Browsing by Subject "Bangladesh"

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    Reduction in urinary arsenic levels in response to arsenic mitigation efforts in Araihazar, Bangladesh.
    (Environ Health Perspect, 2007-06) Chen, Yu; van Geen, Alexander; Graziano, Joseph H; Pfaff, Alexander; Madajewicz, Malgosia; Parvez, Faruque; Hussain, AZM Iftekhar; Slavkovich, Vesna; Islam, Tariqul; Ahsan, Habibul
    BACKGROUND: There is a need to identify and evaluate an effective mitigation program for arsenic exposure from drinking water in Bangladesh. OBJECTIVE: We evaluated the effectiveness of a multifaceted mitigation program to reduce As exposure among 11,746 individuals in a prospective cohort study initiated in 2000 in Araihazar, Bangladesh, by interviewing participants and measuring changes in urinary As levels. METHODS: The interventions included a) person-to-person reporting of well test results and health education; b) well labeling and village-level health education; and c) installations of 50 deep, low-As community wells in villages with the highest As exposure. RESULTS: Two years after these interventions, 58% of the 6,512 participants with unsafe wells (As >/=50 microg) at baseline had responded by switching to other wells. Well labeling and village-level health education was positively related to switching to safe wells (As < 50 mug/L) among participants with unsafe wells [rate ratio (RR) = 1.84; 95% confidence interval (CI), 1.60-2.11] and inversely related to any well switching among those with safe wells (RR = 0.80; 95% CI, 0.66-0.98). The urinary As level in participants who switched to a well identified as safe (< 50 microg As/L) dropped from an average of 375 microg As/g creatinine to 200 microg As/g creatinine, a 46% reduction toward the average urinary As content of 136 microg As/g creatinine for participants that used safe wells throughout. Urinary As reduction was positively related to educational attainment, body mass index, never-smoking, absence of skin lesions, and time since switching (p for trend < 0.05). CONCLUSIONS: Our study shows that testing of wells and informing households of the consequences of As exposure, combined with installation of deep community wells where most needed, can effectively address the continuing public health emergency from arsenic in drinking water in Bangladesh.
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    Social dynamics of short term variability in key measures of household and community wellbeing in Bangladesh.
    (Scientific data, 2019-07-17) Tamal, Md Ehsanul Haque; Bell, Andrew R; Killilea, Mary E; Ward, Patrick S
    High-frequency social data collection may facilitate improved recall, more inclusive reporting, and improved capture of intra-period variability. Although there are examples of small studies collecting particular variables at high frequency in the social science literature, to date there have been no significant efforts to collect a wide range of variables with high frequency. We have implemented the first such effort with a smartphone-based data collection approach, systematically varying the frequency of survey task and recall period, allowing the analysis of the relative merit of high-frequency data collection for different key variables in household surveys. This study of 480 farmers from northwestern Bangladesh over approximately one year of continuous data on key measures of household and community wellbeing could be particularly useful for the design and evaluation of development interventions and policies. While the data discussed here provide a snapshot of what is possible, we also highlight their strength for providing opportunities for interdisciplinary research in the household agricultural production, practices, seasonal hunger, etc., in a low-income agrarian society.
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    Stress biomarkers and child development in young children in Bangladesh.
    (Psychoneuroendocrinology, 2024-03) Butzin-Dozier, Zachary; Mertens, Andrew N; Tan, Sophia T; Granger, Douglas A; Pitchik, Helen O; Il'yasova, Dora; Tofail, Fahmida; Rahman, Md Ziaur; Spasojevic, Ivan; Shalev, Idan; Ali, Shahjahan; Karim, Mohammed Rabiul; Shahriar, Sunny; Famida, Syeda Luthfa; Shuman, Gabrielle; Shoab, Abul K; Akther, Salma; Hossen, Md Saheen; Mutsuddi, Palash; Rahman, Mahbubur; Unicomb, Leanne; Das, Kishor K; Yan, Liying; Meyer, Ann; Stewart, Christine P; Hubbard, Alan E; Naved, Ruchira Tabassum; Parvin, Kausar; Mamun, Md Mahfuz Al; Luby, Stephen P; Colford, John M; Fernald, Lia CH; Lin, Audrie

    Background

    Hundreds of millions of children in low- and middle-income countries are exposed to chronic stressors, such as poverty, poor sanitation and hygiene, and sub-optimal nutrition. These stressors can have physiological consequences for children and may ultimately have detrimental effects on child development. This study explores associations between biological measures of chronic stress in early life and developmental outcomes in a large cohort of young children living in rural Bangladesh.

    Methods

    We assessed physiologic measures of stress in the first two years of life using measures of the hypothalamic-pituitary-adrenal (HPA) axis (salivary cortisol and glucocorticoid receptor gene methylation), the sympathetic-adrenal-medullary (SAM) system (salivary alpha-amylase, heart rate, and blood pressure), and oxidative status (F2-isoprostanes). We assessed child development in the first two years of life with the MacArthur-Bates Communicative Development Inventories (CDI), the WHO gross motor milestones, and the Extended Ages and Stages Questionnaire (EASQ). We compared development outcomes of children at the 75th and 25th percentiles of stress biomarker distributions while adjusting for potential confounders using generalized additive models, which are statistical models where the outcome is predicted by a potentially non-linear function of predictor variables.

    Results

    We analyzed data from 684 children (49% female) at both 14 and 28 months of age; we included an additional 765 children at 28 months of age. We detected a significant relationship between HPA axis activity and child development, where increased HPA axis activity was associated with poor development outcomes. Specifically, we found that cortisol reactivity (coefficient -0.15, 95% CI (-0.29, -0.01)) and post-stressor levels (coefficient -0.12, 95% CI (-0.24, -0.01)) were associated with CDI comprehension score, post-stressor cortisol was associated with combined EASQ score (coefficient -0.22, 95% CI (-0.41, -0.04), and overall glucocorticoid receptor methylation was associated with CDI expression score (coefficient -0.09, 95% CI (-0.17, -0.01)). We did not detect a significant relationship between SAM activity or oxidative status and child development.

    Conclusions

    Our observations reveal associations between the physiological evidence of stress in the HPA axis with developmental status in early childhood. These findings add to the existing evidence exploring the developmental consequences of early life stress.