Suicide in Patients with Dementia

Suicide is a major public health issue in many industrialized countries. It is one of the top ten causes of death and older age is a significant risk factor for suicide. For example, in Japan older adults (age ≥ 65) shared about 18.5% of total population but account for 24% of all suicide, in Taiwan, older adults representing 12.4% of the total population and account for 28.9% of suicide death. Dementia is a broad term for a progressive deterioration in memory ability and dementia patients ran higher risk for suicide

Occupational injuries among children in Bangladesh

The specific objects are to know the source of income and employment status of the children at work, to investigate the types of injury that affect the working child of the child laborer and to explore the hazardous work places and abuse of the working children. The study conducted with the secondary data of Bangladesh Labor Force Survey (ILO), 2013. SPSS software were used for finding the result. It is found that the predominating income source of the working child was service sector and child labor mostly were self-employed. 18.5% child were engaged with hazardous work, 2.3% working child had experienced various types of injuries and almost 8.5% had subjected to insult, physically or sexually abuse. Most of the child don’t like their work and working environment that have adverse physical and emotional effects on children’s health. Public and private sectors should maintain child labor rules and regulations, arrange awareness program for child safet

Prevalence and Risk Factors of Fear of Falling among Elderly: A Review

The world population is aging rapidly. Fear of falling among the elderly constitute a significant problem in health care. Among community-dwelling elderly, fear of falling is frequent, with prevalence ranging from 3% to 85% % in community-based epidemiologic studies. The aim of this review is to reveal the prevalence and risk factors of fear of falling (FOF) among elderly. The review has identified that age, sex, physical performance, comorbidity, a history of falls, hearing impairment, poor self-related health and depressive symptoms affect fear of falling. The consequences that develop as a result of a fear of falling can include: loss of confidence, decreased quality of life, mobility or activity restriction and the development of deconditioning, leading to loneliness, depression, and anxiety, subsequent falls and physical, psychological and mental function declines. Maintenance of physical function and pain management might be important for older adults with fear of falling

Prevalence and Determinants of Loneliness among Older Adults in Bangladesh

Background: The prevalence of loneliness confirms its commonness among older adults which leads to further functional declination, of physical and mental health along with disability and the last result is to be death. Thus, this study was undertaken with a view to examining the potential risk factors for loneliness in aging population in Bangladesh which is responsible for its prevalence. Methods: Data gathered for this cross-sectional study from 517 older adults’ older adults in Meherpur district, Bangladesh. The level of loneliness was assessed using short version (6-items) of De Jong Gierveld Loneliness Scale and the depression was measure with the help of 15-items geriatric depression scale (GDS). Chi-square test was run to find out the possible associated factors for loneliness and multivariate multinomial logistic regression model was performed to predict the significant risk factors. Results: The overall prevalence of loneliness found 54.3% whereas 41% felt ‘sometimes’ and 13.3% had feeling of ‘always’ loneliness. In bivariate model, except place of residence, all other selected characteristics were significantly associated with increasing of loneliness. In adjusted analysis, gender, marital status, living status, hearing-visual impairment, depression, concern about falling were found as the statistically significantly risk factors for causing of different degrees of loneliness. Conclusion: Study connotes the prevalence of loneliness among aged people of Bangladesh and their associated risk factors. Results of this study would be assistive to reduce the prevalence of loneliness and helpful for geriatric policy implications

Determinants of Infant Mortality in Bangladesh: A Nationally Surveyed Data Analysis

Background: It is well established that improving human health has direct obvious payoff on enhancing life expectancy along with economic growth. Infant mortality deliberately used to understand a countries overall public health status particularly child bearing mothers. But the prevalence of child mortality continues to be a prime public health concerns in Bangladesh. This study aims to investigate the impact of some geospatial, socioeconomic, demographic and health factors on infant mortality in Bangladesh. Methods: The study modeled infant mortality (aged 0-11 months) as the categorical dependent variable using 11 selected covariates from the 2014 Bangladesh Demographic and Health Survey (BDHS-2014) dataset. The Pearson-Chi square test and Binary Logistic Regression methods were utilized for the bivariate and multivariate analyses. Results: All the selected covariates were significantly associated with infant mortality in bivariate analysis. The results of the logistic regression revealed that illiterate father, household without toilet facility or having hanging toilet, multiple birth and small size at birth appeared at the significant risk factors for infant mortality. In contrast, receiving vitamin A dose and visiting in antenatal care revealed as protective factor for infant deaths. Conclusion: This study is uniquely addressed some several determinants which are the immediate cause of infant deaths. This evidence based empirical study suggests that more attention needs regarding to eliminate all kinds of child mortality in Bangladesh along with infant mortality

