scholarly journals 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

2020 ◽  
Author(s):  
Dev Ram Sunuwar ◽  
Devendra Raj Singh ◽  
Pranil Man Singh Pradhan
Keyword(s):  
Logistic Regression ◽  
Short Stature ◽  
Health Survey ◽  
Secondary Level ◽  
Anthropometric Measurements ◽  
Wealth Status ◽  
Normal Height ◽  
Level Of Education ◽  
Factors Associated ◽  
Mothers And Children

Abstract Background: Malnutrition among mothers and children is a major public health challenge in developing countries like Nepal. Although undernutrition among children has been gradually decreasing, the coexistence of various forms of malnutrition among mothers and children has continued to rise globally. There is a gap in knowledge of the coexistence of such multiple burdens of malnutrition in the Nepalese context. The aims of this study were to explore the coexistence of various forms of malnutrition and associated factors among the mother-child pairs in the same household. Methods: A total sample of 2,261 mother-child pairs from the Nepal Demographic and Health Survey (NDHS) 2016 were included in the study. Anthropometric measurements and hemoglobin levels of the children and anthropometric measurements of their mothers were taken. The bivariate and multivariable logistic regression were performed to assess the factors associated with the double burden of malnutrition (DBM) and the triple burden of malnutrition (TBM). Results: Prevalence of DBM and TBM was 6.60(5.13-8.84) % and 7(5.42-8.99) % respectively in the same household. In the adjusted multivariable logistic regression, mothers with short stature compared to normal height (AOR=4.18, 95% CI: 2.04-8.52), from the richest wealth status compared to poor wealth status (AOR=2.46, 95% CI= 1.17-5.15), from age group of above 35 years compared to 15-24 years (AOR=3.08, 95% CI:1.20-7.86), and those who had attended at least a secondary level of education compared to no education (AOR=2.05, 95% CI: 1.03-4.07) were more likely to suffer from the DBM. Similarly, mothers with short stature compared to normal height (AOR=5.01, 95% CI:2.45-10.24), from the richest wealth status compared to poor wealth status (AOR=2.66, 95% CI=1.28-5.54), age groups of above 35 years compared to 15-24 years (AOR=3.41, 95% CI:1.26-9.17), and those who had attended at least a secondary level of education compared to no education (AOR=2.05, 95% CI: 1.00-4.18) were more likely to suffer from the TBM. Conclusions: There is a low prevalence of double and triple burden of malnutrition among mother-child pairs in Nepal. Older mothers with short stature and from richer wealth status were more likely to suffer from double and triple burden of malnutrition.

scholarly journals 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

2019 ◽  
Author(s):  
Dev Ram Sunuwar ◽  
Devendra Raj Singh ◽  
Pranil Man Singh Pradhan
Keyword(s):  
Logistic Regression ◽  
Short Stature ◽  
Health Survey ◽  
Secondary Level ◽  
Anthropometric Measurements ◽  
Wealth Status ◽  
Normal Height ◽  
Level Of Education ◽  
Factors Associated ◽  
Mothers And Children

Abstract Background: Malnutrition among mothers and children is a major public health challenge in developing countries like Nepal. Although undernutrition among children has been gradually decreasing, the coexistence of different forms of malnutrition among mothers and children has continued to rise globally. There is a gap in knowledge of the coexistence of such multiple burdens of malnutrition in the Nepalese context. The aims of this study were to explore the coexistence of different forms malnutrition among children and associated factors among the mother-child pairs in the same household. Methods: A total sample of 2,261 mother-child pairs from the Nepal Demographic and Health Survey (NDHS) 2016 was included in the study. Anthropometric measurements and hemoglobin levels of the children and anthropometric measurements of their mothers were taken. The bivariate and multivariable logistic regression were performed to assess the factors associated with the double burden of malnutrition (DBM) and the triple burden of malnutrition (TBM). Results: Prevalence of DBM and TBM was 6.60(5.13-8.84) % and 7(5.42-8.99) % respectively in the same household. In the adjusted multivariable logistic regression, mothers with short stature compared to normal height (AOR=4.18, 95% CI: 2.04-8.52), from the richest wealth status compared to poor wealth status (AOR=2.46, 95% CI= 1.17-5.15), from age group of above 35 years compared to 15-24 years (AOR=3.08, 95% CI:1.20-7.86), and those who had attended at least a secondary level of education compared to no education (AOR=2.05, 95% CI: 1.03-4.07) were more likely to suffer from the DBM. Similarly, mothers with short stature compared to normal height (AOR=5.01, 95% CI:2.45-10.24), from the richest wealth status compared to poor wealth status (AOR=2.66, 95% CI=1.28-5.54), age groups of above 35 years compared to 15-24 years (AOR=3.41, 95% CI:1.26-9.17), and those who had attended at least a secondary level of education compared to no education (AOR=2.05, 95% CI: 1.00-4.18) were more likely to suffer from the TBM. Conclusions: There is a low prevalence of double and triple burden of malnutrition among mother-child pairs in Nepal. Mothers with short stature, belonging to the richest family and in older age were more prone to double and triple burden of malnutrition

