Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014
This article was published in Current Developments in Nutrition by Oxford Academic [ © Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa061_091 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/1463/5845785
| Hlavní autoři: | , , , , , , |
|---|---|
| Další autoři: | |
| Médium: | Journal Article |
| Jazyk: | en_US |
| Vydáno: |
Oxford Academic
2022
|
| Témata: | |
| On-line přístup: | http://hdl.handle.net/10361/16640 https://doi.org/10.1093/cdn/nzaa061_091 |
| id |
10361-16640 |
|---|---|
| record_format |
dspace |
| spelling |
10361-166402022-05-22T21:01:32Z Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014 Nguyen, Phuong Scott, Samuel Khuong, Long Pramanik, Priyanjana Ahmed, Akhter Afsana, Kaosar Menon, Purnima Brac James P. Grant School of Public Health Adolescent Mothers Adult Mothers Underweight Children This article was published in Current Developments in Nutrition by Oxford Academic [ © Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa061_091 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/1463/5845785 Objectives: Adolescent pregnancy is a major global concern due to its adverse effects on maternal and child health and wellbeing. Bangladesh has one of the highest rates of adolescent pregnancy globally. We sought to examine trends in adolescent pregnancy and associated factors in Bangladesh in the last two decades, and to understand why children of adolescent mothers are at high risk of poor growth. Methods Data were from 6 rounds of Bangladesh Demographic and Health Survey (1996–2014). Women aged 15–49 years who gave birth in the 5 years preceding each survey (n = 30,331) were classified based on age at first birth: ≤19 years (adolescence), 20–24 years (young adulthood), and ≥25 years (adulthood). Trend analysis was used to assess the progress over time. Multivariable regression and structural equation models were used to understand how adolescent pregnancy is linked to child undernutrition through maternal nutritional status, education and bargaining power, health service use, child feeding and living conditions. Results Adolescent pregnancy has declined slowly, from 84% in 1996 to 73% in 2014. Children born to adolescent mothers had lower z-scores for height-for-age (mean difference: −0·64 SD), weight-for-age (−0·45 SD), and higher prevalence of stunting (18 percentage points [pp]) and underweight (12pp) than children born to adult mothers. Compared to adult mothers, adolescent mothers were shorter (−0·8 cm), lighter (−6.9 kg), more likely to be underweight (+14pp), had lower education (−4·3 years), less decision-making power (−9pp), and lived in poorer households (−0·79 SD) with poorer sanitation (−23pp) (all P < 0.05). Adolescent mothers were less likely to access ANC (−20pp), institutional delivery (−42pp), postnatal care services (−24pp) and had poorer complementary feeding practices (−15pp). In path analyses, these intermediate factors explained 66% of the association between adolescent pregnancy and child anthropometry, with the strongest links being through women's weight, education, socioeconomic status and complementary feeding practices. Conclusions Adolescent pregnancy is still the norm in Bangladesh. Policies and programs to address poverty and improve women's education can help to improve women's health, reduce early childbearing and break the intergenerational cycle of poverty and undernutrition. Published 2022-05-22T04:31:12Z 2022-05-22T04:31:12Z 2020 2020-05-29 Journal Article Nguyen, P., Scott, S., Khuong, L., Pramanik, P., Ahmed, A., Afsana, K., & Menon, P. (2020). Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014. Oxford Academic, 4(Supplement_2), 1463. doi:https://doi.org/10.1093/cdn/nzaa061_091 http://hdl.handle.net/10361/16640 https://doi.org/10.1093/cdn/nzaa061_091 en_US https://academic.oup.com/cdn/article/4/Supplement_2/1463/5845785 Current Developments in Nutrition application/pdf Oxford Academic |
| institution |
Brac University |
| collection |
Institutional Repository |
| language |
en_US |
| topic |
Adolescent Mothers Adult Mothers Underweight Children |
| spellingShingle |
Adolescent Mothers Adult Mothers Underweight Children Nguyen, Phuong Scott, Samuel Khuong, Long Pramanik, Priyanjana Ahmed, Akhter Afsana, Kaosar Menon, Purnima Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014 |
| description |
This article was published in Current Developments in Nutrition by Oxford Academic [ © Oxford University Press 2020.] and the definite version is available at: https://doi.org/10.1093/cdn/nzaa061_091 The Journal's website is at: https://academic.oup.com/cdn/article/4/Supplement_2/1463/5845785 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Nguyen, Phuong Scott, Samuel Khuong, Long Pramanik, Priyanjana Ahmed, Akhter Afsana, Kaosar Menon, Purnima |
| format |
Journal Article |
| author |
Nguyen, Phuong Scott, Samuel Khuong, Long Pramanik, Priyanjana Ahmed, Akhter Afsana, Kaosar Menon, Purnima |
| author_sort |
Nguyen, Phuong |
| title |
Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014 |
| title_short |
Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014 |
| title_full |
Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014 |
| title_fullStr |
Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014 |
| title_full_unstemmed |
Why are adolescent mothers more likely to have stunted and underweight children than adult mothers? A path analysis using data from 30,000 Bangladeshi mothers, 1996–2014 |
| title_sort |
why are adolescent mothers more likely to have stunted and underweight children than adult mothers? a path analysis using data from 30,000 bangladeshi mothers, 1996–2014 |
| publisher |
Oxford Academic |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16640 https://doi.org/10.1093/cdn/nzaa061_091 |
| work_keys_str_mv |
AT nguyenphuong whyareadolescentmothersmorelikelytohavestuntedandunderweightchildrenthanadultmothersapathanalysisusingdatafrom30000bangladeshimothers19962014 AT scottsamuel whyareadolescentmothersmorelikelytohavestuntedandunderweightchildrenthanadultmothersapathanalysisusingdatafrom30000bangladeshimothers19962014 AT khuonglong whyareadolescentmothersmorelikelytohavestuntedandunderweightchildrenthanadultmothersapathanalysisusingdatafrom30000bangladeshimothers19962014 AT pramanikpriyanjana whyareadolescentmothersmorelikelytohavestuntedandunderweightchildrenthanadultmothersapathanalysisusingdatafrom30000bangladeshimothers19962014 AT ahmedakhter whyareadolescentmothersmorelikelytohavestuntedandunderweightchildrenthanadultmothersapathanalysisusingdatafrom30000bangladeshimothers19962014 AT afsanakaosar whyareadolescentmothersmorelikelytohavestuntedandunderweightchildrenthanadultmothersapathanalysisusingdatafrom30000bangladeshimothers19962014 AT menonpurnima whyareadolescentmothersmorelikelytohavestuntedandunderweightchildrenthanadultmothersapathanalysisusingdatafrom30000bangladeshimothers19962014 |
| _version_ |
1814307274642948096 |