISRT), University of Dhaka Dhaka Bangladesh.ORCID https://orcid.org/0000-0002-8913-9468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe coexistence of undernutrition and overnutrition creates a double burden of malnutrition (DBM) among women in Bangladesh. This study aimed to assess heterogeneous effects of sociodemographic factors on women's nutritional status using quantile regression (QR) models and to investigate the differences between the results of unconditional QR (UQR) and conditional QR (CQR) models.

methodsA sample of 17 285 nonpregnant women aged 15 to 49 years was extracted from the latest Bangladesh Demographic and Health Survey, 2017-2018. Women's nutritional status was determined using body mass index (BMI). The UQR and CQR were used to estimate the heterogeneous effects of sociodemographic factors on women's BMI.

resultsResults show that the estimated effects of sociodemographic factors varied across the BMI distribution. For the same quantile, the effects differed between UQR and CQR. For instance, education was significantly positively associated with BMI. In UQR, secondary educated women achieved an increase of 0.996 and 1.720 in BMI at 10th and 90th quantiles, respectively, compared to noneducated women, whereas conditional effects were 1.336 and 1.492 at 10th and 90th quantiles, respectively, in CQR. These results also indicate secondary education appeared to have a lesser (or higher) impact in the lower (or upper) tail of BMI distribution, and unconditional and conditional effects for the same quantile varied notably. Other factors such as women's age, occupation, household wealth, number of children ever born and household size, religion, and place of residence were significantly associated with BMI and showed heterogeneous effects.

conclusionOverall, there is a need to focus on heterogeneous effects of factors on women's nutritional status. Patterns of unconditional heterogeneous effects would be more informative than conditional heterogeneous effects while studying factors' effects. These findings may aid in developing strategies targeting high-risk groups to combat the double burden of malnutrition.

Indexed as

Bangladeshdouble burdenmalnutritionquantile regressionreproductive age

Identifiers

PMID34622024
PMCPMC8485620

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