scholarly journals 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

2020 ◽  
Author(s):  
Dev Ram Sunuwar ◽  
Devendra Raj Singh ◽  
Pranil Man Singh Pradhan
Keyword(s):  
Logistic Regression ◽  
Short Stature ◽  
Health Survey ◽  
Regression Models ◽  
Secondary Level ◽  
Wealth Quintile ◽  
Anthropometric Measurements ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Mothers And Children

Abstract Background: Malnutrition in mothers and children is a significant public health challenge in developing countries such as Nepal. Although undernutrition in children has been gradually decreasing, the coexistence of various forms of malnutrition in mothers and children has continued to rise globally. There is a gap in knowledge of the coexistence of such multiple burdens of malnutrition in the Nepalese context. The aims of this study were to explore the coexistence of various forms of malnutrition and associated factors among mother-child pairs residing in the same household. Methods: A total sample of 2,261 mother-child pairs from the Nepal Demographic and Health Survey (NDHS) 2016 were included in the study. Anthropometric measurements and hemoglobin levels of children and anthropometric measurements of their mothers were collected. Bivariate and multivariable logistic regression models were used to assess the factors associated with the double burden of malnutrition (DBM) and the triple burden of malnutrition (TBM). Results: Prevalence of DBM and TBM was 6.60 % (95 % CI: 5.13-8.84) and 7.00 % (95 % CI: 5.42-8.99) respectively in the same households. In the adjusted multivariable logistic regression models, mothers with short stature (AOR=4.18, 95 % CI: 2.04-8.52), from the richest wealth quintile (AOR=2.46, 95 % CI: 1.17-5.15), aged over 35 years (AOR=3.08, 95 % CI: 1.20-7.86), and those who had achieved at least secondary level education (AOR=2.05, 95 % CI: 1.03-4.07) were more likely to suffer from the DBM. Similarly, mothers with short stature (AOR=5.01, 95 % CI: 2.45-10.24), from the richest wealth quintile(AOR=2.66, 95 % CI: 1.28-5.54), aged over 35 years (AOR=3.41, 95 % CI: 1.26-9.17), and those who had achieved at least secondary level education (AOR=2.05, 95 % CI: 1.00-4.18) were more likely to suffer from the TBM. Conclusions: Overall, there is a low prevalence of double and triple burden of malnutrition among mother-child pairs in Nepal. Older mothers with short stature and those from richer wealth quintiles were more likely to suffer from double and triple burden of malnutrition.

scholarly journals Less than one-fifth of the mothers practised exclusive breastfeeding in the emerging regions of Ethiopia: a multilevel analysis of the 2016 Ethiopian demographic and health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsegaye Gebremedhin ◽  
Demiss Mulatu Geberu ◽  
Asmamaw Atnafu
Keyword(s):  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Household Wealth ◽  
Community Level ◽  
Wealth Status ◽  
Individual Level ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
The Individual ◽  
Low Coverage

