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 FNS  Vol.4 No.8 , August 2013
Health and Nutritional Status of Young Foster Children Attending a Diarrhea Treatment Hospital in Bangladesh
Abstract: There is scarcity of evidence-based information about socio-demographic as well as ailment factors associated with foster children in Bangladesh. Thus the aim of the present study was to determine the socio-economic, health and nutritional status of young foster children in urban Dhaka. A total of 208 (1%; n = 208/28,948) under-5 foster children were enrolled in the Diarrheal Disease Surveillance System of icddr,b between 1993-2012. Randomly selected under-5 children (n = 624) with a ratio of 1:3 were extracted and constituted as comparison group. Forty-three percent (n = 90) foster children were male. Lack of formal schooling of mother was higher among foster children compared to non-foster children (52% vs. 35%; p < 0.001). Higher proportion of foster children suffered from some or severe dehy-dration (60% vs. 47%; p = 0.001) and often received intravenous saline (12% vs. 5%; p = 0.002) in comparison to non-foster children. Significantly lower proportion of foster children had rotavirus diarrhea (26% vs. 43%; p < 0.001). In multivariate analysis, foster children were 2 times (95% CI: 1.31-4.32) more likely to be stunted and 194 times (95% CI: 82.25-457.76) more likely to be non-breastfed. Infants aged 6-11 months were 8 times (95% CI: 3.70-15.50) more likely to be foster compared to older children and probability of fostering was 7 times (95% CI: 3.96-13.33) higher among mothers with a median age of 25 years. The findings of our study clearly demonstrate the existing health and nutritional problems of foster children. Therefore, appropriate health and nutrition interventions are critical for foster children in Bangladesh.
Cite this paper: D. Akhter, S. Das, M. Chisti, G. Imran, F. Farzana, S. Ahmed, F. Ferdous, M. Malek and A. Faruque, "Health and Nutritional Status of Young Foster Children Attending a Diarrhea Treatment Hospital in Bangladesh," Food and Nutrition Sciences, Vol. 4 No. 8, 2013, pp. 785-790. doi: 10.4236/fns.2013.48102.
References

[1]   L. K. Leslie, J. Landsverk, R. Ezzet-Lofstrom, J. M. Tschann, D. J. Slymen and A. F. Garland, “Children in Foster Care: Factors Influencing Outpatient Mental Health Service Use,” Child Abuse & Neglect, Vol. 24, No. 4, 2000, pp. 465-476.

[2]   J. I. Takayama, E. Wolfe and K. P. Coulter, “Relationship between Reason for Placement and Medical Findings among Children in Foster Care,” Pediatrics, Vol. 101, No. 2, 1998, pp. 201-207. doi:10.1542/peds.101.2.201

[3]   L. K. Leslie, J. N. Gordon, L. Meneken, K. Premji, K. L. Michelmore and W. Ganger, “The Physical, Developmental, and Mental Health Needs of Young Children in Child Welfare by Initial Placement Type,” Journal of Developmental and Behavioral Pediatrics, Vol. 26, No. 3, 2005, pp. 177-185.

[4]   S. M. Horwitz, P. Owens and M. D. Simms, “Specialized Assessments for Children in Foster Care,” Pediatrics, Vol. 106, No. 1, 2000, pp. 59-66.

[5]   R. L. Hansen, F. L. Mawjee, K. Barton, M. B. Metcalf and N. R. Joye, “Comparing the Health Status of Low Income Children in and out of Foster Care,” Child Welfare, Vol. 83, No. 4, 2004, pp. 367-380.

[6]   M. M. Garwood and W. Close, “Identifying the Psychological Needs of Foster Children,” Child Psychiatry and Human Development, Vol. 32, No. 2, 2001, pp. 125-135. doi:10.1023/A:1012246723182

[7]   N. R. Sarkar, K. B. Biswas, U. H. Khatun and A. K. Datta, “Characteristics of Young Foster Children in the Urban Slums of Bangladesh,” Acta Paediatrica, Vol. 92, No. 7, 2003, pp. 839-842. doi:10.1111/j.1651-2227.2003.tb02543.x

[8]   E. L. Schor, “The Foster Care System and Health Status of Foster Children,” Pediatrics, Vol. 69, No. 5, 1982, pp. 521-528.