Child labor in the Era of Sustainable Development: insights from Jhenaidah City of Bangladesh

The existence of child labor in developing countries like Bangladesh is undoubtedly a serious problem in the era of sustainable development. Undoubtedly to abolish child labor from all level is not so easy. The current study was intended to assess the livelihoods pattern and causes of being involved as child labor in Jhenaidah city-Bangladesh and to find out the ways in which child labor can be diminished gradually. This study was exploratory in nature where convenience sampling was adapted, seventy-five children aged less than 18 years were interviewed with an interview schedule. The extent and prevalence of child labour in a country are being considered as a significant indicator of how far-off that country stays away from the overall sustainable development. The results of this study demonstrate that the majority (17/22.67%) children engaged in performing work in shops or hotels. The X2 (p\u3c0.5) results elucidate that there exists gender difference in child abuse and harassment. The rate of physical and mental abuse and torture was higher in male children, in contrast, the prevalence of sexual harassment and abuse by slung was significantly higher in female children. The working hours as an average above 7 hours or more, and per day wage of children in Jhenaidah found just above 1.4$ (120 BDT). The principal component analysis indicates that lack of parental employment facilities which has directly related to poverty found as the foremost reasons for a child to make involvement as labour before completing age 18, this result is not only applicable for Jhenaidah but also possibly applicable for all developing countries. Besides, father’s education and death of mother were the important indicators of being child laborer. The ways of eliminating child labour are not so easy task because the problem has been indissolubly embedded in our society for long. Hence, it requires moral, political will and commitment from all people in the society for ending and eradicating child labour. Alongside all these, international organizations must make sure their robust participation in enhancing this process

Contributing Factors to Under-Five Child Malnutrition in Rural Bangladesh

Background and objectives: Bangladesh has the highest malnutrition rates in the world. The main objective of this study is to identify and determine the main factors for child malnutrition among children under the age 5 years in rural Bangladesh. Material and methods: This research was conducted in rural areas at Meherpur district in Bangladesh. Convenience sampling method is used and 85 under 5 child information is collected through a structured questionnaire. The information’s of child’s are gathered from the mothers of the child. Malnourished children is measured by using APLS method and WHO Child Growth Standard Median Index. Binary logistic regression model is used to find out the key factors of malnutrition. Results: It is found that family income, maintain proper diet during pregnancy period, proper diet maintain for children have negative significant (p\u3c0.05) effect on child malnutrition. Conclusion: The magnitude of the child’s malnutrition still is of great concern in Bangladesh. Since, poverty, imbalanced diet during pregnancy period and imbalanced diet for under 5 children influences to malnutrition are significantly associated with high prevalence of malnutrition, so government and people should reduce these factor to reduce malnutrition in rural area of Bangladesh

Determinants of death among under-5 children in Bangladesh

Background It is well established that improving human health has direct obvious payoff on enhancing life expectancy along with economic growth. Under-5 child mortality deliberately used to understand a countries overall public health status. In Bangladesh, child mortality remains a significant public health problem. Therefore, the chief intention of this undertaken study was to ascertain the best possible important factors of pre-school child mortality in Bangladesh. Methods This study was based on large dataset of Bangladesh Demographic and Health Survey, 2014 (BDHS-2014). Based on an extensive literature review thirteen covariates were selected. Chi-square test was accomplished to find out the association with under-5 deaths. The factors which achieved statistical significance (p<0.05) were put into binary logistic model for multilevel adjustment. Results Obtained results described different geo-spatial, socioeconomic, demographic and health factors i.e. division, parents’ education, fathers’ occupation, wealth index of family, type of toilet, birth status (single or multiple birth), vitamin A and antenatal care visit during pregnancy were significantly associated with under-5 child mortality. Results of the binary logistic regression revealed that lower level of father’s education, multiple birth and not receiving vitamin A dose were found the strong predictors of influencing early childhood mortality. Conclusion A nationally representative data had been used to reflect the recent mortality pattern in this country. Different socioeconomic, health and demographic factors are associated with U5CM. This evidence based empirical study suggests that more attention needs regarding to stall all kinds of child mortality in Bangladesh

