174175 Impact of poverty on Acute Respiratory Infections (ARI) Among under five children in Bangladesh

Monday, October 27, 2008: 2:50 PM

Abul Kalam Azad, MSc, MPH , School of Environmental Sciences and Management, Independent University, Bangladesh, Dhaka, Bangladesh
Mohammed Omar Rahman, MD, MPH, DSc , MPH program, Independent University, Bangladesh, Dhaka, Bangladesh
Acute respiratory infection (ARI) is a major cause of under 5 childhood morbidity and mortality in the developing world. Little however is known about the socio-economic determinants of ARI in these societies. This study uses a large nationally representative dataset from Bangladesh (Bangladesh Demographic and Health Survey—2004) to explore the social determinants of ARI. The analysis (binary logistic regression adjusting for clustering) shows that the poor (lowest 60% of the population) are somewhat more likely (OR=1.53) to report ARI than their richer peers (the upper 40% of the population) adjusting just for age and sex. This disadvantage is to a large extent explained [OR: 1.25; 95% C.I. [1.037---1.501] by the greater likelihood of the poor having more malnourished children (lower wt/ht, lower rates of Vitamin A supplementation), more malnourished mothers (lower maternal BMI; lower age at marriage and childbirth), mothers with less knowledge about health care and nutrition (less educated mothers) and greater exposure to indoor air pollution (use of solid fuels for cooking). These results suggest that household poverty may not be the key factor in childhood ARI risk in Bangladesh. Instead improving nutritional status among all children, ensuring later age at marriage and childbirth, improving awareness about child nutrition and health and reducing dependence on solid fuels for cooking could have significant salubrious effects on ARI in children in Bangladesh and other parts of the developing world.

Learning Objectives:
1. Identify the risk factors underlying Acute Respiratory Infections (ARI) risk in under 5 children in developing countries. 2. Analyze and assess the specific impact of poverty on childhood ARI risk in Bangladesh 3. Discuss the policy implications for reducing childhood ARI risk in developing countries.

Keywords: Child Health, Developing Countries

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been intimately involved in all aspects of this presentation including the analysis and the writing
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.