Risk factors for child stunting in Bangladesh: an analysis using MICS 2019 data.

BACKGROUND: Malnutrition is considered a major public health challenge and is associated with a range of health issues, including childhood stunting. Stunting is a reliable and well-recognized indicator of chronic childhood malnutrition. The objective of this study is to determine the risk factors associated with stunting among 17,490 children below five years of age in Bangladesh. METHODS: Correlates of child stunting were examined using data generated by a cross-sectional cluster survey conducted in Bangladesh in 2019. The data includes a total of 17,490 children (aged < 5 years) from 64,400 households. Multiple logistic regressions were used to determine the risk factors associated with child stunting and severe stunting. RESULTS: The prevalence of stunting and severe stunting for children was 25.96% and 7.97%, respectively. Children aged 24 to < 36 months [Odds Ratio (OR) = 2.65, 95% CI: 2.30, 3.05] and aged 36 to < 48 months [OR = 2.33, 95% CI: 2.02, 2.69] had more risk of stunting compared to the children aged < 6 months. Children from Sylhet division had the greatest risk of stunting of all the eight divisions [OR = 1.26, 95% CI: 1.09, 1.46]. Children of secondary complete or higher educated mothers were less likely to develop stunting [OR = 0.66, 95% CI: 0.56, 0.79] compared with children of mothers having no education at all. Similarly, children of secondary complete or higher educated father [OR = 0.74, 95% CI: 0.63, 0.87] were found to have lower risk of stunting compared with children whose father hadn't any education. Substantially lower risk of stunting was observed among children whose mother and father both completed secondary education or above [OR = 0.59, 95% CI: 0.52, 0.69]. Children from the richest households [OR = 0.49, 95% CI: 0.41, 0.58] had 51% lower odds of stunting compared to children from the poorest households. CONCLUSIONS: After controlling for socioeconomic and demographic factors, parental education and household position in the wealth index were found to be the most important determinants of child stunting in Bangladesh.

Communications in the time of a pandemic: the readability of documents for public consumption.

OBJECTIVE: Government communications in a crisis can influence public health outcomes. This research aimed to investigate if written communications of the most commonly sought sources of COVID-19 information available on the internet have readability levels commensurate with those of the general public. METHODS: Online documents from the World Health Organization (WHO), and the governments of Australia, the UK and the US were assessed for readability using an online instrument that calculated scores for the Flesch Reading Ease Score, the SMOG Index and the Readability Consensus Grade Level. RESULTS: Similar to the previous research, most documents assessed had a readability standard that was at or above the recommended grade level, and as such inaccessible to substantial portions of the general public. A one-way ANOVA with post hoc tests revealed significant differences among the data, with Australian documents significantly more difficult to read than those from the UK and US. CONCLUSIONS: Government departments need to consider their audience and monitor readability of the documents they produce to ensure that readers can understand them. Implications for public health: Health communications need to be written at a level appropriate for the targeted population in order to be fit for purpose.

Factors associated with stunting and wasting in children under 2 years in Bangladesh.

Child undernutrition has been a major concern for Bangladesh as it is amongst the highest stunting and wasting prevalent countries in the world. The objective of our study was to explore the socioeconomic determinants of stunting and wasting in children under two years. This study explored nationally representative sample of 7,230 children ranging in age from 0 to <24 months using two separate binary logistic regression models to determine the risk factors associated with child stunting and wasting. Our study estimated approximately 33 percent children to be stunted and 11 percent to be wasted. Our analysis found that, 12 to <24 months old children's height-for-age-z-score and weight-for-height-z-score deteriorated in comparison to those of below 6 months. Female children had significantly lower odds of stunting and wasting compared with male children. Study revealed that children from wealthier families were at lower risk of being stunted and wasted compared to children from poorer households. Parental education was determined as a significant predictor of stunting. Children who lived in Sylhet division were 1.26 times more likely to be stunted than the children of Dhaka division [OR = 1.26; 95% CI: 1.02-1.55]. Our study revealed age, gender, geographic distribution, and household's position in wealth index as common determinants of child stunting and wasting in Bangladesh. While parental education was significant predictor for child stunting, type of toilet facility was found as statistically significant determinant of child wasting in children of less than two years age.

Socioeconomic correlates of overweight and obesity among ever-married urban women in Bangladesh.