Determinants of death among under-5 children in Bangladesh

Background It is well established that improving human health has direct obvious payoff on enhancing life expectancy along with economic growth. Under-5 child mortality deliberately used to understand a countries overall public health status. In Bangladesh, child mortality remains a significant public health problem. Therefore, the chief intention of this undertaken study was to ascertain the best possible important factors of pre-school child mortality in Bangladesh. Methods This study was based on large dataset of Bangladesh Demographic and Health Survey, 2014 (BDHS-2014). Based on an extensive literature review thirteen covariates were selected. Chi-square test was accomplished to find out the association with under-5 deaths. The factors which achieved statistical significance (p<0.05) were put into binary logistic model for multilevel adjustment. Results Obtained results described different geo-spatial, socioeconomic, demographic and health factors i.e. division, parents’ education, fathers’ occupation, wealth index of family, type of toilet, birth status (single or multiple birth), vitamin A and antenatal care visit during pregnancy were significantly associated with under-5 child mortality. Results of the binary logistic regression revealed that lower level of father’s education, multiple birth and not receiving vitamin A dose were found the strong predictors of influencing early childhood mortality. Conclusion A nationally representative data had been used to reflect the recent mortality pattern in this country. Different socioeconomic, health and demographic factors are associated with U5CM. This evidence based empirical study suggests that more attention needs regarding to stall all kinds of child mortality in Bangladesh

Factors influencing place of delivery : evidence from three south-Asian countries

Background High maternal mortality is still a significant public health challenge in many countries of the South-Asian region. The majority of maternal deaths occur due to pregnancy and deliveryrelated complications, which can mostly be prevented by safe facility delivery. Due to the paucity of existing evidence, our study aimed to examine the factors associated with place of delivery, including women's preferences for such in three selected South-Asian countries. Methods We extracted data from the most recent demographic and health surveys (DHS) conducted in Bangladesh (2014), Nepal (2016), and Pakistan (2017-18) and analyzed to identify the association between the outcome variable and socio-demographic characteristics. A total of 16,429 women from Bangladesh (4278; mean age 24.57 years), Nepal (3962; mean age 26.35 years), and Pakistan (8189; mean age 29.57 years) were included in this study. Following descriptive analyses, bivariate and multivariate logistic regressions were conducted. Results Overall, the prevalence of facility-based delivery was 40%, 62%, and 69% in Bangladesh, Nepal, and Pakistan, respectively. Inequity in utilizing facility-based delivery was observed for women in the highest wealth quintile. Participants from Urban areas, educated, middle and upper household economic status, and with high antenatal care (ANC) visits were significantly associated with facility-based delivery in all three countries. Interestingly, watching TV was also found as a strong determinant for facility-based delivery in Bangladesh (aOR = 1.31, 95% CI:1.09-1.56, P = 0.003), Nepal (aOR = 1.42, 95% CI:1.20-1.67, P<0.001) and Pakistan (aOR = 1.17, 95% CI: 1.03-1.32, P = 0.013). Higher education of husband was a significant predictor for facility delivery in Bangladesh (aOR = 1.73, 95% CI:1.27-2.35, P = 0.001) and Pakistan (aOR = 1.19, 95% CI: 0.99-1.43, P = 0.065); husband's occupation was also a significant factor in Bangladesh (aOR = 1.30, 95% CI:1.04-1.61, P = 0.020) and Nepal (aOR = 1.26, 95% CI:1.01-1.58, P = 0.041). Conclusion Our findings suggest that the educational status of both women and their husbands, household economic situation, and the number of ANC visits influenced the place of delivery. There is an urgent need to promote facility delivery by building more birthing facilities, training and deployment of skilled birth attendants in rural and hard-to-reach areas, ensuring compulsory female education for all women, encouraging more ANC visits, and providing financial incentives for facility deliveries. There is a need to promote facility delivery by encouraging health facility visits through utilizing social networks and continuing mass media campaigns. Ensuring adequate Government funding for free maternal and newborn health care and local community involvement is crucial for reducing maternal and neonatal mortality and achieving sustainable development goals in this region