Abstract Background The burden of low coverage of exclusive breastfeeding (EBF) has a significant impact on the health of a newborn and also on the family and social economy in the long term. Even though the prevalence of EBF practices in Ethiopia is low, the practices in the pastoral communities, in particular, are significantly low and affected by individual and community-level factors. Besides, its adverse outcomes are mostly unrecognised. Therefore, this study aimed to assess the individual and community-level factors of low coverage of EBF practices in the emerging regions of Ethiopia. Methods In this analysis, data from 2016 Ethiopian Demographic and Health Survey (EDHS) were used. A two-stage stratified sampling technique was used to identify 1406 children aged 0 to 23 months in the emerging regions of Ethiopia. A multilevel mixed-effect binary logistic regression analysis was used to determine the individual and community level factors associated with exclusive breastfeeding practices. In the final model, variables with a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were found to be statistically significant factors that affect exclusive breastfeeding practices. Results Overall, 17.6% (95% CI: 15.6–19.6) of the children aged 0 to 23 months have received exclusive breastfeeding. Employed mothers (AOR: 0.33, 95% CI: 0.21–0.53), richer household wealth status (AOR: 0.39, 95% CI: 0.16–0.96), mothers undecided to have more children (AOR: 2.29, 95% CI: 1.21–4.29), a child with a history of diarrhoea (AOR: 0.31, 95% CI: 0.16–0.61) were the individual-level factors, whereas Benishangul region (AOR: 2.63, 95% CI: 1.44–4.82) was the community-level factors associated with the exclusive breastfeeding practices. Conclusions Less than one-fifth of the mothers have practised exclusive breastfeeding in the emerging regions of Ethiopia. The individual-level factors such as mother’s employment status, household wealth status, desire for more children, presence of diarrhoea and community-level factors such as region have contributed to the low coverage of exclusive breastfeeding. Therefore, the federal and regional health bureaus and other implementers should emphasise to those emerging regions by creating awareness and strengthening the existing community-based health extension program to enhance exclusive breastfeeding practices.

scholarly journals Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245528
Author(s):  
Almaz Tefera Gonete ◽  
Bogale Kassahun ◽  
Eskedar Getie Mekonnen ◽  
Wubet Worku Takele
Keyword(s):  
Logistic Regression ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Short Stature ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Referral Hospital ◽  
Factors Associated ◽  
The University

Background Stunting at birth is a chronic form of undernutrition majorly attributable to poor prenatal nutrition, which could persist in children’s later life and impact their physical and cognitive health. Although multiple studies have been conducted in Ethiopia to show the magnitude of stunting and factors, all are concentrated on children aged between 6 to 59 months. Therefore, this study was done to determine the prevalence and associated factors of stunting at birth among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital, Northwest, Ethiopia. Methods An institution-based cross-sectional study was conducted from February 26th to April 25th/2020. A systematic random sampling technique was used, to select a total of 422 newborn-mother pairs. The binary logistic regression was employed to identify factors associated with stunting and all independent variables were entered into the multivariable logistic regression model to adjust for confounders. Variables that had significant association were identified based on p-value < 0.05 and the adjusted odds ratio with its respective 95% confidence interval was applied to determine the strength as well as the direction of the association. Results About 30.5% (95% CI: 26.3%, 35.1%) of newborns were stunted at birth. Being male [Adjusted odds ratio (AOR) = 2.9(1.62, 5.21)], newborns conceived in Kiremt(rainy season) [AOR = 2.7(1.49, 4.97)], being low birth weight [AOR = 3.1(1.64, 6.06)] were factors associated with stunting at birth. Likewise, newborns born to short stature mothers [AOR = 2.8(1.21, 6.62)] and chronically malnourished mothers [AOR = 15.3(8.12, 29.1)] were at greater risk of being stunted. Conclusion Just under a third of newborns are stunted at birth, implying a pressing public health problem. Newborns born to chronically malnourished and short stature mothers were more stunted. Besides, stunting was prevalently observed among male neonates, newborns conceived in Kiremet, and being low birth weight. Thus, policymakers and nutrition programmers should work on preventing maternal undernutrition through nutrition education to reduce the burden of low birth weight and stunting. Further, paying due attention to newborns conceived in Kiremet season to improve nutritional status is recommended.

scholarly journals Predictors of home births among rural women in Ghana: analysis of data from the 2014 Ghana Demographic and Health Survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Eugene Budu
Keyword(s):  
Maternal Health ◽  
Health Survey ◽  
Rural Women ◽  
Rural Areas ◽  
Statistical Significance ◽  
Northern Region ◽  
Demographic And Health Survey ◽  
Wealth Status ◽  
Home Births ◽  
Factors Associated

