The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007.
There has been little evidence of a decline in the global burden of cholera in recent years as the number of cholera cases reported to WHO continues to rise. Cholera remains a global threat to public health and a key indicator of lack of socioeconomic development. Overall socioeconomic development i...
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ftdoajarticles:oai:doaj.org/article:8da2d5ca4fae42fc883d1e9176011c16 2023-05-15T15:15:10+02:00 The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007. Elisabeth Dowling Root Joshua Rodd Mohammad Yunus Michael Emch 2013-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0001997 https://doaj.org/article/8da2d5ca4fae42fc883d1e9176011c16 EN eng Public Library of Science (PLoS) https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23326618/pdf/?tool=EBI https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0001997 https://doaj.org/article/8da2d5ca4fae42fc883d1e9176011c16 PLoS Neglected Tropical Diseases, Vol 7, Iss 1, p e1997 (2013) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2013 ftdoajarticles https://doi.org/10.1371/journal.pntd.0001997 2022-12-31T05:44:44Z There has been little evidence of a decline in the global burden of cholera in recent years as the number of cholera cases reported to WHO continues to rise. Cholera remains a global threat to public health and a key indicator of lack of socioeconomic development. Overall socioeconomic development is the ultimate solution for control of cholera as evidenced in developed countries. However, most research has focused on cross-county comparisons so that the role of individual- or small area-level socioeconomic status (SES) in cholera dynamics has not been carefully studied. Reported cases of cholera in Matlab, Bangladesh have fluctuated greatly over time and epidemic outbreaks of cholera continue, most recently with the introduction of a new serotype into the region. The wealth of longitudinal data on the population of Matlab provides a unique opportunity to explore the impact of socioeconomic status and other demographic characteristics on the long-term temporal dynamics of cholera in the region. In this population-based study we examine which factors impact the initial number of cholera cases in a bari at the beginning of the 0139 epidemic and the factors impacting the number of cases over time. Cholera data were derived from the ICDDR,B health records and linked to socioeconomic and geographic data collected as part of the Matlab Health and Demographic Surveillance System. Longitudinal zero-inflated Poisson (ZIP) multilevel regression models are used to examine the impact of environmental and socio-demographic factors on cholera counts across baris. Results indicate that baris with a high socioeconomic status had lower initial rates of cholera at the beginning of the 0139 epidemic (γ(01) = -0.147, p = 0.041) and a higher probability of reporting no cholera cases (α(01) = 0.156, p = 0.061). Populations in baris characterized by low SES are more likely to experience higher cholera morbidity at the beginning of an epidemic than populations in high SES baris. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLoS Neglected Tropical Diseases 7 1 e1997 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Elisabeth Dowling Root Joshua Rodd Mohammad Yunus Michael Emch The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
There has been little evidence of a decline in the global burden of cholera in recent years as the number of cholera cases reported to WHO continues to rise. Cholera remains a global threat to public health and a key indicator of lack of socioeconomic development. Overall socioeconomic development is the ultimate solution for control of cholera as evidenced in developed countries. However, most research has focused on cross-county comparisons so that the role of individual- or small area-level socioeconomic status (SES) in cholera dynamics has not been carefully studied. Reported cases of cholera in Matlab, Bangladesh have fluctuated greatly over time and epidemic outbreaks of cholera continue, most recently with the introduction of a new serotype into the region. The wealth of longitudinal data on the population of Matlab provides a unique opportunity to explore the impact of socioeconomic status and other demographic characteristics on the long-term temporal dynamics of cholera in the region. In this population-based study we examine which factors impact the initial number of cholera cases in a bari at the beginning of the 0139 epidemic and the factors impacting the number of cases over time. Cholera data were derived from the ICDDR,B health records and linked to socioeconomic and geographic data collected as part of the Matlab Health and Demographic Surveillance System. Longitudinal zero-inflated Poisson (ZIP) multilevel regression models are used to examine the impact of environmental and socio-demographic factors on cholera counts across baris. Results indicate that baris with a high socioeconomic status had lower initial rates of cholera at the beginning of the 0139 epidemic (γ(01) = -0.147, p = 0.041) and a higher probability of reporting no cholera cases (α(01) = 0.156, p = 0.061). Populations in baris characterized by low SES are more likely to experience higher cholera morbidity at the beginning of an epidemic than populations in high SES baris. |
format |
Article in Journal/Newspaper |
author |
Elisabeth Dowling Root Joshua Rodd Mohammad Yunus Michael Emch |
author_facet |
Elisabeth Dowling Root Joshua Rodd Mohammad Yunus Michael Emch |
author_sort |
Elisabeth Dowling Root |
title |
The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007. |
title_short |
The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007. |
title_full |
The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007. |
title_fullStr |
The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007. |
title_full_unstemmed |
The role of socioeconomic status in longitudinal trends of cholera in Matlab, Bangladesh, 1993-2007. |
title_sort |
role of socioeconomic status in longitudinal trends of cholera in matlab, bangladesh, 1993-2007. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2013 |
url |
https://doi.org/10.1371/journal.pntd.0001997 https://doaj.org/article/8da2d5ca4fae42fc883d1e9176011c16 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 7, Iss 1, p e1997 (2013) |
op_relation |
https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23326618/pdf/?tool=EBI https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0001997 https://doaj.org/article/8da2d5ca4fae42fc883d1e9176011c16 |
op_doi |
https://doi.org/10.1371/journal.pntd.0001997 |
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PLoS Neglected Tropical Diseases |
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7 |
container_issue |
1 |
container_start_page |
e1997 |
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1766345549987971072 |