title: Migration, health, and socioenvironmental safety net among children of Dhaka, Bangladesh.
abstract: This study quantifies the diarrhea burden among migrant children under age 5 (who have migrated due to environmental degradation) in Dhaka. We used a multifactor socioepidemiological as well as environmental approach with pretested questionnaires and observations. It was found that 52% of the children were affected by diarrhea. Disability-adjusted life years (DALYs) lost was reduced manifold with the increase of mothers' behavioral determinants. Health losses were 1,718 fold with significant coefficient (β) in the migrant group. DALYs lost were significantly associated with socioenvironmental factors such as mother's illiteracy (β = .18; p < .001), no hand wash before eating (β = .08; p = .004), and no hand wash after defecation (β = .10; p < .001). This puts emphasis clearly on the awareness at household level, especially of mothers and children under age 5 in Dhaka, Bangladesh, in formulating migration-related policies.
authors: a Department of Social and Environmental Medicine , Faculty of Tropical Medicine, Mahidol University , Bangkok , Thailand.|b Bangladesh Council of Scientific and Industrial Research (BCSIR) , Dhaka , Bangladesh.
authors: Neelima Afroz
authors: NA
authors: Molla
authors: c Institute of Agricultural and Resource Economics, Faculty of Social Sciences, University of Agriculture , Faisalabad , Pakistan.|d Faculty of Environment and Resource Studies, Mahidol University , Nakhon Pathom , Thailand.
authors: Ghaffar
authors: G
authors: Ali
authors: e EnviroCare, Prosperity Pathway , Toronto , Ontario , Canada.
authors: Kabirul Ahsan
authors: KA
authors: Mollah
authors: a Department of Social and Environmental Medicine , Faculty of Tropical Medicine, Mahidol University , Bangkok , Thailand.
authors: Waranya
authors: W
authors: Wongwit
authors: f WHO collaborating Centre, Environmental Engineering and Management, Asian Institute of Technology , Pathumthani , Thailand.
authors: Oleg
authors: O
authors: Shipin
authors: a Department of Social and Environmental Medicine , Faculty of Tropical Medicine, Mahidol University , Bangkok , Thailand.
authors: Pongrama
authors: P
authors: Ramasoota
authors: b Bangladesh Council of Scientific and Industrial Research (BCSIR) , Dhaka , Bangladesh.
authors: Husna Parvin
authors: HP
authors: Nur
mesh_terms: D001459:Bangladesh / Q000453:epidemiology; D002675:Child, Preschool; D003967:Diarrhea / Q000453:epidemiology* / Q000209:etiology; D004782:Environmental Health; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019057:Quality-Adjusted Life Years; D014171:Transients and Migrants / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data
keywords: DALYs lost; Dhaka; diarrhea; environmental health; migration; public health