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Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey

OBJECTIVES: This study aimed to determine the fatal drowning burden and associated risk factors in Southern Bangladesh. SETTINGS: The survey was conducted in 39 subdistricts of all 6 districts of the Barisal division, Southern Bangladesh. PARTICIPANTS: All residents (for a minimum 6 months prior to...

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Autores principales: Rahman, Aminur, Jagnoor, Jagnoor, Baset, Kamran ul, Ryan, Dan, Ahmed, Tahera, Rogers, Kris, Hossain, Mohammad Jahangir, Ivers, Rebecca, Rahman, A K M Fazlur
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756443/
https://www.ncbi.nlm.nih.gov/pubmed/31530589
http://dx.doi.org/10.1136/bmjopen-2018-027896
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author Rahman, Aminur
Jagnoor, Jagnoor
Baset, Kamran ul
Ryan, Dan
Ahmed, Tahera
Rogers, Kris
Hossain, Mohammad Jahangir
Ivers, Rebecca
Rahman, A K M Fazlur
author_facet Rahman, Aminur
Jagnoor, Jagnoor
Baset, Kamran ul
Ryan, Dan
Ahmed, Tahera
Rogers, Kris
Hossain, Mohammad Jahangir
Ivers, Rebecca
Rahman, A K M Fazlur
author_sort Rahman, Aminur
collection PubMed
description OBJECTIVES: This study aimed to determine the fatal drowning burden and associated risk factors in Southern Bangladesh. SETTINGS: The survey was conducted in 39 subdistricts of all 6 districts of the Barisal division, Southern Bangladesh. PARTICIPANTS: All residents (for a minimum 6 months prior to survey) of the Barisal division, Southern Bangladesh. INTERVENTION/METHODS: A cross-sectional, divisionally representative household survey was conducted in all six districts of the Barisal division between September 2016 and February 2017, covering a population of 386 016. Data were collected by face-to-face interview with adult respondents using handheld electronic tablets. International Classification of Diseases (ICD)-v. 10 (ICD-10) Chapter XX: External causes of morbidity and mortality codes for drowning, W65–W74, X36–X39, V90, V92, X71 or X92, were used as the operational definition of a drowning event. RESULTS: The overall fatal drowning rate in Barisal was 37.9/100 000 population per year (95% CI 31.8 to 43.9). The highest fatal drowning rate was observed among children aged 1–4 years (262.2/100 000/year). Mortality rates among males (48.2/100 000/year) exceeded that for females (27.9/100 000/year). A higher rate of fatal drowning was found in rural (38.9/100 000/year) compared with urban areas (29.3/100 000/year). The results of the multivariable logistic regression identified that the factors significantly associated with fatal drowning were being male (OR 1.7, 95% CI 1.2 to 2.3), aged 1–4 years (OR 3.0, 95% CI 1.4 to 6.4) and residing in a household with four or more children (four or more children OR 1.8, 95% CI 1.1 to 2.9; and five or more children OR 2.1, 95% CI 1.2 to 3.7). CONCLUSION: Drowning is a public health problem, especially for children, in the Barisal division of Southern Bangladesh. Male gender, children 1–4 years of age and residing in a household with four or more children were associated with increased risk of fatal drowning events. The Barisal division demands urgent interventions targeted at high-risk groups identified in the survey.
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spelling pubmed-67564432019-10-07 Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey Rahman, Aminur Jagnoor, Jagnoor Baset, Kamran ul Ryan, Dan Ahmed, Tahera Rogers, Kris Hossain, Mohammad Jahangir Ivers, Rebecca Rahman, A K M Fazlur BMJ Open Public Health OBJECTIVES: This study aimed to determine the fatal drowning burden and associated risk factors in Southern Bangladesh. SETTINGS: The survey was conducted in 39 subdistricts of all 6 districts of the Barisal division, Southern Bangladesh. PARTICIPANTS: All residents (for a minimum 6 months prior to survey) of the Barisal division, Southern Bangladesh. INTERVENTION/METHODS: A cross-sectional, divisionally representative household survey was conducted in all six districts of the Barisal division between September 2016 and February 2017, covering a population of 386 016. Data were collected by face-to-face interview with adult respondents using handheld electronic tablets. International Classification of Diseases (ICD)-v. 10 (ICD-10) Chapter XX: External causes of morbidity and mortality codes for drowning, W65–W74, X36–X39, V90, V92, X71 or X92, were used as the operational definition of a drowning event. RESULTS: The overall fatal drowning rate in Barisal was 37.9/100 000 population per year (95% CI 31.8 to 43.9). The highest fatal drowning rate was observed among children aged 1–4 years (262.2/100 000/year). Mortality rates among males (48.2/100 000/year) exceeded that for females (27.9/100 000/year). A higher rate of fatal drowning was found in rural (38.9/100 000/year) compared with urban areas (29.3/100 000/year). The results of the multivariable logistic regression identified that the factors significantly associated with fatal drowning were being male (OR 1.7, 95% CI 1.2 to 2.3), aged 1–4 years (OR 3.0, 95% CI 1.4 to 6.4) and residing in a household with four or more children (four or more children OR 1.8, 95% CI 1.1 to 2.9; and five or more children OR 2.1, 95% CI 1.2 to 3.7). CONCLUSION: Drowning is a public health problem, especially for children, in the Barisal division of Southern Bangladesh. Male gender, children 1–4 years of age and residing in a household with four or more children were associated with increased risk of fatal drowning events. The Barisal division demands urgent interventions targeted at high-risk groups identified in the survey. BMJ Publishing Group 2019-09-17 /pmc/articles/PMC6756443/ /pubmed/31530589 http://dx.doi.org/10.1136/bmjopen-2018-027896 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Rahman, Aminur
Jagnoor, Jagnoor
Baset, Kamran ul
Ryan, Dan
Ahmed, Tahera
Rogers, Kris
Hossain, Mohammad Jahangir
Ivers, Rebecca
Rahman, A K M Fazlur
Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey
title Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey
title_full Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey
title_fullStr Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey
title_full_unstemmed Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey
title_short Vulnerability to fatal drowning among the population in Southern Bangladesh: findings from a cross-sectional household survey
title_sort vulnerability to fatal drowning among the population in southern bangladesh: findings from a cross-sectional household survey
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756443/
https://www.ncbi.nlm.nih.gov/pubmed/31530589
http://dx.doi.org/10.1136/bmjopen-2018-027896
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