Is women's household decision-making autonomy associated with their higher dietary diversity in Bangladesh? Evidence from nationally representative survey

被引:5
作者
Shourove, Jahid Hasan [1 ]
Meem, Fariha Chowdhury [1 ]
Rahman, Mustafizur [1 ]
Islam, G. M. Rabiul [1 ]
机构
[1] Shahjalal Univ Sci & Technol, Food Engn & Tea Technol, Sylhet, Bangladesh
来源
PLOS GLOBAL PUBLIC HEALTH | 2023年 / 3卷 / 07期
关键词
FOOD SECURITY; ADEQUACY; EMPOWERMENT;
D O I
10.1371/journal.pgph.0001617
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In Bangladesh, a low-quality repetitive diet characterized by starchy staple foods is typical, leading to disorders associated with micronutrient deficiencies, particularly among mothers and their children. The purpose of the study was to validate the link between women's decision-making autonomy and higher dietary diversity score. Participants were ever married women aged 15-49 years old with comprehensive dietary information (n = 17,842), selected from the Bangladesh Demographic and Health Survey, 2014. The dietary diversity score (DDS) was obtained from a 24-h recall of dietary intake from nine food groups, categorized into lower DDS (DDS <= 4) and higher DDS (DDS >= 5). Descriptive analysis, bivariate and multivariate logistic regression were conducted using STATA version 15. Almost all women consumed starchy foods, flesh (83.86%), and fruits (67.30%). Using logistic regression, the odds of achieving dietary diversity score were higher among women who participated in household purchases (OR 2.40; 95% CI: 1.52-3.83; p = 0.022). Women who had higher and secondary education were 2.72 (95% CI: 1.49-3.02; p = 0.025) and 1.31 (95% CI: 0.58-2.18; p = 0.029) times more likely to achieve higher DDS than women having no education, as well as women in the richest quintile (OR 6.49; 95% CI: 4.12-8.5; p = 0.037) compared to women in the lowest quintile. This study highlighted the association of several socioeconomic conditions of ever married women and their dietary diversity score in Bangladesh. Therefore, promoting the women's education status, improving the socioeconomic conditions, and prioritizing their decisions are recommended for the attainment of higher dietary diversity score.
引用
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页数:12
相关论文
共 40 条
[21]   Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) Data Collection: Validity of the List-Based and Open Recall Methods as Compared to Weighed Food Record [J].
Hanley-Cook, Giles T. ;
Tung, Ji Yen A. ;
Sattamini, Isabela F. ;
Marinda, Pamela A. ;
Thong, Kong ;
Zerfu, Dilnesaw ;
Kolsteren, Patrick W. ;
Tuazon, Maria Antonia G. ;
Lachat, Carl K. .
NUTRIENTS, 2020, 12 (07) :1-13
[22]  
Hasan M, 2017, CUREUS J MED SCIENCE, V9, DOI 10.7759/cureus.1986
[23]   Exploring Rural Adolescents' Dietary Diversity and Its Socioeconomic Correlates: A Cross-Sectional Study from Matlab, Bangladesh [J].
Islam, Mohammad Redwanul ;
Rahman, Syed Moshfiqur ;
Tarafder, Chandan ;
Rahman, Md. Monjur ;
Rahman, Anisur ;
Ekstrom, Eva-Charlotte .
NUTRIENTS, 2020, 12 (08) :1-16
[24]   State income inequality, household income, and maternal mental and physical health: cross sectional national survey [J].
Kahn, RS ;
Wise, PH ;
Kennedy, BP ;
Kawachi, I .
BRITISH MEDICAL JOURNAL, 2000, 321 (7272) :1311-1315
[25]  
Kamal SMM, 2015, J HEALTH POPUL NUTR, V33, P92
[26]   Women's empowerment boosts the gains in dietary diversity from agricultural technology adoption in rural Kenya [J].
Kassie, Menale ;
Fisher, Monica ;
Muricho, Geoffrey ;
Diiro, Gracious .
FOOD POLICY, 2020, 95
[27]  
Katz E., 2008, Programs Promoting Young Women's employment
[28]  
Kiani Z, 2018, IRAN J PUBLIC HEALTH, V47, P464
[29]   Women's education level amplifies the effects of a livelihoods-based intervention on household wealth, child diet, and child growth in rural Nepal [J].
Miller, Laurie C. ;
Joshi, Neena ;
Lohani, Mahendra ;
Rogers, Beatrice ;
Mahato, Shubh ;
Ghosh, Shibani ;
Webb, Patrick .
INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH, 2017, 16
[30]   Map the interactions between Sustainable Development Goals [J].
Nilsson, Mans ;
Griggs, Dave ;
Visbeck, Martin .
NATURE, 2016, 534 (7607) :320-322