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Parental tobacco use is associated with increased risk of child malnutrition in Bangladesh.
- Source :
-
Nutrition (Burbank, Los Angeles County, Calif.) [Nutrition] 2007 Oct; Vol. 23 (10), pp. 731-8. Date of Electronic Publication: 2007 Jul 30. - Publication Year :
- 2007
-
Abstract
- Objectives: We investigated the relation between parental tobacco use and malnutrition in children <5 y of age and compared expenditures on foods in households with and without tobacco use.<br />Methods: Tobacco use, child anthropometry, and other factors were examined in a stratified, multistage cluster sample of 77 678 households from the Bangladesh Nutrition Surveillance Project (2005-2006). Main outcome measurements were stunting, underweight, and wasting, and severe stunting, severe underweight, and severe wasting. Secondary outcomes included the proportion of household expenditures spent on food.<br />Results: The prevalence of parental tobacco use was 69.9%. Using the new World Health Organization child growth standards, prevalences of stunting, underweight, and wasting were 46.0%, 37.6%, and 12.3%, respectively. After adjusting for potential confounders, parental tobacco use was associated with an increased risk of stunting (odds ratio [OR] 1.17, 95% confidence interval [CI] 1.12-1.21, P < 0.0001), underweight (OR 1.17, 95% CI 1.12-1.22, P < 0.0001), and wasting (OR 1.10, 95% CI 1.03-1.17, P = 0.004), and severe stunting (OR 1.16, 95% CI 1.10-1.23, P < 0.0001), severe underweight (OR 1.21, 95% CI 1.13-1.30, P < 0.0001), and severe wasting (OR 1.14, 95% CI 0.98-1.32, P = 0.09). Households with tobacco use spent proportionately less per capita on food items and other necessities.<br />Conclusions: In Bangladesh parental tobacco use may exacerbate child malnutrition and divert household funds away from food and other necessities. Further studies with a stronger analytic approach are needed. These results suggest that tobacco control should be part of public health strategies aimed at decreasing child malnutrition in developing countries.
- Subjects :
- Adult
Anthropometry
Bangladesh
Body Height physiology
Body Weight physiology
Child Nutrition Disorders etiology
Child, Preschool
Cluster Analysis
Confidence Intervals
Female
Humans
Infant
Infant, Newborn
Male
Odds Ratio
Risk Factors
Socioeconomic Factors
Child Nutrition Disorders epidemiology
Food economics
Parents
Poverty
Smoking economics
Subjects
Details
- Language :
- English
- ISSN :
- 0899-9007
- Volume :
- 23
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Nutrition (Burbank, Los Angeles County, Calif.)
- Publication Type :
- Academic Journal
- Accession number :
- 17664060
- Full Text :
- https://doi.org/10.1016/j.nut.2007.06.014