Sociodemographic and maternal health-related factors associated with mortality among children under three in Bangladesh: an analysis of data from Bangladesh Demographic and Health Survey 2017-18

Abstract Background Child mortality remains remarkably high in many low- and middle-income countries (LMICs), including Bangladesh. This study aimed to identify the sociodemographic and maternal health-related factors associated with under three (U3) child mortality in Bangladesh. Methods We extract...

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Main Authors: Md. Fakhar Uddin (Author), Shanta Akter Mim (Author), Md. Ahshanul Haque (Author), Md. Tariquajjaman (Author), Ishrat Jabeen (Author), Mubassira Binte Latif (Author), Asma- (Author), Fatema Aarshe (Author), Md. Hasibul Hossain (Author), Sumaiya Nabi (Author), Md. Alamgir Hossain (Author), Mohammad Niaz Morshed Khan (Author), Akash Saha (Author), Tahmeed Ahmed (Author), Nur Haque Alam (Author), Mohammod Jobayer Chisti (Author)
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Published: BMC, 2024-11-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Md. Fakhar Uddin  |e author 
700 1 0 |a Shanta Akter Mim  |e author 
700 1 0 |a Md. Ahshanul Haque  |e author 
700 1 0 |a Md. Tariquajjaman  |e author 
700 1 0 |a Ishrat Jabeen  |e author 
700 1 0 |a Mubassira Binte Latif  |e author 
700 1 0 |a Asma-  |e author 
700 1 0 |a Fatema Aarshe  |e author 
700 1 0 |a Md. Hasibul Hossain  |e author 
700 1 0 |a Sumaiya Nabi  |e author 
700 1 0 |a Md. Alamgir Hossain  |e author 
700 1 0 |a Mohammad Niaz Morshed Khan  |e author 
700 1 0 |a Akash Saha  |e author 
700 1 0 |a Tahmeed Ahmed  |e author 
700 1 0 |a Nur Haque Alam  |e author 
700 1 0 |a Mohammod Jobayer Chisti  |e author 
245 0 0 |a Sociodemographic and maternal health-related factors associated with mortality among children under three in Bangladesh: an analysis of data from Bangladesh Demographic and Health Survey 2017-18 
260 |b BMC,   |c 2024-11-01T00:00:00Z. 
500 |a 10.1186/s12889-024-20426-8 
500 |a 1471-2458 
520 |a Abstract Background Child mortality remains remarkably high in many low- and middle-income countries (LMICs), including Bangladesh. This study aimed to identify the sociodemographic and maternal health-related factors associated with under three (U3) child mortality in Bangladesh. Methods We extracted data of 5299 U3 children from Bangladesh Demographic and Health Survey (BDHS) 2017-18. We used descriptive statistics to summarize the data. The chi-square (χ2) test, simple and multiple Firth logistic regression were performed to test the associations between priori-defined factors and U3 mortality. Results In Bangladesh, the U3 child mortality rate was 35 deaths per 1,000 live births, with a median age at death of less than one month. The adjusted model revealed that the odds of U3 child mortality were higher among children born to mothers aged between 30 and 39 years [adjusted odds ratio (AOR) = 2.01, 95% confidence interval (CI): 1.30-3.11; p-value (p) = 0.002], those who did not use any contraceptive [AOR = 2.57, 95% CI: 1.90-3.47; p < 0.001], with first pregnancy [AOR = 14.91, CI: 4.60-48.30; p < 0.001], had birth interval less than 24 months [AOR = 2.10, CI: 1.23-3.60; p = 0.007], children born to mothers who delivered vaginally [AOR = 3.18, 95% CI: 2.07-4.87; p < 0.001]. However, lower odds of mortality were observed among children of mothers with higher education levels [AOR = 0.50, 95% CI: 0.28-0.90; p = 0.021] and families with more than five members [AOR = 0.61, 95% CI: 0.45-0.83; p < 0.01]. In addition, religion, birth attendant during delivery, and the child's birth order were significantly associated with U3 child mortality, whereas mortality did not vary significantly across the divisions. Conclusions Higher odds of U3 child mortality were associated with mothers who did not use contraceptives, delivered vaginally, and were aged 30-39 years in Bangladesh. Conversely, higher maternal education and larger family size were associated with lower odds of U3 child mortality. The findings suggest that community-based family planning awareness programs focused on contraceptive use, as it prevents childbirth and is also a marker of health service usage. 
546 |a EN 
690 |a Factors 
690 |a Child mortality 
690 |a Firth logistic regression 
690 |a Bangladesh 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n BMC Public Health, Vol 24, Iss 1, Pp 1-14 (2024) 
787 0 |n https://doi.org/10.1186/s12889-024-20426-8 
787 0 |n https://doaj.org/toc/1471-2458 
856 4 1 |u https://doaj.org/article/f04d970a4ff84371bf86d9c7dbb3921c  |z Connect to this object online.