title: Childhood malnutrition in households with contemporary siblings: a scenario from urban Bangladesh.
abstract: This study aimed to determine the effect of the presence of under-5 siblings (⩾ 1) in a household on childhood malnutrition in urban Bangladesh. During 2000 and 2013, a total of 16,948 under-5 children were enrolled in the Diarrhoeal Disease Surveillance of icddr,b. Under-5 siblings were categorised as ⩾ 1 and none except the child himself. In univariate analysis, the presence of siblings was associated with 1.13 (risk ratios=1.13; 95% CI:1.06-1.20) times higher risk of being stunted, 1.17 (1.09-1.25) times for wasted and 1.19 (1.13-1.26) times underweight compared with their peers who did not have siblings. In multivariate analysis, such associations remained significant for stunting (1.08; 1.01-1.15), wasting (1.12; 1.04-1.21) and underweight (1.13, 1.06-1.19) after controlling for possible confounders such as age of child, sex, parental education, maternal employment, family size, wealth quintile and time (year). The presence of under-5 siblings increases the risk of malnutrition in children in urban Bangladesh.
authors.affiliation: Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
authors.forename: J
authors.initials: J
authors.lastname: Das
authors.affiliation: Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.|School of Public Health, The University of Queensland, Brisbane, Australia.
authors.forename: S K
authors.initials: SK
authors.lastname: Das
authors.affiliation: School of Public Health, The University of Queensland, Brisbane, Australia.|BRAC Institute of Global Health, BRAC University, Dhaka, Bangladesh.
authors.forename: T
authors.initials: T
authors.lastname: Hasan
authors.affiliation: Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
authors.forename: S
authors.initials: S
authors.lastname: Ahmed
authors.affiliation: Department of Clinical Trial and Clinical Epidemiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan.
authors.forename: F
authors.initials: F
authors.lastname: Ferdous
authors.affiliation: Department of Food and Nutrition, College of Home Economics, Dhaka, Bangladesh.
authors.forename: R
authors.initials: R
authors.lastname: Begum
authors.affiliation: Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
authors.forename: M J
authors.initials: MJ
authors.lastname: Chisti
authors.affiliation: Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
authors.forename: M A
authors.initials: MA
authors.lastname: Malek
authors.affiliation: School of Public Health, The University of Queensland, Brisbane, Australia.
authors.forename: A A
authors.initials: AA
authors.lastname: Mamun
authors.affiliation: Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
authors.forename: A S G
authors.initials: AS
authors.lastname: Faruque
mesh_terms: D001459:Bangladesh; D002648:Child; D015362:Child Nutrition Disorders / Q000209:etiology*; D002675:Child, Preschool; D005191:Family Characteristics; D005260:Female; D006130:Growth Disorders / Q000209:etiology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D044342:Malnutrition / Q000209:etiology*; D012307:Risk Factors; D035781:Siblings; D013851:Thinness / Q000209:etiology*; D014505:Urban Population; D019282:Wasting Syndrome / Q000209:etiology