Socioeconomic Determinants of Diarrhea among Under-Five Children in Bangladesh: Do Education and Wealth Matter?
DOI:
https://doi.org/10.26911/thejmch.2021.06.04.06Abstract
Background: The purpose of this study is to assess the current status of diarrhea among the under-five children in Bangladesh by exploring the risk factors which are associated with this disease.
Subjects and Method: In this study, a nationally representative cross-sectional data had been used and the sample of women having under five children was selected by using a two stage stratified sampling method. A total of 7410 under five children were included. The dependent variable of this study was the status of diarrhea disease in the two weeks preceding the survey. The independent variable was education-wealth composition along with some other important variables such as age of children, delivery by caesarean section, migration status, mother’s age at birth, type of residence, source of toilet facility, sources of drinking water. The bivariate analysis was chi-square. The multivariate analysis was a multiple logistic regression.
Results: According to this research study, education and wealth didn’t show any impact individually in the logistic regression model but when we excluded education and wealth from the model and create it is composition, it worked as a significant influential factor of diarrhea disease in Bangladesh. Women who were literate and their wealth status was not rich (OR= 0.64; 95% CI= 0.43 to 0.96; p= 0.030), women who were literate and rich (OR= 0.55; 95% CI= 0.35 to 0.88; p = 0.012) had significant association with childhood diarrhea. In addition to that only children age between 6-23 months (OR= 3.49; 95% CI= 2.23 to 5.48; p<0.001) and 24-35 months (OR= 1.75; 95% CI= 1.08 to 2.85; p= 0.023) worked out as a significant predictor of childhood diarrhea.
Conclusion: This study was expected to help to build up a proper understanding about the socio-economic factors in order to reduce the childhood diarrhea in Bangladesh.
Keywords:
under-five children, childhood diarrhea, education-wealth composition, socioeconomicReferences
Agustina R, Sari TP, Satroamidjojo S, Bovee-Oudenhoven IM, Feskens EJ, Kok FJ (2013). Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socio-economic urban areas. BMC Public Health, 13(1): 1–12. doi: 10.1186/1471245813977.
Arvelo W, Kim A, Creek T, Legwaila K, Puhr N, Johnston S, Masunge J, Davis M, Mintz E, Bowen A (2010). Case-control study to determine risk factors for diarrhea among children during a large outbreak in a country with a high prevalence of HIV infection. Int. J. Infect. Dis. 14(11): e1002–e1007. doi: 10.1016/j.ijid.2010.06.014
Avachat SS, Phalke VD, Phalke DB, Aarif SM, Kalakoti P (2011). A cross-sectional study of socio-demographic determinants of recurrent diarrhoea among children under five of rural area of Western Maharashtra, India. Australas Med J. 4(2): 72-75. https://dx.doi.org/10.4066%2FAMJ.2011.524.
Bbaale E (2011). Determinants of diarrhoea and acute respiratory infection among under-fives in Uganda. Australas Med J. 4(7): 400-409. https://dx.doi.org/10.4066%2FAMJ.2011.723.
Checkley W, Gilman RH, Black RE, Lescano AG, Cabrera L, Taylor DN, Moulton LH (2002). Effects of nutritional status on diarrhea in Peruvian children. J Pediatr. 140(2): 210–218. https://doi.org/10.1067/mpd.2002.121820.
Daniels DL, Cousens SN, Makoae LN, Feachem RG (1990). A case-control study of the impact of improved sanitation on diarrhoea morbidity in Lesotho. Bull World Health Organ. 68(4): 455. https://www.ncbi.nlm.nih.gov/pubmed/2208559.
Dessalegn M, Kumie A, Tefera W (2011). Predictors of under-five childhood diarrhea: Mecha District, west Gojam, Ethiopia. Ethiop J Heal Dev. 25(3): 192–200. https://www.ajol.info/index.php/ejhd/article/view/83811.
El Gilany AH, Hammad S (2005). Epidemiology of diarrhoeal diseases among children under age 5 years in Dakahlia, Egypt. East Mediterr Health J. 11(4): 762–775.
Ganguly E, Sharma PK, Bunker CH (2015). Prevalence and risk factors of diarrhea morbidity among under-five children in India: A systematic review and meta-analysis. Indian J Child Health. 2(4): 152. https://www.ncbi.nlm.nih.gov/pubmed/26925453.
