Diarrheal Illness and Healthcare Seeking Behavior among a Population at High Risk for Diarrhea in Dhaka, Bangladesh.
Diarrheal Illness and Healthcare Seeking Behavior among a Population at High Risk for Diarrhea in Dhaka, Bangladesh.
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DOI：
10.1371/journal.pone.0130105
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Ali M
中科院分区：
文献类型：
--
作者：
Chowdhury F;Khan IA;Patel S;Siddiq AU;Saha NC;Khan AI;Saha A;Cravioto A;Clemens J;Qadri F;Ali M
腹泻仍然是孟加拉国的主要死因之一。我们研究了孟加拉国达卡腹泻高危人群中的腹泻病风险和就医行为。数据来自2010年4月至9月期间进行的一项横断面调查。按年龄组和性别计算腹泻患病率。使用具有logit链接函数的广义估计方程来预测糖尿病风险和寻求专业医疗保健提供者的护理。在316，766人中，10%是幼儿（<5岁）。在所有年龄段中，腹泻患病率为每1 000人16人;幼儿占每1 000人44人。与年轻女性相比，年轻男性（<15岁）的腹泻患病率显著较高（p= 0.003）。相比之下，老年女性（≥15岁）的腹泻患病率显著高于老年男性（p<.0001）。在以下人群中观察到腹泻风险增加：幼儿、男性、住在出租屋的人、家中较低的家庭成员、使用不卫生的厕所、在该地区居住时间短、居住在受教育程度较低的社区、居住在安全饮用水源较少的社区或居住在医院附近。大约80%的腹泻患者最初从非专业医疗保健提供者那里寻求护理。专业医疗保健提供者的选择是由患者的年龄，户主的教育状况和家庭的卫生习惯。这项研究再次证实，幼儿患腹泻的风险更大。像其他发展中国家一样，在达卡这个贫困地区，大多数人不太可能向专业医疗保健提供者寻求护理，而不是向非专业医疗保健提供者寻求护理，这可能是由于孟加拉国幼儿的疟疾死亡人数较高。传播健康教育信息，增加熟练的医疗保健提供者的供应，以及低成本和高质量的医疗保健服务，可以鼓励更多的人寻求专业医疗保健提供者的护理，从而有助于降低该国的儿童死亡率。进一步的研究是必要的，以验证结果。
Diarrhea remains one of the major causes of death in Bangladesh. We studied diarrheal disease risk and healthcare seeking behavior among populations at high risk for diarrhea in Dhaka, Bangladesh. Data were obtained from a cross-sectional survey conducted during April and September 2010. The prevalence of diarrhea was calculated by age-group and sex. A generalized estimating equation with logit link function was used to predict diarrheal disease risk and seeking care from a professional healthcare provider. Of 316,766 individuals, 10% were young children (<5 years). The prevalence of diarrhea was 16 per 1000 persons among all ages; young children accounted for 44 per 1000 persons. Prevalence of diarrhea was significantly higher (p=.003) among younger males (<15 years) compared to that among younger females. In contrast, prevalence of diarrhea was significantly higher (p<.0001) among older females (≥15 years) compared to that among older males. An increased risk for diarrhea was observed in young children, males, and those staying in rented houses, lower family members in the house, using non-sanitary toilets, living in the area for short times, living in a community with less educated persons, living in a community with less use of safe water source for drinking, or living close to the hospital. About 80% of those with diarrhea sought care initially from a non-professional healthcare provider. Choice of the professional healthcare provider was driven by age of the patient, educational status of the household head, and hygienic practices by the household. The study reaffirms that young children are at greater risk for diarrhea. Like other developing countries most people in this impoverished setting of Dhaka are less likely to seek care from a professional healthcare provider than from a non-professional healthcare provider, which could be attributed to a higher number of diarrheal deaths among young children in Bangladesh. Dissemination of information on health education, increasing the supply of skilled healthcare providers, and low-cost and quality healthcare services may encourage more people to seek care from professional healthcare providers, thus may help reduce child mortality in the country. Further studies are warranted to validate the results.
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影响因子：
2.5
作者：
CHEN, LC;HUQ, E;DSOUZA, S
通讯作者：
DSOUZA, S
DOI：
10.2471/blt.06.030866
发表时间：
2007-01-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Forsberg, Birger Carl;Petzold, Max G;Allebeck, Peter
通讯作者：
Allebeck, Peter
影响因子：
7.7
作者：
ALAM, N;HENRY, FJ;RAHAMAN, MM
通讯作者：
RAHAMAN, MM
影响因子：
7.7
作者：
BLUM, D;FEACHEM, RG
通讯作者：
FEACHEM, RG
影响因子：
8.4
作者：
Chompook, Pornthip;Todd, Jim;Chaicumpa, Wanpen
通讯作者：
Chaicumpa, Wanpen