Abstract Background Home births is one of the factors associated with maternal mortality. This study examined the predictors of home births among rural women in Ghana. Methods Data for this study was obtained from the 2014 Demographic and Health Survey (DHS) of Ghana. For the purpose of this study, a sample size of 2,101 women in the rural areas who had given birth within five years prior to the survey and had responses on variables was considered. Data processing, management and analysis were carried out using STATA version 14.0. This study carried out bivariate and multivariate analyses and results were tested at 95% confidence interval. The Adjusted odds ratios were used to present the results and the level of statistical significance was assessed using 95% confidence intervals. Results Home births was found to be high among women who resided in the Northern region compared to those in the Western region [AOR, 1.81 CI = 1.10–2.98]. Similarly, the likelihood of home birth was high among women with four or more births [AOR, 1.46 CI = 1.03–2.05] and Traditionalists [AOR, 2.50 CI = 1.54–4.06]. Conversely, giving birth at home was low among women with higher level of education [AOR = 0.58, CI = 0.43–0.78], those with rich wealth status [AOR = 0.19, CI = 0.10–0.38], those with four or more ANC visits [AOR = 0.11, CI = 0.15–0.23] and those who were covered by NHIS [AOR = 0.58, CI = 0.46–0.72]. Conclusions Over the years, there have been efforts by governments in Ghana to make maternal health services free in the country. However, a substantial proportion of women still undergo home births. To reduce the utilization of home births in Ghana, it is essential that government and non-governmental organisations make the cost of delivery services part of the free maternal health care policy and take into consideration the factors associated with the high rates of home births among rural women in Ghana.

scholarly journals Underweight and associated factors among lactating women in Uganda: evidence from the Uganda demographic health survey 2016.

2020 ◽  
Author(s):  
quraish sserwanja ◽  
David Mukunya ◽  
Linet M. Mutisya ◽  
Milton Musaba ◽  
Mathew Kagwisagye ◽  
...  
Keyword(s):  
Health Survey ◽  
Northern Region ◽  
Lactating Women ◽  
Level Of Education ◽  
Post Secondary ◽  
Factors Associated ◽  
Child Morbidity ◽  
Increased Risk ◽  
The Government ◽  
Study Participants

Abstract BackgroundLactating mothers are at increased risk of underweight due to physiological changes that lead to disproportionately higher energy and nutrient requirements than non-pregnant and non-lactating women. Maternal underweight has been shown to negatively affect the secretion of nutrients in breast milk leading to increased risk of child morbidity and mortality. We aimed to determine the prevalence and factors associated with underweight among lactating women in Uganda.MethodsWe used the Uganda Demographic and Health Survey (UDHS) 2016 data of 1,356 women aged 20 to 49 years. Multistage stratified sampling was used to select study participants and data were collected using validated questionnaires. We used multivariable logistic regression to determine factors associated with underweight among 20 to 49-year-old lactating women in Uganda.ResultsThe prevalence of underweight was 8.2% (111/1356) (95% CI: 7.0–10.0). Women who were working were more likely to be underweight compared to those who were not working (AOR = 0.51; 95% CI: 0.28–0.96). Women in the Northern region were more likely to be underweight compared to women in the Western (AOR = 0.14; 95% CI: 0.06–0.29), Eastern (AOR = 0.34; 95% CI: 0.18–0.64) and Central (AOR = 0.24; 95% CI: 0.10–0.57) regions. Women who had no education (AOR = 9.27; 95% CI: 1.61–53.52) or, primary education (AOR = 6.00; 95% CI: 1.13–31.98) were more likely to be underweight compared to those who had higher (post-secondary) education level.ConclusionOur study established that the factors associated with underweight among Ugandan lactating women were level of education, working status and region. Based on the findings of this and other studies, it is important for the government to design targeted underweight reduction programs with special emphasis on working, women from the Northern region and those whose highest level of education is primary.

scholarly journals Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Emmanuel Dankwah ◽  
Shelley Kirychuk ◽  
Wu Zeng ◽  
Cindy Feng ◽  
Marwa Farag
Keyword(s):  
Caesarean Section ◽  
Health Survey ◽  
Maternal Age ◽  
Wealth Quintile ◽  
Socioeconomic Inequalities ◽  
Demographic And Health Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Factors Associated ◽  
Nationally Representative

