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Socioeconomic variables and rates of diarrhoeal disease in urban Bangladesh
Authors:B F Stanton  J D Clemens
Affiliation:1. Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, Nnamdi Azikiwe University, Nnewi, Anambra State, Nigeria;2. Department of Physiotherapy, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State, Nigeria;3. Nephrology Unit, Department of Medicine, Faculty of Clinical Sciences, University of Ibadan, Oyo State, Nigeria;4. Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria;1. Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA 02129, USA;2. C.S. Kubik Laboratory for Neuropathology, Pathology Service, Massachusetts General Hospital, Boston, MA 02115, USA;3. Department of Neurology, Massachusetts General Hospital/Harvard Medical School, Boston, MA 02114, USA;4. Computer Vision Laboratory, ETH Zurich, 8092 Zurich, Switzerland;5. MIT Computer Science and AI Lab, Cambridge, MA 02139, USA;1. Laboratory of Infrared Material and Devices, The Research Institute of Advanced Technologies, Ningbo University, Ningbo, Zhejiang 315211, China;2. Laboratory of Glasses and Ceramics, UMR 6226 CNRS-University of Rennes 1, Rennes Cedex 135042, France;3. Department of Electrical Engineering, Shaoyang University, Shaoyang, Hunan 422004, China;1. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA;2. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, USA
Abstract:Sociodemographic factors including low maternal education, low economic status, inferior quality of housing, diminished access to water and sanitation facilities, and crowding in the household are associated with increased diarrhoea in the rural setting of many developing countries. To assess the relationship of these variables with diarrhoea rates in children in an urban setting we monitored the episodes of diarrhoea of children less than 6 years of age from 1921 families living in 51 clusters throughout Dhaka city, Bangladesh, for 3 1/2 months. Comparing incidence density ratios, we found that, of the factors listed above, only low family income and living in a one-room house were statistically associated with increased diarrhoea and that none of these variables was associated with a meaningfully increased risk of diarrhoea. We conclude that the risk factors for increased episodes of diarrhoea in the urban setting appear to be different from those of the rural setting.
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