Green ST, Small MJ, Casman EA (2009). Determinants of national diarrheal disease burden. ACS Publications.
Karambu S, Matiru V, Kiptoo M, Oundo J (2013). Characterization and factors associated with diarrhoeal diseases caused by enteric bacterial pathogens among children aged five years and below attending Igembe District Hospital, Kenya. Pan Afr Med J. 16: 1–8. doi: 10.11604/pamj.2013.16.37.2947.
Kumar A, Das KC (2014). Drinking water and sanitation facility in india and its linkages with diarrhoea among children under five: evidences from recent data. Int J Humanit Soc Sci Invent. 3(4): 50–60.
Levine OS, Levine MM (1991). Houseflies (Musca domestica) as mechanical vectors of shigellosis. Rev Infect Dis. 13(4): 688–696. doi: 10.1093/clinids/13.4.688
Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, Rudan I, et al. (2012). Global, regional, and national causes of child mortality: An updated systematic analysis for 2010 with time trends since 2000. Lancet. 379(9832): 2151–2161. doi: 10.1016/S01406736(12)605601.
Maponga BA, Chirundu D, Gombe NT, Tshimanga M, Shambira G, Takundwa L (2013). Risk factors for contracting watery diarrhoea in Kadoma City, Zimbabwe, 2011: A case control study. BMC Infect Dis. 13(1): 1–8. doi:10.1186/1471233413567.
Mihrete TS, Alemie GA, Teferra AS (2014). Determinants of childhood diarrhea among underfive children in Benis-hangul Gumuz Regional State, North West Ethiopia. BMC Pediatr. 14(102): 1–9. https://doi.org/10.1186/1471243114102.
Minh-Ha L (2020). Defeating Diarrhea in Bangladesh.
Mohammed S, Tilahun M, Tamiru D (2013). Morbidity and associated factors of diarrheal diseases among under five children in Arba-Minch District, Southern Ethiopia, 2012. Sci. J. Public Heal. 1(2): 102. doi: 10.11648/j.sjph.20130102.19.
Mølbak K, Jensen H, lngholt L, Aaby P. (1997). Risk factors for diarrheal disease incidence in early childhood: A community cohort study from Guinea-Bissau. Am J Epidemiol. 146 (3): 273–282. doi: 10.1093/oxfordjournals.aje.a009263.
NIPORT (2020). Bangladesh Demographic and Health Survey 2017-18.
Peace OU (2018). Influence of environmental factors and socioeconomic status of parents on the occurrence of under-five diarrhea disease among selected Households in Abia State, Nigeria. J Heal Environ Res. 4(3): 97. doi:10.11648/j.jher.20180403.13.
Rahman A (2006). Assessing income-wise household environmental conditions and disease profile in urban areas: Study of an Indian city. Geo Journal. 65(3): 211–227.
Siziya S, Muula AS, Rudatsikira E (2009). Diarrhoea and acute respiratory infections prevalence and risk factors among under-five children in Iraq in 2000. Ital. J. Pediatr. 35(8): 1–9. doi: 10.1186/18247288358.
Tetteh J, Takramah WK, Ayanore MA, Adoliba Ayanore A, Bisung E, Alamu J (2018). Trends for diarrhea morbidity in the Jasikan District of Ghana: Estimates from district level diarrhea surveillance data, 2012-2016. J. Trop. Med. 2018: 4863607. https://dx.doi.org/10.1155%2F2018%2F4863607.
Unicef (2016). UNICEF data: monitoring the situation of children and women. New York Unicef.
WHO (2009). World health statistics 2009. World Health Organization.
Woldu W, Bitew BD, Gizaw Z (2016). Socio-economic factors associated with diarrheal diseases among under-five children of the nomadic population in northeast Ethiopia. Trop Med Health. 44(1): 7–14. doi: 10.1186/s4118201600407
Yilgwan CS, Okolo SN (2012). Prevalence of diarrhea disease and risk factors in Jos University Teaching Hospital, Nigeria. Ann Afr Med. 11(4): 217–221. doi:10.4103/15963519.102852
Yohannes AG, Streatfield K, Bost L (1992). Child morbidity patterns in ethiopia. J Biosoc Sci. 24(2): 143–155. doi: 10.1017/S0021932000019684.
