Abstract：
BACKGROUND: Despite significant progress in its health sector, Bangladesh has a high burden of diarrheal mortality and morbidity in the South Asian region. Given recent major social and economic transitions in Bangladesh, it is important to examine how patterns of diarrhea and its treatment have evolved over the past few decades. The current study aims to assess the temporal changes in the frequency of diarrhea and identify the factors that influence whether affected children receive proper treatment.
METHODS: The current study utilized data from three Bangladesh Multiple Indicator Cluster Surveys (MICS), 2006, 2012-13, and 2019, respectively. Binary logistic regressions were conducted, and the reported results included odds ratios (OR) and 95% confidence intervals (CIs). A p-value of <0.05 was considered statistically significant (α = 0.05).
RESULTS: The prevalence of diarrhea in Bangladesh declined from 7.05% in 2006 to 3.91% in 2012-13, but then increased to 8.78% in 2019. The proportion of children with diarrhea who received oral rehydration therapy (ORT) was 68.91%, 77.35%, and 70.59% respectively. Binary logistic regression indicated that older children (OR:0.54; CI:0.51-0.58), females (OR:0.92; CI:0.86-0.98), children from upper quintile families, and children from mothers having primary education (OR:0.9; CI:0.83-0.98) were less likely to suffer from diarrhea. However, the odds of receiving proper treatment with ORT were higher among older children (OR:1.45; CI:1.26-1.68), children from the rich and richest quintiles (OR:1.85; CI:1.47-2.32 and OR:1.7; CI:1.32-2.2 respectively). Also, it was the same for children from mothers with primary (OR:1.19; CI:1.01-1.41) and secondary or above education (OR:1.32; CI:1.12-1.56).
CONCLUSIONS: A targeted approach is needed to reduce diarrhea and promote the use of ORT. Maternal education can be an important intervention, and steps should be taken to reduce poverty. Future policies should consider strategies focusing on socioeconomic and environmental factors.
METHODS: The current study utilized data from three Bangladesh Multiple Indicator Cluster Surveys (MICS), 2006, 2012-13, and 2019, respectively. Binary logistic regressions were conducted, and the reported results included odds ratios (OR) and 95% confidence intervals (CIs). A p-value of <0.05 was considered statistically significant (α = 0.05).
RESULTS: The prevalence of diarrhea in Bangladesh declined from 7.05% in 2006 to 3.91% in 2012-13, but then increased to 8.78% in 2019. The proportion of children with diarrhea who received oral rehydration therapy (ORT) was 68.91%, 77.35%, and 70.59% respectively. Binary logistic regression indicated that older children (OR:0.54; CI:0.51-0.58), females (OR:0.92; CI:0.86-0.98), children from upper quintile families, and children from mothers having primary education (OR:0.9; CI:0.83-0.98) were less likely to suffer from diarrhea. However, the odds of receiving proper treatment with ORT were higher among older children (OR:1.45; CI:1.26-1.68), children from the rich and richest quintiles (OR:1.85; CI:1.47-2.32 and OR:1.7; CI:1.32-2.2 respectively). Also, it was the same for children from mothers with primary (OR:1.19; CI:1.01-1.41) and secondary or above education (OR:1.32; CI:1.12-1.56).
CONCLUSIONS: A targeted approach is needed to reduce diarrhea and promote the use of ORT. Maternal education can be an important intervention, and steps should be taken to reduce poverty. Future policies should consider strategies focusing on socioeconomic and environmental factors.
摘要：
背景：尽管其卫生部门取得了重大进展，孟加拉国在南亚地区的腹泻死亡率和发病率很高。鉴于孟加拉国最近的重大社会和经济转型，重要的是要检查腹泻的模式及其治疗在过去几十年中的演变。本研究旨在评估腹泻频率的时间变化，并确定影响受影响儿童是否接受适当治疗的因素。
方法：当前的研究利用了来自三个孟加拉国多指标类集调查（MICS）的数据，分别为2006年、2012-13年和2019年。进行二元逻辑回归，报告的结果包括比值比(OR)和95%置信区间(CIs).P值<0.05被认为是统计学上显著的(α=0.05)。
结果：孟加拉国的腹泻患病率从2006年的7.05％下降到2012-13年的3.91％，但随后在2019年上升到8.78％。腹泻患儿接受口服补液治疗(ORT)的比例为68.91%,77.35%,和70.59%。二元逻辑回归显示年龄较大的儿童（OR：0.54；CI：0.51-0.58），女性（OR：0.92；CI：0.86-0.98），来自上层五分之一家庭的孩子，和初等教育母亲的孩子(OR:0.9;CI:0.83-0.98)患腹泻的可能性较小。然而,年龄较大的儿童接受ORT适当治疗的几率更高（OR：1.45；CI：1.26-1.68），来自富裕和最富有的五分之一人口的儿童(OR:1.85;CI:1.47-2.32和OR:1.7;CI:1.32-2.2)。此外，对于小学（OR：1.19；CI：1.01-1.41）和中学或以上教育（OR：1.32；CI：1.12-1.56）的母亲的孩子也是如此。
结论：需要一种有针对性的方法来减少腹泻并推广ORT的使用。产妇教育可以是一个重要的干预措施，应该采取步骤减少贫困。未来的政策应考虑侧重于社会经济和环境因素的战略。
方法：当前的研究利用了来自三个孟加拉国多指标类集调查（MICS）的数据，分别为2006年、2012-13年和2019年。进行二元逻辑回归，报告的结果包括比值比(OR)和95%置信区间(CIs).P值<0.05被认为是统计学上显著的(α=0.05)。
结果：孟加拉国的腹泻患病率从2006年的7.05％下降到2012-13年的3.91％，但随后在2019年上升到8.78％。腹泻患儿接受口服补液治疗(ORT)的比例为68.91%,77.35%,和70.59%。二元逻辑回归显示年龄较大的儿童（OR：0.54；CI：0.51-0.58），女性（OR：0.92；CI：0.86-0.98），来自上层五分之一家庭的孩子，和初等教育母亲的孩子(OR:0.9;CI:0.83-0.98)患腹泻的可能性较小。然而,年龄较大的儿童接受ORT适当治疗的几率更高（OR：1.45；CI：1.26-1.68），来自富裕和最富有的五分之一人口的儿童(OR:1.85;CI:1.47-2.32和OR:1.7;CI:1.32-2.2)。此外，对于小学（OR：1.19；CI：1.01-1.41）和中学或以上教育（OR：1.32；CI：1.12-1.56）的母亲的孩子也是如此。
结论：需要一种有针对性的方法来减少腹泻并推广ORT的使用。产妇教育可以是一个重要的干预措施，应该采取步骤减少贫困。未来的政策应考虑侧重于社会经济和环境因素的战略。
