Under-five Nutritional Status and its Relationship with Household Dietary Diversity and Food Security Among the Dayak Communities in Sarawak, Malaysia
Background: Malnutrition among under-five children is one of the paramount public health concerns in the country. Objectives: This study aimed to determine the relationship between under-five nutritional status and household dietary diversity (HDD) and household food security (HFS). Methods: In...
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Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Bangladesh Medical Research Council
2021
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Subjects: | |
Online Access: | http://ir.unimas.my/id/eprint/37988/1/Md.%20Mizanur%20Rahman.pdf http://ir.unimas.my/id/eprint/37988/ |
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Institution: | Universiti Malaysia Sarawak |
Language: | English |
Summary: | Background: Malnutrition among under-five children is one of the paramount public health concerns in the
country.
Objectives: This study aimed to determine the relationship between under-five nutritional status and household
dietary diversity (HDD) and household food security (HFS).
Methods: In this cross-sectional study analysed 808 under-five children’s data from 50 villages in five divisions
of Sarawak using a multistage cluster sampling technique. Data were collected by face-to-face interview using
interviewer-administered questionnaires. WHO Anthro version 3.2.2 was used for anthropometric, and IBM
SPSS version 22.0 was used for multivariate data analysis.
Results: Multivariate analysis showed that children with low HDD were 1.68 times more likely to be stunted than
those with high HDD. Children from households with food insecurity but without hunger were 3.86 times and
with hunger were 4.02 times likely to be wasted in the last three months and were almost six times more likely
to stunted at the same time. The likelihood of being underweight was 2.86 times more likely to occur in households
with food insecurity without hunger and 4.89 times in food insecurity with hunger households. In the past 12
months, children from households with food insecurity with hunger were 8.56 times and four times more likely
to be stunted with food insecurity without hunger. Underweight children had twice the odds of occurring in
households with food insecurity without hunger compared with food secured households. HFS in the last three
months had a significant association with wasting, stunting and underweight of the children, while HFS in the
last 12 months was associated with stunting and underweight children.
Conclusion: Low HDD had resulted in stunting, and food insecurity had resulted in wasting, stunting and
underweight in under-five Dayak children in rural areas of Sarawak. A food-based intervention programme
should be undertaken for malnourished children. |
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