Abstract Background Inappropriate use of Caesarean Section (CS) delivery is partly to blame for Ghana’s high maternal mortality rate. However, previous research offered mixed findings about factors associated with CS use. The goal of this study is to examine use of CS in Ghana and the socioeconomic factors associated with it. Methods Data from the nationally representative 2014 Ghana Demographic and Health Survey (GDHS) was used after permission from the Monitoring and Evaluation to Assess and Use Results (MEASURE) Demographic and Health Survey (DHS) program. Univariable and multivariable logistic regression models were fitted to examine the socioeconomic inequalities in CS use. The independent variables included maternal age, marital status, religion, ethnicity, education, place of residence, wealth quintile, and working status. Concentration index (CI) and rate-ratios were computed to ascertain the level of CS inequalities. Results Out of the 4294 women, 11.4% had CS delivery. However, the percentage of CS delivery ranged from 5% of women in the poorest quintile to 27.5% of women in the richest qunitle. Significant associations were detected between CS delivery and maternal age, parity, education, and wealth quintile . Conclusions This study revealed that first, even though Ghana has achieved an aggregate CS rate consistent with WHO recommendations, it still suffers from inequities in the use of CS. Second, both underuse of CS among poorer women in Ghana and overuse among rich and educated women are public health concerns that need to be addressed. Third, the results show in spite of Ghana’s free maternal care services policies, wealth status of women continues to be strongly and signtificantly associated with CS delivery, indicating that there are indirect health care costs and other reasons preventing poorer women from having access to CS which should be understood better and addressed with appropriate policies.

scholarly journals Factors associated with nutritional outcomes in the mother–child dyad: a population-based cross-sectional study

2016 ◽  
Vol 19 (15) ◽  
pp. 2725-2733 ◽  
Author(s):  
Tatiane Géa-Horta ◽  
Rita de Cássia Ribeiro Silva ◽  
Rosemeire Leovigildo Fiaccone ◽  
Maurício Lima Barreto ◽  
Gustavo Velásquez-Meléndez
Keyword(s):  
Short Stature ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Double Burden ◽  
Normal Height ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mother And Child ◽  
Maternal Overweight ◽  
Nutritional Outcomes

AbstractObjectiveTo estimate factors associated with double burden of nutritional outcomes in the mother–child dyad at the household level (child stunting and/or maternal overweight).DesignCross-sectional study using the Brazilian Demographic and Health Survey. Nutritional outcomes were: mother with normal weight and child with normal height; overweight mother and child with normal height; mother with normal weight and short-stature child; and overweight mother and child with short stature (double burden). The child was classified as short when height-for-ageZ-score was <−2 and the mother as overweight when BMI was ≥25·00 kg/m2. Socio-economic status, environment, social vulnerability, maternal characteristics and the child’s food intake were the exposure factors. The hierarchical approach for multinomial logistic regression modelling was used to assess the associations.SettingNational Demographic and Health Survey of Children and Women conducted in Brazil, 2006–2007.SubjectsMother–child dyads (n3676).ResultsAfter adjustments, lower maternal educational level (OR=3·53; 95 % CI 1·33, 9·33) and inadequate household (non-masonry house; OR=2·54; 95 % CI 1·39, 4·66) were associated with the double burden of malnutrition. Mother’s short stature (OR=3·41; 95 % CI 1·76, 6·61), child’s vegetable intake on less than or equal to 4 d/week (OR=2·21; 95 % CI 1·03, 4·75) and inadequate household (non-masonry house; OR=2·29; 95 % CI 1·36, 3·87) were associated with child’s short stature. The lack of breast-feeding (OR=2·00; 95 % CI 1·07, 3·72) was associated with maternal overweight.ConclusionsThe present findings contribute to establishing strategies promoting health and healthy diets, by considering the growth deficit and overweight/obesity concomitantly.

scholarly journals HIV screening in men and women in Senegal: coverage and associated factors; analysis of the 2017 demographic and health survey

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ndeye Aïssatou Lakhe ◽  
Khardiata Diallo Mbaye ◽  
Khadime Sylla ◽  
Cheikh Tidiane Ndour
Keyword(s):  
Mobile Phone ◽  
Hiv Testing ◽  
Health Survey ◽  
Age Groups ◽  
Wealth Quintile ◽  
Household Wealth ◽  
Demographic And Health Survey ◽  
Sexually Active ◽  
Level Of Education ◽  
Factors Associated

