Journal article
Protective Benefits of Deep Tube Wells Against Childhood Diarrhea in Matlab, Bangladesh
American journal of public health (1971), Vol.103(7), pp.1287-1291
07/01/2013
DOI: 10.2105/AJPH.2012.300975
PMCID: PMC3676444
PMID: 23409905
Abstract
Objectives. We investigated whether deep tube wells installed to provide arsenic-free groundwater in rural Bangladesh have the added benefit of reducing childhood diarrheal disease incidence.
Methods. We recorded cases of diarrhea in children younger than 5 years in 142 villages of Matlab, Bangladesh, during monthly community health surveys in 2005 and 2006. We surveyed the location and depth of 12 018 tube wells and integrated these data with diarrhea data and other data in a geographic information system. We fit a longitudinal logistic regression model to measure the relationship between childhood diarrhea and deep tube well use. We controlled for maternal education, family wealth, year, and distance to a deep tube well.
Results. Household clusters assumed to be using deep tube wells were 48.7% (95% confidence interval = 27.8%, 63.5%) less likely to have a case of childhood diarrhea than were other household clusters.
Conclusions. Increased access to deep tube wells may provide dual benefits to vulnerable populations in Matlab, Bangladesh, by reducing the risk of childhood diarrheal disease and decreasing exposure to naturally occurring arsenic in groundwater.
Details
- Title: Subtitle
- Protective Benefits of Deep Tube Wells Against Childhood Diarrhea in Matlab, Bangladesh
- Creators
- Jennifer Jane Winston - University of North Carolina at Chapel HillVeronica Escamilla - University of North Carolina at Chapel HillCarolina Perez-Heydrich - University of North Carolina at Chapel HillMargaret Carrel - University of IowaMohammad Yunus - International Centre for Diarrhoeal Disease ResearchPeter Kim Streatfield - International Centre for Diarrhoeal Disease ResearchMichael Emch - Geography
- Resource Type
- Journal article
- Publication Details
- American journal of public health (1971), Vol.103(7), pp.1287-1291
- DOI
- 10.2105/AJPH.2012.300975
- PMID
- 23409905
- PMCID
- PMC3676444
- NLM abbreviation
- Am J Public Health
- ISSN
- 0090-0036
- eISSN
- 1541-0048
- Publisher
- Amer Public Health Assoc Inc
- Number of pages
- 5
- Grant note
- T32ES007018 / NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS) NSF BCS-0924479 / National Science Foundation; National Science Foundation (NSF) NIEHS T32ES007018 / National Institute of Environmental Health Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Environmental Health Sciences (NIEHS) T32AI007001 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID) 5 R24 HD050924; 5 T32 HD007168 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) NIH R03-AI076748; NIH 5 T32AI07001-36 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA R24HD050924 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Language
- English
- Date published
- 07/01/2013
- Academic Unit
- Epidemiology; Interdisciplinary Programs; Geographical and Sustainability Sciences; Internal Medicine
- Record Identifier
- 9984259385402771
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