Socio-demographic and environmental risk factors associated with multiple under-five child loss among mothers in Bangladesh.

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Tytuł:: Socio-demographic and environmental risk factors associated with multiple under-five child loss among mothers in Bangladesh.
Autorzy:: Kabir R; Collaborative Biostatistics Program, School of Public Health, University of Saskatchewan, Saskatoon, Canada.
Farag M; School of Public Health, University of Saskatchewan, Saskatoon, Canada.; School of Public Administration and Development Economics (SPADE), Doha Institute for Graduate Studies, Doha, Qatar.
Lim HJ; Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Canada.
Geda N; Center for Population Studies, College of Development Studies, Addis Ababa University, Addis Ababa, Ethiopia. .
Feng C; Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. .
Źródło:: BMC pediatrics [BMC Pediatr] 2021 Dec 15; Vol. 21 (1), pp. 576. Date of Electronic Publication: 2021 Dec 15.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BioMed Central, [2001-
MeSH Terms:: Child Mortality*
Mothers*
Bangladesh/epidemiology ; Educational Status ; Female ; Humans ; Infant ; Infant Mortality ; Pregnancy ; Risk Factors ; Socioeconomic Factors
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Contributed Indexing:: Keywords: Complex survey design; Count regression; Environmental factors; Under-five child mortality
Entry Date(s):: Date Created: 20211216 Date Completed: 20220124 Latest Revision: 20220124
Update Code:: 20240105
PubMed Central ID:: PMC8672494
DOI:: 10.1186/s12887-021-03034-y
PMID:: 34911492
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Background: Despite the substantial decline in child mortality globally over the last decade, reducing neonatal and under-five mortality in Bangladesh remains a challenge. Mothers who experienced multiple child losses could have substantial adverse personal and public health consequences. Hence, prevention of child loss would be extremely desirable during women's reproductive years. The main objective of this study was to determine the risk factors associated with multiple under-five child loss from the same mother in Bangladesh.
Methods: In this study, a total of 15,877 eligible women who had given birth at least once were identified from the 2014 Bangladesh Demographic and Health Survey. A variety of count regression models were considered for identifying socio-demographic and environmental factors associated with multiple child loss measured as the number of lifetime under-five child mortality (U5M) experienced per woman.
Results: Of the total sample, approximately one-fifth (18.9%, n = 3003) of mothers experienced at least one child's death during their reproductive period. The regression analysis results revealed that women in non-Muslim families, with smaller household sizes, with lower education, who were more advanced in their childbearing years, and from an unhygienic environment were at significantly higher risk of experiencing offspring mortality. This study also identified the J-shaped effect of age at first birth on the risk of U5M.
Conclusions: This study documented that low education, poor socio-economic status, extremely young or old age at first birth, and an unhygienic environment significantly contributed to U5M per mother. Therefore, improving women's educational attainment and socio-economic status, prompting appropriate timing of pregnancy during reproductive life span, and increasing access to healthy sanitation are recommended as possible interventions for reducing under-five child mortality from a mother. Our findings point to the need for health policy decision-makers to target interventions for socio-economically vulnerable women in Bangladesh.
(© 2021. The Author(s).)

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