BACKGROUND: The escalating prevalence of overweight and obesity globally is reflected amongst urban women in many low-to-middle income countries. Evidence also shows that overweight and obesity is an increasing trend in Bangladesh. The present study assessed the prevalence and socioeconomic determinants of overweight and obesity among urban women in Bangladesh. METHODS: Data were extracted from Bangladesh Demographic and Health Survey (BDHS) 2014. A two-stage stratified sampling technique has been used for data collection in this cross-sectional survey. A sample of 1701 ever-married non-pregnant urban women aged 15-49 years was selected for statistical analysis. Descriptive analysis, multiple binomial logistic regression analysis were executed in this study. RESULTS: The prevalence of overweight and obesity was 34% (95% CI, 0.30-0.38) among urban Bangladeshi women. The probability of being overweight and obese increased with increasing age and wealth index. The likelihood of being overweight and obese among the oldest women surveyed (40-49 years) was 4.3 times (OR = 4.3, 95% CI: 2.1-8.8) higher relative to the youngest women (15-19 years). The wealthiest women had 4.1 times (OR = 4.1, 95% CI: 2.5-6.7) higher likelihood of being overweight and obese compared to the reference group of poorest women. Women having higher education (OR = 1.7, 95% CI: 1.0-2.6) were more likely to be overweight and obese. However, women who were no longer living with their husband or separated from their husband were (OR = 0.4, 95% CI: 0.2-0.8) less likely to be overweight and obese. CONCLUSION: This study provides evidence that a large number of urban women were overweight and obese in Bangladesh. Women having higher levels of education, being older and belonging in both poorer and richest wealth quintile were at risk of being overweight and obese. Appropriate health promoting interventions based on these factors should be envisaged to reduce this problem.

Remote, Synchronous, Hands-On Ultrasound Education.

BACKGROUND: Ultrasound has become a major diagnostic tool in many parts of the world, with broad clinical applications. Ultrasound provides a noninvasive, painless mode of diagnostics that produces instant results. Disseminating ultrasound skills to remote and rural communities has become a challenge for many medical schools, particularly those where distances are great and the density of population is low. MATERIALS AND METHODS: The University of California, Irvine School of Medicine and the University of New England School of Rural Medicine in Australia piloted the use of dual video feeds in two scenarios: (1) to display the instructor's ultrasound feed and the instructor's transducer placement to provide guidance for remote students; and (2) to display side-by-side views of the instructor's and the remote student's ultrasound feeds to allow the instructor to guide the remote student in his or her transducer placement. RESULTS AND CONCLUSIONS: Using high-speed broadband connections, the two schools demonstrated the feasibility of remote, synchronous, practical, and hands-on ultrasound training and instruction over international distances. This opens up a broad range of possibilities for future remote ultrasound education.

Preservice preparation of teachers of the deaf in the twenty-first century: a case study of Griffith University, Australia.

The provision of educational services to students who are deaf or hard of hearing in the compulsory school years in Australia has seen a shift from exclusive, isolated settings in the 1970s to an inclusive approach personalized to cater to the diversity of those students requiring educational support. Universities that undertake specific programs to train teachers of the deaf need to respond proactively to ensure that graduates are able to provide services in all types of school environments. The present study concerns the evaluation of preservice teachers of the deaf by their university, by their teacher mentors, and through their own assessment of the skills required to be a teacher of the deaf. The study's overall conclusion is that programs for preservice teachers of the deaf can produce high-quality graduates and that graduates undertake postgraduate study after some years of teaching.

Employment outcomes for people in Australia who are congenitally deaf: has anything changed?

The employment of deaf school leavers is considered by means of data from a recent study conducted in South Australia (Winn, 2005). Its findings are compared with those of three other Australian studies conducted over the past several decades (Australian Federation of Adult Deaf Societies, 1973; Deaf Society of New South Wales, 1998; Hyde, 1988). Compared to the rest of the community, deaf adults have had and continue to have higher unemployment rates, are underemployed in terms of the range of occupations, and typically earn less than the general population in similar occupations. The most recent study (Winn, 2005) provides evidence that Australian deaf adults have poor employment outcomes despite access to higher education and legislation prohibiting discrimination. That employment outcomes have not altered dramatically since earlier studies suggests that positive programs are required to address the general community's attitude about deafness as a disability.

Is there a link between hearing aid use, employment, and income?

This paper examines hearing aid use by 60 congenitally deaf individuals who attended special education units in South Australia. The study indicates that only one-third to half of deaf adults wore their hearing aids in social situations for speech detection. Just over one-third (n = 22) of the deaf adults involved in this study wore their hearing aids at work and less than half (n = 27) wore their hearing aids at home. Younger deaf adults were more likely to wear their hearing aids in the home than older deaf adults. Younger deaf adults tended to wear their hearing aids more frequently when they were at school if they had perceived their teachers had a positive attitude to deafness. This study found that there was no statistically significant relationship between wearing hearing aids and employment status. There was also no statistically significant difference in hearing aid use between men and women. The low use of hearing aids could be attributed at least in part to the current Australian policy regarding supply and servicing of hearing aids to congenitally deaf individuals which ceases to be free after the individual reaches 21 years of age.