Socioeconomic Determinants of Diarrhea among Under-Five Children in Bangladesh: Do Education and Wealth Matter?

[摘要] Background: The purpose of this study is toassess the current status of diarrhea among theunder-five children in Bangladesh by exploringthe risk factors which are associated with thisdisease.Subjects and Method: In this study, anationally representative cross-sectional datahad been used and the sample of women havingunder five children was selected by using a twostage stratified sampling method. A total of7410 under five children were included. Thedependent variable of this study was the statusof diarrhea disease in the two weeks precedingthe survey. The independent variable was education-wealth composition along with someother important variables such as age of children, delivery by caesarean section, migrationstatus, mother’s age at birth, type of residence,source of toilet facility, sources of drinkingwater. The bivariate analysis was chi-square.The multivariate analysis was a multiplelogistic regression.Results: According to this research study,education and wealth didn’t show any impactindividually in the logistic regression model butwhen we excluded education and wealth fromthe model and create it is composition, itworked as a significant influential factor ofdiarrhea disease in Bangladesh. Women whowere literate and their wealth status was notrich (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 childhooddiarrhea. In addition to that only children agebetween 6-23 months (OR= 3.49; 95% CI= 2.23to 5.48; p<0.001) and 24-35 months (OR= 1.75;95% CI= 1.08 to 2.85; p= 0.023) worked out asa significant predictor of childhood diarrhea.Conclusion: This study was expected to helpto build up a proper understanding about thesocio-economic factors in order to reduce thechildhood diarrhea in Bangladesh.

[学科分类] 食品科学和技术

[关键词] under-five children;childhooddiarrhea;education-wealth composition;socioeconomic