[9]   M. I. Benedict, S. Zuravin, M. Somerfield and D. Brandt, “The Reported Health and Functioning of Children Maltreated While in Family Foster Care,” Child Abuse & Neglect, Vol. 20, No. 7, 1996, pp. 561-571.

[10]   M. I. Benedict, S. Zuravin, D. Brandt and H. Abbey, “Types and Frequency of Child Maltreatment by Family Foster Care Providers in an Urban Population,” Child Abuse & Neglect, Vol. 18, No. 7, 1994, pp. 577-585.

[11]   G. F. Hobbs, C. J. Hobbs and J. M. Wynne, “Abuse of Children in Foster and Residential Care,” Child Abuse & Neglect, Vol. 23, No. 12, 1999, pp. 1239-1252.

[12]   N. Halfon, A. Mendonca and G. Berkowitz, “Health Status of Children in Foster Care. The Experience of the Center for the Vulnerable Child,” Archives of Pediatrics & Adolescent Medicine, Vol. 149, No. 4, 1995, pp. 386-392. doi:10.1001/archpedi.1995.02170160040006

[13]   D. M. Rubin, A. L. O’Reilly, X. Luan and A. R. Localio, “The Impact of Placement Stability on Behavioral Well Being for Children in Foster Care,” Pediatrics, Vol. 119, No. 2, 2007, pp. 336-344.

[14]   S. M. Horwitz, M. D. Simms and R. Farrington, “Impact of Developmental Problems on Young Children’s Exits from Foster Care,” Journal of Developmental & Behavioral Pediatrics, Vol. 15, No. 2, 1994, pp. 105-110. doi:10.1097/00004703-199404000-00007

[15]   R. Chernoff, T. Combs-Orme, C. Risley-Curtiss and A. Heisler, “Assessing the Health Status of Children Entering Foster Care,” Pediatrics, Vol. 93, No. 4, 1994, pp. 594-601.

[16]   J. I. Takayama, A. B. Bergman and F. A. Connell, “Children in Foster Care in the State of Washington. Health Care Utilization and Expenditures,” Journal of the Ame rican Medical Association, Vol. 271, No. 23, 1994, pp. 1850-1855. doi:10.1001/jama.1994.03510470054034

[17]   S. Kools and C. Kennedy, “Foster Child Health and Development: Implications for Primary Care,” Pediatric Nursing, Vol. 29, No. 1, 2003, pp. 39-41, 44-46.

[18]   G. O. Gonzalvo, “Social Characteristics and Health Status of Children Entering Foster Care Centers,” Anales Espanoles de Pediatria, Vol. 50, No. 2, 1999, pp. 151-155.

[19]   K. Pears and P. A. Fisher, “Developmental, Cognitive, and Neuropsychological Functioning in Preschool-Aged Foster Children: Associations with Prior Maltreatment and Placement History,” Journal of Developmental and Behavioral Pediatrics, Vol. 26, No. 2, 2005, pp. 112-122.

[20]   World Health Organization, “Programme for control of diarrheal disease. In manual for laboratory investigation of acute enteric infections,” World Health Organization, Geneva, 1987, pp. 9-20.

[21]   M. Rahman, K. De Leener, T. Goegebuer, E. Wollants, I. Van der Donck, L. Van Hoovels and M. Van Ranst, “Genetic Characterization of a Novel, Naturally Occurring Recombinant Human g6p[6] Rotavirus,” Journal of Clinical Microbiology, Vol. 41, No. 5, 2003, pp. 2088 2095. doi:10.1128/JCM.41.5.2088-2095.2003

[22]   S. K. Roy, G. J. Fuchs, Z. Mahmud, G. Ara, S. Islam, S. Shafique, S. S. Akter and B. Chakraborty, “Intensive Nutrition Education with or without Supplementary Feeding Improves the Nutritional Status of Moderately-Malnour ished Children in Bangladesh,” Journal of Health, Population, and Nutrition, Vol. 23, No. 4, 2005, pp. 320-330.

