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    Examining the relationship between socioeconomic status, WASH practices and wasting

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    Date
    2017-03
    Publisher
    © 2017 Public Library of Science
    Author
    Raihan, Mohammad Jyoti
    Farzana, Fahmida Dil
    Sultana, Sabiha
    Haque, Md Ahshanul
    Rahman, Ahmed Shafiqur
    Waid, Jillian L.
    McCormick, Benjamin Joseph James
    Choudhury, Nuzhat
    Ahmed, Tahmeed J.
    Metadata
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    URI
    http://hdl.handle.net/10361/9661
    Citation
    Raihan, M. J., Farzana, F. D., Sultana, S., Haque, M. A., Rahman, A. S., Waid, J. L., . . . Ahmed, T. (2017). Examining the relationship between socioeconomic status, WASH practices and wasting. PLoS ONE, 12(3)10.1371/journal.pone.0172134
    Abstract
    Childhood wasting is a global problem and is significantly more pronounced in low and middle income countries like Bangladesh. Socio Economic Status (SES) and Water, Sanitation and Hygiene (WASH) practices may be significantly associated with wasting. Most previous research is consistent about the role of SES, but the significance of WASH in the context of wasting remains ambiguous. The effect of SES and WASH on weight for length (WHZ) is examined using a Structural Equation Model (SEM) to explicitly describe the direct and indirect role of WASH in the context of SES.A nationally representative survey of 10,478 Bangladeshi children under 5 were examined. An expert defined SEM was used to construct latent variables for SES and WASH. The SEM included a direct pathway from SES to WHZ and an indirect pathway from SES to WHZ via WASH along with regression of relevant covariates on the outcome WHZ and the latent variables. Both SES (p<0.01) and WASH (p<0.05) significantly affect WHZ. SES (p<0.01) also significantly affects WASH. Other structural components showed that child's age (p<0.01) affects WHZ and types of residence (p<0.01) affects SES. WASH practices at least partially mediate the association between SES and wasting status. WASH and SES are both significantly associated with WHZ.
    Keywords
    Age distribution; Anthropometric parameters; Behavior assessment; Controlled study; Disease association; Outcome assessment; Hand disinfection; Water quality
     
    Description
    This article was published in the PLoS ONE [© 2017 Raihan et al.] and the definitive version is available at: http://doi.org/10.1371/journal.pone.0172134 The Journal's website is at: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172134
    Publisher Link
    http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172134
    DOI
    http://doi.org/10.1371/journal.pone.0172134
    Department
    James P Grant School of Public Health, BRAC University
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