Abstract Background Despite the adoption of the provider-initiated HIV testing strategy, the rate of HIV testing is still very low in sub-Saharan Africa. The aim of this study was to assess the factors associated with HIV testing among sexually active women and men in Senegal. Knowledge of HIV status is the gateway to antiretroviral treatment. Methods A secondary analysis of the 2017 Senegal Demographic and Health Survey (DHS) was performed, using data on sexually active women aged 15–49 and men aged 15–59. The outcome variable was the proportion of women and men who reported ever being tested for HIV in the last 12 months before the survey. Descriptive, bivariate, and multivariable logistic regression analyses were performed to identify the socio-demographic, HIV-knowledge, media exposure, and behavioral factors associated with HIV testing in Senegal. Results The study found that 61.1% (95%CI: 59.2–62.9) of women and 26.2% (95%CI: 24.2–28.3) of men were tested for HIV at the last 12 months. In multivariate analysis, among men the factors independently associated with being tested for HIV were: age groups 20–24 to 40–44 and age group 50–54; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having 2 or more lifetime sex partners and owning a mobile phone. Among women factors independently associated with HIV testing were: being in any age groups versus 15–19; a higher level of education; being in the richest household wealth quintile; being married; knowing about the efficacy of HAART during pregnancy; having any STI in last 12 months; fearing stigma; owning a mobile phone; and having any number of ANC visits, versus none. Conclusion Although HIV remains a public health threat, HIV testing’s prevalence is still low in Senegal, making it difficult to interrupt the transmission chain within the community and to reach the UNAIDS goal for 2020 of “90–90-90”. Innovative community-based strategies are needed to address barriers and improve access to HIV testing in Senegal, particularly for men and for the youngest and poorest populations.

scholarly journals Multinomial Logistic Regression Model for Assessing Factors Associated with Junk Food Consumption of Secondary Level Students

2021 ◽  
pp. 21-38
Author(s):  
Srijana Subedi ◽  
Madhav Kumar Bhusal
Keyword(s):  
Logistic Regression ◽  
Food Consumption ◽  
Goodness Of Fit ◽  
Logistic Regression Model ◽  
Multinomial Logistic Regression ◽  
Secondary Level ◽  
Junk Food ◽  
Multinomial Logistic Regression Model ◽  
Factors Associated ◽  
Pocket Money

Background: Globalization, economic progress, urbanization, and industrialization have ushered in considerable changes in lifestyles and diet regimes. Consumption of junk food has surged at a rapid pace nowadays. In Nepal, there is a lack of sufficient research regarding junk food practices and persuading factors for its consumption, among teenage students. It is a global concern and has threatened the health of many people. Objective: This research aims to explore the factors associated with junk food consumption among students of secondary level in Ratnanagar Municipality of Chitwan.  Materials and Methods: A cross-sectional research design consisting of 371 secondary level students, and selection based on primary data collection method by the researchers was used in this study. The data was analyzed using descriptive as well as an inferential statistical method. To find the association of different factors with junk food consumption levels (Low, Moderate, and High) multinomial logistic regression model (MLRM) was used, and the goodness of fit of the model was assessed. Results: The fitted MLRM satisfied the criteria of the diagnostic test including a test of goodness of fit, multi-collinearity test, and minimum criteria of the model utilization with the classification accuracy of 55%. The variables like family monthly income (OR=1.000011, C.I=1.000001 - 1.000020), students’ daily pocket money (OR=1.02, C.I=1.007 - 1.033), gender (OR=0.354, C.I= 0.179 - 0.7), knowledge regarding junk food consumption (OR=2.744, C.I=1.366 - 5.511), attitude towards food choice (OR=2.487, C.I=1.288 – 4.803), friend’s encouragement for junk food consumption (OR=0.178, C.I=0.045 – 0.701), and occupation of father (business) (OR=2.867, C.I=1.084 – 7.581) are seen to be significant to the model High versus Low consumption. Students’ daily pocket money (OR=1.012, C.I=1.002 – 1.023), knowledge regarding junk food consumption (OR=2.427, C.I=1.293 – 4.553), restrictive food parenting practice (OR=2.228, C.I=0.945 – 5.253), friend’s encouragement for junk food consumption (OR=0.252, C.I=0.067 – 0.944), recognition of marketing promotion strategy (OR=0.523, C.I=0.295 – 0.928), educational level of mother (lower secondary level) (OR=5.465, C.I=1.069 – 27.952), occupation of father (business) (OR=2.47, C.I=1.056 – 5.777) are seen to be significant to the model Moderate versus Low consumption. Conclusion:  Study revealed that more than one-fourth of the sampled students were high consumers of junk foods. Many factors are associated with the consumption of junk foods. Thus, addressing the issue of increasing consumption, developing strategies & conducting different research in this field is the must. Concerned authorities should also pay special attention to this subject matter. 

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