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Table 3 Bivariate and multivariable analysis of double and triple burden of malnutrition among mother-child pairs and its associated factors (n = 2261)

From: Prevalence and factors associated with double and triple burden of malnutrition among mothers and children in Nepal: evidence from 2016 Nepal demographic and health survey

Maternal factors

DBM

TBM

COR(95% CI)

AOR(95% CI)b

COR(95% CI)

AOR(95% CI)c

Age group

 15–24

1

1

1

1

 25–34

1.61 (0.87–2.98)

1.59 (0.83–3.03)

1.64 (0.88–3.08)

1.96 (1.04–3.71)*

> 35

2.59 (1.13–5.94)**

3.08 (1.20–7.86)**

3.11 (1.34–7.22)**

3.41 (1.26–9.17)**

Age at 1st birth

< 19 years

0.13 (0.03–0.45)**

 

0.16 (0.04–0.62)**

0.34 (0.66–1.83)

 20–29 years

0.12 (0.03–0.44)**

 

0.16 (0.03–0.64)**

0.18 (0.03–1.06)

 Above 30 years

1

 

1

1

Province

 Province 1

0.89 (0.40–2.00)

1.20 (0.50–2.85)

0.89 (0.38–2.03)

1.08 (0.47–2.49)

 Province 2

0.08 (0.02–0.29)***

0.13 (0.03–0.47)***

0.10 (0.03–0.33)***

0.11 (0.03–0.41)***

 Province 3

1

1

1

1

 Province 4

0.73 (0.31–1.71)

0.97 (0.36–2.61)

0.71 (0.29–1.70)

0.85 (0.31–2.32)

 Province 5

0.51 (0.21–1.22)

0.65 (0.25–1.72)

0.57 (0.23–1.38)

0.65 (0.27–1.59)

 Province 6

0.24 (0.07–.75)*

0.47 (0.14–1.58)

0.28 (0.09–0.87)*

0.50 (0.15–1.67)

 Province 7

0.13 (0.04–0.41)***

0.24 (0.07–0.86)*

0.14 (0.04–0.45)***

0.23 (0.06–0.82)*

Education

 No education

1

1

1

1

 Primary

1.14 (0.55–2.34)

1.04 (0.49–2.22)

1.09 (0.53–2.27)

1.06 (0.46–2.41)

 Secondary

2.43 (1.24–4.76)*

2.05 (1.03–4.07)*

2.09 (1.05–4.16)*

2.05 (1.00–4.18)*

 higher

1.83 (0.81–4.10)

1.04 (0.43–2.49)

1.57 (0.67–3.71)

1.43 (0.53–3.84)

Occupation

 Agriculture

1

1

1

1

 No job

1.42 (0.75–2.68)

1.19 (0.58–2.42)

1.33 (0.70–2.52)

1.10 (0.53–2.26)

 Services

2.82 (1.37–5.81)*

1.34 (0.63–2.86)

2.60 (1.26–5.36)*

1.33 (0.59–2.96)

Wealth status

 Poor

1

1

1

1

 Middle

1.15 (0.48–2.75)

1.42 (0.54–3.71)

0.98 (0.38–2.49)

1.61 (0.58–4.40)

 Rich

2.89 (1.50–5.54)***

2.46 (1.17–5.15)**

2.61 (1.36–5.02)***

2.66 (1.28–5.54)***

Height

 Normal height

1

1

1

1

 Short stature

3.19 (1.59–6.39)***

4.18 (2.04–8.52)***

4.38 (2.17–8.86)***

5.01 (2.45–10.24)***

Delivery by CS

 

 No

1

1

1

 Yes

2.39 (1.18–4.84)*

1.44 (0.68–3.04)

1.95 (0.90–4.25)

Father’s occupation

 

 Agriculture

1

 

1

 No job

0.98 (0.41–2.32)

 

1.01 (0.40–2.52)

 Services

1.24 (0.53–2.87)

 

1.27 (0.52–3.07)

Father’s education

 

 No education

1

 

1

 Primary

1.81 (0.58–5.75)

 

1.84 (0.54–6.17)

 Secondary

1.49 (0.54–4.10)

 

1.36 (0.46–4.00)

 higher

1.64 (0.56–4.80)

 

1.51 (0.48–4.71)

Child factors

Child’s age

< 12 months

1

1

1

1

 13–23 months

1.63 (0.80–3.30)

0.85 (0.33–2.20)

2.13 (0.99–4.57)

1.24 (0.47–3.34)

 24–35 months

2.15 (1.04–4.46)*

1.06 (0.39–2.86)

2.85 (1.33–6.11)*

1.60 (0.56–4.57)

 36–47 months

2.19 (1.01–4.73)*

1.18 (0.43–3.24)

2.75 (1.21–6.24)*

1.71 (0.58–5.02)

 48–59 months

1.76 (0.79–3.89)

0.77 (0.26–2.26)

2.27 (0.98–5.28)

1.17 (0.36–3.75)

Child’s sex

 

 Male

1

 

1

 Female

0.84 (0.53–1.33)

 

0.78 (0.49–1.26)

Vitamin A

 Yes

1

1

1

1

 No

0.45 (0.22–0.92)*

0.70 (0.29–1.69)

0.40 (0.19–0.86)*

0.85 (0.34–2.14)

Deworming

 Yes

1

1

1

1

 No

0.54 (0.31–0.91)*

0.71 (0.32–1.56)

0.49 (0.28–0.86)*

0.79 (0.35–1.74)

Currently breastfeeding

 Yes

1

1

1

1

 No

1.97 (1.10–3.51)*

1.34 (0.64–2.79)

1.93 (1.07–3.47)*

1.24 (0.59–2.60)

Birth weight

 Average

1

1

1

 

 Large

1.93 (1.13–3.29)*

1.57 (0.85–2.92)

1.61 (0.90–2.87)

 Small

1.43 (0.78–2.60)

1.46 (0.77–2.75)

1.53 (0.84–2.81)

  1. DBM Double burden of malnutrition (Overweight/obese mother and undernourished child at the same household)
  2. TBM Triple burden of malnutrition (Overweight/obese mother and undernourished and anemic child at the same household)
  3. 1: reference category
  4. COR Crude odds ratio, AOR Adjusted odds ratio
  5. *p < 0.05, **p < 0.02, ***P < 0.001
  6. b This model was adjusted for mother’s age groups, province, education, occupation, wealth status, mother’s height, delivery by CS, child’s age, vitamin A intake in the last 6 months, deworming, currently breast feeding, and birth weight
  7. c This model was adjusted for mother’s age groups, mother’s age at 1st birth, province, education, occupation, wealth status, mother’s height, child’s age, vitamin A intake in the last 6 months, deworming, and currently breast feeding