Evidence map›Paper›PMID 40404808›Full record

ArticleScientific reports2025

Spatial variations and determinants of vitamin A and iron rich food consumption among Bangladeshi children aged 6-23 months.

Fahmida Sultana Rima, Satyajit Kundu, Sumaiya Tarannum, Tabita Jannatul, Azaz Bin Sharif

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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5 authors.

Fahmida Sultana RimaDepartment of Public Health, North South University, Dhaka, Bangladesh.
Satyajit KunduPublic Health, School of Medicine and Dentistry, Griffith University, Gold Coast, QLD, 4222, Australia.
Sumaiya TarannumDepartment of Statistics, University of Dhaka, Dhaka, Bangladesh.
Tabita JannatulDepartment of Statistics, University of Dhaka, Dhaka, Bangladesh.
Azaz Bin SharifDepartment of Public Health, North South University, Dhaka, Bangladesh. azaz.sharif@northsouth.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Consuming foods high in vitamin A and iron is crucial for children's growth and well-being. However, deficiencies remain a public health problem in Bangladesh. This study explores spatial variation and determinants of vitamin A and iron-rich food consumption among children aged 6-23 months. In this study, data from 2528 children from the Bangladesh Demographic and Health Survey (BDHS) 2022 was used. BDHS 2022 employed a cross-sectional study design to collect data. The outcomes measured were vitamin A and iron-rich foods consumption within 24 h preceding the survey by including factors such as mother's age, education, occupation, child age, sex, Antenatal care (ANC) visits, medical illness (diarrhea, fever, cough), use of deworming drugs, wealth index, place of residence, division etc. Spatial patterns were analyzed with ArcGIS version 10.8 and associated factors were assessed using multilevel mixed effect logistic regression model. The prevalence of vitamin A and iron-rich foods consumption was 72% (95% CI 0.70-0.74) and 61.8% (95% CI 0.60-0.64) respectively. Clustering of vitamin A (Moran's I: 0.055, p < 0.001) and iron-rich food (I: 0.101, p < 0.001) consumption was observed, with hot spots in Rangpur, Rajshahi, and Khulna. From the mixed effects logistic regression analysis, maternal employment (aOR = 1.6; 95% CI 1.2-2.0), maternal education (aOR = 2.0; 95% CI 1.1-3.5), paternal education (aOR = 2.0; 95% CI 1.4-3.0), ≥ 4 ANC visits (aOR = 1.7; 95% CI 1.1-2.6), older children aged 18-23 months (aOR = 4.0; 95% CI 3.0-5.3), deworming drugs (aOR = 1.6; 95% CI 1.2-2.2) and residing in Khulna (aOR = 2.3; 95% CI 1.5-3.5), Rajshahi (aOR = 1.9; 95% CI 1.2-2.9) have shown statistically significant association with increased consumption of vitamin A and iron-rich foods. Furthermore, a lower likelihood of iron-rich food consumption was observed among children having diarrhea (aOR = 0.7; 95% CI 0.5-0.9), compared to children who didn't have diarrhea. Poor consumption of vitamin A-rich foods was found in Chittagong (aOR = 0.6; 95% CI 0.4-0.98) and Sylhet (aOR = 0.6; 95% CI 0.4-0.9). The findings revealed significant disparities both in regions and protective factors associated with vitamin A and iron-rich food intake among children in Bangladesh. Understanding these spatial variations and key determinants can guide targeted interventions, particularly in cold spot regions, to improve child nutrition in Bangladesh.

Indexed as

IronVitamin AAdultBangladeshCross-Sectional StudiesDietFemaleHumansInfantMaleIronVitamin ABangladeshChildrenIron-rich foodSpatial analysisVitamin A-rich food

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PMID40404808
PMCPMC12098975

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