Application of a count regression model to identify the risk factors of under-five child morbidity in Bangladesh.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2024-09-05 DOI:10.1093/inthealth/ihad107

Md Ismail Hossain, Abu Sayed Md Ripon Rouf, Md Rukonozzaman Rukon, Shuvongkar Sarkar, Iqramul Haq, Md Jakaria Habib, Faozia Afia Zinia, Tanha Akther Tithy, Asiqul Islam, Md Amit Hasan, Mir Moshiur, Md Shakil Ahmed Hisbullah

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Abstract

Background: Bangladesh has seen a significant decline in child mortality in recent decades, but morbidity among children <5 y of age remains high. The aim of this analysis was to examine trends and identify risk factors related to child morbidity in Bangladesh.

Methods: This analysis is based on data from four successive cross-sectional Bangladesh Demographic and Health Surveys for the years 2007, 2011, 2014 and 2017-18. Several count regression models were fitted and the best model was used to identify risk factors associated with morbidity in children <5 y of age.

Results: According to the results of the trend analysis, the prevalence of non-symptomatic children increased and the prevalence of fever, diarrhoea and acute respiratory infections (ARIs) decreased over the years. The Vuong's non-nested test indicated that Poisson regression could be used as the best model. From the results of the Poisson regression model, child age, sex, underweight, wasted, stunting, maternal education, wealth status, religion and region were the important determinants associated with the risk of child morbidity. The risk was considerably higher among women with a primary education compared with women with a secondary or greater education in Bangladesh.

Conclusions: This analysis concluded that child morbidity is still a major public health problem for Bangladesh. Thus it is important to take the necessary measures to reduce child morbidity (particularly fever, diarrhoea and ARI) by improving significant influencing factors.

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应用计数回归模型确定孟加拉国五岁以下儿童发病的危险因素。

背景:近几十年来，孟加拉国的儿童死亡率显著下降，但儿童发病率显著下降。方法:本分析基于2007年、2011年、2014年和2017-18年连续四次横断面孟加拉国人口与健康调查的数据。结果:根据趋势分析结果，无症状儿童患病率逐年上升，发热、腹泻和急性呼吸道感染(ARIs)患病率逐年下降。Vuong的非嵌套检验表明泊松回归可以作为最佳模型。从泊松回归模型的结果来看，儿童年龄、性别、体重不足、消瘦、发育迟缓、母亲教育程度、财富状况、宗教和地区是与儿童发病风险相关的重要决定因素。在孟加拉国，受过初等教育的妇女与受过中等或以上教育的妇女相比，这种风险要高得多。结论:这项分析的结论是，儿童发病率仍然是孟加拉国的一个主要公共卫生问题。因此，必须采取必要措施，通过改善重要的影响因素来降低儿童发病率(特别是发烧、腹泻和急性呼吸道感染)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.