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


ABSTRACT:

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.

SUBMITTER: Rahman A 

PROVIDER: S-EPMC6756443 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Publications

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

Rahman Aminur A   Jagnoor Jagnoor J   Baset Kamran Ul KU   Ryan Dan D   Ahmed Tahera T   Rogers Kris K   Hossain Mohammad Jahangir MJ   Hossain Mohammad Jahangir MJ   Ivers Rebecca R   Rahman A K M Fazlur AKMF  

BMJ open 20190917 9


<h4>Objectives</h4>This study aimed to determine the fatal drowning burden and associated risk factors in Southern Bangladesh.<h4>Settings</h4>The survey was conducted in 39 subdistricts of all 6 districts of the Barisal division, Southern Bangladesh.<h4>Participants</h4>All residents (for a minimum 6 months prior to survey) of the Barisal division, Southern Bangladesh.<h4>Intervention/methods</h4>A cross-sectional, divisionally representative household survey was conducted in all six districts  ...[more]

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