[23]   M. J. Chisti, M. I. Hossain, M. A. Malek, A. S. Faruque, T. Ahmed and M. A. Salam, “Characteristics of Severely Malnourished Under-Five Children Hospitalized with Diarrhoea, and Their Policy Implications,” Acta Paediatrica, Vol. 96, No. 5, 2007, pp. 693-696.

[24]   S. K. Dey, M. J. Chisti, S. K. Das, C. K. Shaha, F. Ferdous, F. D. Farzana, S. Ahmed, M. A. Malek, A. S. Faruque, T. Ahmed and M. A. Salam, “Characteristics of Diarrheal Illnesses in Non-Breast Fed Infants Attending a Large Urban Diarrheal Disease Hospital in Bangladesh,” PLoS One, Vol. 8, No. 3, 2013, Article ID: e58228. doi:10.1371/journal.pone.0058228

[25]   A. Varalda, A. Coscia, P. Di Nicola, G. Sabatino, I. Rovelli, F. Giuliani, A. Soldi, C. Perathoner and E. Bertino, “Medication and Breastfeeding,” Journal of Biological Regulators & Homeostatic Agents, Vol. 26, No. 3, 2012, pp. 1-4.

[26]   E. Bertino, A. Varalda, P. Di Nicola, A. Coscia, L. Occhi, L. Vagliano, A. Soldi and C. Perathoner, “Drugs and Breastfeeding: Instructions for Use,” Journal of Maternal-Fetal and Neonatal Medicine, Vol. 25, No. 4, 2012, pp. 78-80. doi:10.3109/14767058.2012.715034

[27]   S. Chen, Y. Yang, X. Yan, J. Chen, H. Yu and W. Wang, “Influence of Vitamin a Status on the Antiviral Immunity of Children with Hand, Foot and Mouth Disease,” Clinical Nutrition, Vol. 31, No. 4, 2011, pp. 543-548.

[28]   D. Mondal, J. Minak, M. Alam, Y. Liu, J. Dai, P. Korpe, L. Liu, R. Haque and W. A. Petri Jr., “Contribution of Enteric Infection, Altered Intestinal Barrier Function, and Maternal Malnutrition to Infant Malnutrition in Bangladesh,” Clinical Infectious Diseases, Vol. 54, No. 2, 2012, pp. 185-192.

[29]   S. K. Das, M. J. Chisti, S. Huq, M. A. Malek, M. A. Salam, T. Ahmed and A. S. G. Faruque, “Etiology of Diarrhea among Severely Malnourished Infants and Young Children: Observation of Urban-Rural Differences over One Decade in Bangladesh,” Food and Nutrition Sciences, Vol. 4, No. 3, 2013, pp. 233-239. doi:10.4236/fns.2013.43031

[30]   N. Dewan, A. S. Faruque and G. J. Fuchs, “Nutritional Status and Diarrhoeal Pathogen in Hospitalized Children in Bangladesh,” Acta Paediatrica, Vol. 87, No. 6, 1998, pp. 627-630. doi:10.1111/j.1651-2227.1998.tb01520.x

[31]   J. M. Rhoads, B. A. Corl, R. Harrell, X. Niu, L. Gatlin, O. Phillips, A. Blikslager, A. Moeser, G. Wu and J. Odle, “Intestinal Ribosomal p70(s6k) Signaling Is Increased in Piglet Rotavirus Enteritis,” American Journal of Physiology—Gastrointestinal and Liver Physiology, Vol. 292, No. 3, 2007, pp. G913-G922.

 
 
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