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Effects of environmental factors on child survival in Bangladesh: a case control study.
Public Health. 1999 Mar; 113(2):57-64.PH

Abstract

The need for further studies on relationships between deaths and environmental variables has been reported in the literature. This case-control study was, therefore, carried out to find out the associations between several social and environmental variables and deaths of children due to infectious diseases such as those leading to diarrhoea, acute respiratory infection, measles and other diseases. Six hundred and twenty-five deaths (cases) and an equal number of matched living children (controls) aged 1-59 months, were studied in rural Matlab. An analysis of crude and adjusted odds ratio showed differential associations. Sources of drinking water, amount of stored water, conditions of latrines, number of persons sleeping with the child and the type of cooking site were statistically significantly associated with deaths due to infectious diseases after controlling for breast feeding, immunization, and the family size. Significant associations were also observed between: (i) the sources of drinking water and deaths due to ARI, and (ii) conditions of latrines and deaths due to diarrhoeal diseases, after controlling for the confounding variables. Several other environmental factors also showed associations with these various death groups, but they were not statistically significant. The size of the samples in death groups (small) and the prevalence of more or less homogeneous environmental health conditions probably diminished the magnitude of the effects. The results of the study reconfirm the importance of environmental health intervention in child survival, irrespective of breast-feeding, immunization, and selected social variables.

Authors+Show Affiliations

International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

10355303

Citation

Hoque, B A., et al. "Effects of Environmental Factors On Child Survival in Bangladesh: a Case Control Study." Public Health, vol. 113, no. 2, 1999, pp. 57-64.
Hoque BA, Chakraborty J, Chowdhury JT, et al. Effects of environmental factors on child survival in Bangladesh: a case control study. Public Health. 1999;113(2):57-64.
Hoque, B. A., Chakraborty, J., Chowdhury, J. T., Chowdhury, U. K., Ali, M., el Arifeen, S., & Sack, R. B. (1999). Effects of environmental factors on child survival in Bangladesh: a case control study. Public Health, 113(2), 57-64.
Hoque BA, et al. Effects of Environmental Factors On Child Survival in Bangladesh: a Case Control Study. Public Health. 1999;113(2):57-64. PubMed PMID: 10355303.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of environmental factors on child survival in Bangladesh: a case control study. AU - Hoque,B A, AU - Chakraborty,J, AU - Chowdhury,J T, AU - Chowdhury,U K, AU - Ali,M, AU - el Arifeen,S, AU - Sack,R B, PY - 1999/6/4/pubmed PY - 1999/6/4/medline PY - 1999/6/4/entrez KW - Asia KW - Bangladesh KW - Child Survival--determinants KW - Demographic Factors KW - Developing Countries KW - Diarrhea KW - Diseases KW - Environment KW - Geographic Factors KW - Health KW - Housing KW - Infections KW - Length Of Life KW - Measles KW - Mortality KW - Natural Resources KW - Population KW - Population Characteristics KW - Population Dynamics KW - Public Health KW - Research Report KW - Residence Characteristics KW - Respiratory Infections KW - Rural Population KW - Sanitation KW - Southern Asia KW - Spatial Distribution KW - Survivorship KW - Viral Diseases KW - Water Supply SP - 57 EP - 64 JF - Public health JO - Public Health VL - 113 IS - 2 N2 - The need for further studies on relationships between deaths and environmental variables has been reported in the literature. This case-control study was, therefore, carried out to find out the associations between several social and environmental variables and deaths of children due to infectious diseases such as those leading to diarrhoea, acute respiratory infection, measles and other diseases. Six hundred and twenty-five deaths (cases) and an equal number of matched living children (controls) aged 1-59 months, were studied in rural Matlab. An analysis of crude and adjusted odds ratio showed differential associations. Sources of drinking water, amount of stored water, conditions of latrines, number of persons sleeping with the child and the type of cooking site were statistically significantly associated with deaths due to infectious diseases after controlling for breast feeding, immunization, and the family size. Significant associations were also observed between: (i) the sources of drinking water and deaths due to ARI, and (ii) conditions of latrines and deaths due to diarrhoeal diseases, after controlling for the confounding variables. Several other environmental factors also showed associations with these various death groups, but they were not statistically significant. The size of the samples in death groups (small) and the prevalence of more or less homogeneous environmental health conditions probably diminished the magnitude of the effects. The results of the study reconfirm the importance of environmental health intervention in child survival, irrespective of breast-feeding, immunization, and selected social variables. SN - 0033-3506 UR - https://www.unboundmedicine.com/medline/citation/10355303/Effects_of_environmental_factors_on_child_survival_in_Bangladesh:_a_case_control_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0033-3506(99)00119-5 DB - PRIME DP - Unbound Medicine ER -