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Record W4407569221 · doi:10.1002/hsr2.70457

Assessing Contributory Factors of Diarrhea Among Under‐Five Children in Bangladesh From 2006 to 2019 and Recent Increases: A Cross‐Sectional Study

2025· article· en· W4407569221 on OpenAlexaff
Mohammad Nayeem Hasan, M. Noor-E-Alam Siddiqui, Mst. Farzana Akter, Sabikunnaher Mitu, Muhammad Abdul Baker Chowdhury, Md Jamal Uddin

Bibliographic record

VenueHealth Science Reports · 2025
Typearticle
Languageen
FieldNursing
TopicChild Nutrition and Water Access
Canadian institutionsUniversity of Manitoba
FundersUNICEF
KeywordsDiarrheaMedicineOdds ratioCross-sectional studyConfidence intervalLogistic regressionDemographyUnder-fivePediatricsCluster (spacecraft)Environmental healthInternal medicine

Abstract

fetched live from OpenAlex

Background and Aims: One-third of all child deaths in this country are caused by diarrhea. The burden of the disease appears to be increasing in recent years in Bangladesh. This study aimed to analyze the prevalence of diarrhea and identify the factors contributing to diarrheal diseases among children aged 0-5 years in Bangladesh from 2006 to 2019, to understand the recent increase in this serious health issue. Methods: In this study, using the data from the Multiple Indicator Cluster Survey (MICS), a total of 31,566, 23,402, and 24,686 children under five were included from, 2006, 2012, and 2019, respectively. Logistic regressions were applied to analyze the changes in factors influencing childhood diarrhea. Results: The results revealed a decline in diarrhea prevalence from MICS 2006 (7.1%) to MICS 2012 (3.9%). However, there was a sharp increase to 6.9% in MICS 2019. Notably, children aged 12-23 months exhibited consistently 2.22 times (adjusted odds ratio (AOR) = 2.22, 95% confidence interval (CI: 1.86-2.65), 5.24 times (CI: 2.51-10.95) and 3.36 times (CI: 2.67-4.22) higher likelihood of experiencing diarrhea compared to the older age group (48-59 months) in MICS 2006, 2012 and 2019, respectively. The mother's educational background also played a role, in MICS 2006, 2012, and 2019, children whose mothers had no or incomplete primary education had 1.48 (CI: 1.18-1.86), 1.07 (CI: 0.76-1.50), and 1.34 (CI: 1.06-1.69) times higher chances of diarrhea compared to children of mothers with secondary complete or higher education. Conclusion: Underweight status, geographical division, household wealth status, and unimproved and shared toilet facilities emerged as contributing factors of diarrhea among children aged 0-5 years. The findings underscore the importance of child nutrition, basic hygiene practices, and special care during the rainy season to mitigate the under-five mortality rate associated with diarrhea.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.049
Threshold uncertainty score0.955

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.363
Teacher spread0.342 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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