title: Low maternal education and socio-economic status were associated with household food insecurity in children under five with diarrhoea in Bangladesh.
abstract: OBJECTIVE
  Household food insecurity (HFI) is insufficient access to nutritionally safe and adequate foods to meet the dietary needs for an active and healthy life. We examined the prevalence and determinants of HFI in Bangladeshi children under five with diarrhoea.
  
  
  METHODS
  This study included 365 children (55% boys) who had diarrhoea in the two weeks before the 2011 Bangladesh Demographic Health Survey (BDHS-2011). The Household Food Insecurity Access Scale (HFIAS) was used to assess HFI and Pearson's chi-square test and binary logistic regression analysis were used to investigate the association between HFI and multilevel factors.
  
  
  RESULTS
  The prevalence of HFI among children under five with diarrhoea in the two weeks prior to the BDHS-2011 survey was 48%. HFI was significantly higher among the children of uneducated mothers, who were two times more likely to experience HFI, with an adjusted odds ratio (OR) of 2.14 and children who were from the lowest socio-economic status families, who were more than seven times more likely to experience HFI, with an adjusted OR of 7.55.
  
  
  CONCLUSIONS
  Low maternal education and low socio-economic status were significantly associated with HFI in Bangladeshi children under five with diarrhoea and public health campaigns should take this into account.
authors.affiliation: Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.|Department of Public Health, Faculty of Health Science, First Capital University of Bangladesh, Chuadanga, Bangladesh.
authors.forename: Mohammad Rocky Khan
authors.initials: MR
authors.lastname: Chowdhury
authors.affiliation: Department of Public Health Medicine, School of Public Health, Bielefeld University, Bielefeld, Germany.|Department of Public Health College of Applied Medical Sciences, King Faisal University Hofuf, Saudi Arabia.
authors.forename: M M H
authors.initials: MM
authors.lastname: Khan
authors.affiliation: Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
authors.forename: Md
authors.initials: M
authors.lastname: Rafiqul Islam
authors.affiliation: Faculty of Health, Federation University Australia, Ballarat, Australia.
authors.forename: Nirmala K P
authors.initials: NK
authors.lastname: Perera
authors.affiliation: Faculty of Health, Federation University Australia, Ballarat, Australia.
authors.forename: Matthew K
authors.initials: MK
authors.lastname: Shumack
authors.affiliation: Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
authors.forename: Manzur
authors.initials: M
authors.lastname: Kader
mesh_terms: D001459:Bangladesh; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003967:Diarrhea / Q000191:economics / Q000209:etiology*; D004522:Educational Status; D005260:Female; D005523:Food Supply / Q000191:economics / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D012307:Risk Factors; D012923:Social Class
keywords: Bangladesh; Children; Diarrhoea; Household food insecurity; Nutrition