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Child malnutrition and recurrent flooding in rural eastern India: a community-based survey

(2011) BMJ OPEN. 1(2).
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Abstract
Objectives: This study aims to improve the understanding of the relationship between exposure to floods and malnutrition in children aged 6-59 months in rural India. Research has focused exclusively on Bangladeshi children, and few controlled epidemiological studies are available. Method: A community-based cross-sectional study of child nutritional status was carried out in 14 flooded and 18 non-flooded villages of Jagatsinghpur district (Orissa) within one month of the September 2008 floods, and similarly affected by flooding in August 2006. Face-to-face interviews were conducted in 757 households in the flooded villages and 816 in the non-flooded communities. Data used in this study were from those households with children aged 6-59 months. In total, 191 and 161 children were measured, respectively. The association between various malnutrition indicators and the exposure to floods was assessed by univariate and multivariate logistic regression. Results: Adjusted analyses revealed that children in flooded households were more likely stunted compared with those in non-flooded ones (adjusted prevalence ratio 1.60; 95% CI 1.05 to 2.44). The prevalence of underweight was also higher in children living in the flooded communities (adjusted prevalence ratio 1.86; 95% CI 1.04 to 3.30). Further analyses found that the 26-36-month flooded cohort, thus those children younger than 1 year during the precedent flood in August 2006, attained the largest difference in levels of stunting compared with the unexposed group of the same age. Conclusion: Exposure to floods is associated with long-term malnutrition in these rural communities of Orissa, India. Children exposed to floods during their first year of life presented higher levels of chronic malnutrition. Long-term malnutrition prevention programmes after floods should be implemented in flood-prone areas.

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MLA
Rodriguez-Llanes, Jose Manuel, et al. “Child Malnutrition and Recurrent Flooding in Rural Eastern India: A Community-Based Survey.” BMJ OPEN, vol. 1, no. 2, 2011, doi:10.1136/bmjopen-2011-000109.
APA
Rodriguez-Llanes, J. M., Ranjan-Dash, S., Degomme, O., Mukhopadhyay, A., & Guha-Sapir, D. (2011). Child malnutrition and recurrent flooding in rural eastern India: a community-based survey. BMJ OPEN, 1(2). https://doi.org/10.1136/bmjopen-2011-000109
Chicago author-date
Rodriguez-Llanes, Jose Manuel, Shisir Ranjan-Dash, Olivier Degomme, Alok Mukhopadhyay, and Debarati Guha-Sapir. 2011. “Child Malnutrition and Recurrent Flooding in Rural Eastern India: A Community-Based Survey.” BMJ OPEN 1 (2). https://doi.org/10.1136/bmjopen-2011-000109.
Chicago author-date (all authors)
Rodriguez-Llanes, Jose Manuel, Shisir Ranjan-Dash, Olivier Degomme, Alok Mukhopadhyay, and Debarati Guha-Sapir. 2011. “Child Malnutrition and Recurrent Flooding in Rural Eastern India: A Community-Based Survey.” BMJ OPEN 1 (2). doi:10.1136/bmjopen-2011-000109.
Vancouver
1.
Rodriguez-Llanes JM, Ranjan-Dash S, Degomme O, Mukhopadhyay A, Guha-Sapir D. Child malnutrition and recurrent flooding in rural eastern India: a community-based survey. BMJ OPEN. 2011;1(2).
IEEE
[1]
J. M. Rodriguez-Llanes, S. Ranjan-Dash, O. Degomme, A. Mukhopadhyay, and D. Guha-Sapir, “Child malnutrition and recurrent flooding in rural eastern India: a community-based survey,” BMJ OPEN, vol. 1, no. 2, 2011.
@article{2039214,
  abstract     = {{Objectives: This study aims to improve the understanding of the relationship between exposure to floods and malnutrition in children aged 6-59 months in rural India. Research has focused exclusively on Bangladeshi children, and few controlled epidemiological studies are available. 
Method: A community-based cross-sectional study of child nutritional status was carried out in 14 flooded and 18 non-flooded villages of Jagatsinghpur district (Orissa) within one month of the September 2008 floods, and similarly affected by flooding in August 2006. Face-to-face interviews were conducted in 757 households in the flooded villages and 816 in the non-flooded communities. Data used in this study were from those households with children aged 6-59 months. In total, 191 and 161 children were measured, respectively. The association between various malnutrition indicators and the exposure to floods was assessed by univariate and multivariate logistic regression. 
Results: Adjusted analyses revealed that children in flooded households were more likely stunted compared with those in non-flooded ones (adjusted prevalence ratio 1.60; 95% CI 1.05 to 2.44). The prevalence of underweight was also higher in children living in the flooded communities (adjusted prevalence ratio 1.86; 95% CI 1.04 to 3.30). Further analyses found that the 26-36-month flooded cohort, thus those children younger than 1 year during the precedent flood in August 2006, attained the largest difference in levels of stunting compared with the unexposed group of the same age. 
Conclusion: Exposure to floods is associated with long-term malnutrition in these rural communities of Orissa, India. Children exposed to floods during their first year of life presented higher levels of chronic malnutrition. Long-term malnutrition prevention programmes after floods should be implemented in flood-prone areas.}},
  articleno    = {{e000109}},
  author       = {{Rodriguez-Llanes, Jose Manuel and Ranjan-Dash, Shisir and Degomme, Olivier and Mukhopadhyay, Alok and Guha-Sapir, Debarati}},
  issn         = {{2044-6055}},
  journal      = {{BMJ OPEN}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{8}},
  title        = {{Child malnutrition and recurrent flooding in rural eastern India: a community-based survey}},
  url          = {{http://doi.org/10.1136/bmjopen-2011-000109}},
  volume       = {{1}},
  year         = {{2011}},
}

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