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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my.unimas.ir.379882022-03-10T07:49:37Z http://ir.unimas.my/id/eprint/37988/ Under-five Nutritional Status and its Relationship with Household Dietary Diversity and Food Security Among the Dayak Communities in Sarawak, Malaysia Rahman, Md Mizanur Neilson, Richard Seling Andrew Kiyu Dawie, Usop RA0421 Public health. Hygiene. Preventive Medicine 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. Bangladesh Medical Research Council 2021-02 Article PeerReviewed text en http://ir.unimas.my/id/eprint/37988/1/Md.%20Mizanur%20Rahman.pdf Rahman, Md Mizanur and Neilson, Richard Seling and Andrew Kiyu Dawie, Usop (2021) Under-five Nutritional Status and its Relationship with Household Dietary Diversity and Food Security Among the Dayak Communities in Sarawak, Malaysia. Bangladesh Med Res Counc Bull, 47. pp. 127-135. 10.3329/bmrcb.v47i2.57770 |
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RA0421 Public health. Hygiene. Preventive Medicine Rahman, Md Mizanur Neilson, Richard Seling Andrew Kiyu Dawie, Usop Under-five Nutritional Status and its Relationship with Household Dietary Diversity and Food Security Among the Dayak Communities in Sarawak, Malaysia |
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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. |
format |
Article |
author |
Rahman, Md Mizanur Neilson, Richard Seling Andrew Kiyu Dawie, Usop |
author_facet |
Rahman, Md Mizanur Neilson, Richard Seling Andrew Kiyu Dawie, Usop |
author_sort |
Rahman, Md Mizanur |
title |
Under-five Nutritional Status and its Relationship with
Household Dietary Diversity and Food Security Among the
Dayak Communities in Sarawak, Malaysia |
title_short |
Under-five Nutritional Status and its Relationship with
Household Dietary Diversity and Food Security Among the
Dayak Communities in Sarawak, Malaysia |
title_full |
Under-five Nutritional Status and its Relationship with
Household Dietary Diversity and Food Security Among the
Dayak Communities in Sarawak, Malaysia |
title_fullStr |
Under-five Nutritional Status and its Relationship with
Household Dietary Diversity and Food Security Among the
Dayak Communities in Sarawak, Malaysia |
title_full_unstemmed |
Under-five Nutritional Status and its Relationship with
Household Dietary Diversity and Food Security Among the
Dayak Communities in Sarawak, Malaysia |
title_sort |
under-five nutritional status and its relationship with
household dietary diversity and food security among the
dayak communities in sarawak, malaysia |
publisher |
Bangladesh Medical Research Council |
publishDate |
2021 |
url |
http://ir.unimas.my/id/eprint/37988/1/Md.%20Mizanur%20Rahman.pdf http://ir.unimas.my/id/eprint/37988/ |
_version_ |
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