Md Moustafa Kamal1,2, Tilahun Tewabe3, Tsheten Tsheten4, Syeda Z Hossain1. 1. Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia. 2. Master of Public Health (Advanced Research), National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory Canberra. 3. National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory Canberra, Australia. 4. Department of Global Health, Research School of Population Health, The AustralianNational University, Canberra, Australian Capital Territory, Australia.
Abstract
Background: Diarrheal disease is among the leading causes of morbidity and mortality among children younger than age 5 years in Bangladesh. Objective: The objective of this study is to assess the prevalence of diarrhea among children younger than age 5 years and its associated risk factors. Methods: Data were sourced from the Bangladesh Demographic and Health Survey, a nationally representative study conducted in 2014. We used multilevel logistic regression models to identify factors associated with diarrheal disease. Results: Children aged 6 to11 months (odds ratio = 2.26; 95% CI, 1.50-3.42), and 12 to 23 months (odds ratio = 2.31; 95% CI, 1.62-3.31) were more likely to have diarrhea than older children. Other significant risk factors for diarrheal infection included households without access to drinking water (odds ratio = 1.39; 95% CI, 1.03-1.88) and mothers lacking mass media access (odds ratio = 1.32; 55% CI, 1.01-1.73). Conclusions: Childhood diarrhea in Bangladesh was associated with individual- and community-level factors. The finding of this study suggests that diarrhea prevention programs in the country can effectively be delivered by targeting young children through expanding community-based education and increasing access to health information through mass media.
Background: Diarrheal disease is among the leading causes of morbidity and mortality among children younger than age 5 years in Bangladesh. Objective: The objective of this study is to assess the prevalence of diarrhea among children younger than age 5 years and its associated risk factors. Methods: Data were sourced from the Bangladesh Demographic and Health Survey, a nationally representative study conducted in 2014. We used multilevel logistic regression models to identify factors associated with diarrheal disease. Results: Children aged 6 to11 months (odds ratio = 2.26; 95% CI, 1.50-3.42), and 12 to 23 months (odds ratio = 2.31; 95% CI, 1.62-3.31) were more likely to have diarrhea than older children. Other significant risk factors for diarrheal infection included households without access to drinking water (odds ratio = 1.39; 95% CI, 1.03-1.88) and mothers lacking mass media access (odds ratio = 1.32; 55% CI, 1.01-1.73). Conclusions: Childhood diarrhea in Bangladesh was associated with individual- and community-level factors. The finding of this study suggests that diarrhea prevention programs in the country can effectively be delivered by targeting young children through expanding community-based education and increasing access to health information through mass media.
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