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Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia

Background: Undernutrition among children has become a major public health issue due to the high risk of morbidity and mortality involving this vulnerable age group. This study focused on the rural population, especially among the Dayak children in Sarawak, Malaysia. Methodology: This community-bas...

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Main Authors: Rahman, Md Mizanur, Andrew Kiyu Dawie, Usop, Seling, Neilson Richard
Format: Article
Language:English
Published: Nutrition Society of Malaysia 2021
Subjects:
R Medicine (General)
Online Access:http://ir.unimas.my/id/eprint/36773/1/Md%20Mizanur%20Rahman.pdf
http://ir.unimas.my/id/eprint/36773/
https://nutriweb.org.my/mjn/online-first.php
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spelling my.unimas.ir.367732021-11-24T01:39:29Z http://ir.unimas.my/id/eprint/36773/ Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia Rahman, Md Mizanur Andrew Kiyu Dawie, Usop Seling, Neilson Richard R Medicine (General) Background: Undernutrition among children has become a major public health issue due to the high risk of morbidity and mortality involving this vulnerable age group. This study focused on the rural population, especially among the Dayak children in Sarawak, Malaysia. Methodology: This community-based cross-sectional study was conducted in Sarawak’s rural areas using a multistage stratified cluster sampling technique. Data were collected through face-to-face interviews using an interviewer-guided questionnaire. The nutritional status of the under-five children was measured according to the World Health Organization guidelines. The nutritional indicators were calculated as z-scores. Multivariate logistic regression analyses were performed using SPSS to identify the factors associated with nutritional status. Results: The prevalence of undernutrition among the under-five Dayak children in the rural areas of Sarawak was 39.6%. The analysis suggested that wasting was predominantly associated with parental education levels of primary and below, poor wealth index, environmental and sanitation issues, children with history of low birth weight, shorter duration of exclusive breastfeeding, and poor appetite. Stunting was high within the age group of <3 years old and was associated with parents’ occupation and household wealth index. Low parental education, poor wealth index, environmental and sanitation issues, poor appetite, and the children’s recent illness predicted underweight. Conclusion: These findings imply that a multi-sectoral and multi-dimensional approach is essential to address undernutrition in rural settings. Improvement on households’ socioeconomy, environment and sanitation should be emphasised to reduce undernutrition among the children. Nutrition Society of Malaysia 2021-11-23 Article PeerReviewed text en http://ir.unimas.my/id/eprint/36773/1/Md%20Mizanur%20Rahman.pdf Rahman, Md Mizanur and Andrew Kiyu Dawie, Usop and Seling, Neilson Richard (2021) Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia. Malaysian Journal of Nutrition, 27 (3). pp. 433-448. https://nutriweb.org.my/mjn/online-first.php 10.31246/mjn-2021-0045
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Rahman, Md Mizanur
Andrew Kiyu Dawie, Usop
Seling, Neilson Richard
Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia
description Background: Undernutrition among children has become a major public health issue due to the high risk of morbidity and mortality involving this vulnerable age group. This study focused on the rural population, especially among the Dayak children in Sarawak, Malaysia. Methodology: This community-based cross-sectional study was conducted in Sarawak’s rural areas using a multistage stratified cluster sampling technique. Data were collected through face-to-face interviews using an interviewer-guided questionnaire. The nutritional status of the under-five children was measured according to the World Health Organization guidelines. The nutritional indicators were calculated as z-scores. Multivariate logistic regression analyses were performed using SPSS to identify the factors associated with nutritional status. Results: The prevalence of undernutrition among the under-five Dayak children in the rural areas of Sarawak was 39.6%. The analysis suggested that wasting was predominantly associated with parental education levels of primary and below, poor wealth index, environmental and sanitation issues, children with history of low birth weight, shorter duration of exclusive breastfeeding, and poor appetite. Stunting was high within the age group of <3 years old and was associated with parents’ occupation and household wealth index. Low parental education, poor wealth index, environmental and sanitation issues, poor appetite, and the children’s recent illness predicted underweight. Conclusion: These findings imply that a multi-sectoral and multi-dimensional approach is essential to address undernutrition in rural settings. Improvement on households’ socioeconomy, environment and sanitation should be emphasised to reduce undernutrition among the children.
format Article
author Rahman, Md Mizanur
Andrew Kiyu Dawie, Usop
Seling, Neilson Richard
author_facet Rahman, Md Mizanur
Andrew Kiyu Dawie, Usop
Seling, Neilson Richard
author_sort Rahman, Md Mizanur
title Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia
title_short Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia
title_full Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia
title_fullStr Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia
title_full_unstemmed Prevalence and factors associated with undernutrition among Dayak children in rural areas of Sarawak, Malaysia
title_sort prevalence and factors associated with undernutrition among dayak children in rural areas of sarawak, malaysia
publisher Nutrition Society of Malaysia
publishDate 2021
url http://ir.unimas.my/id/eprint/36773/1/Md%20Mizanur%20Rahman.pdf
http://ir.unimas.my/id/eprint/36773/
https://nutriweb.org.my/mjn/online-first.php
_version_ 1718930110807015424
score 13.211869

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