The association between drinking water salinity and hypertension in coastal Bangladesh

Aims: This study aims to explore the association between drinking water salinity and hypertension in three coastal sub-districts of Bangladesh. Methods: The study uses complete data on 6,296 individuals extracted from the latest Bangladesh Poverty and Groundwater Salinity Survey and a mixed-effects...

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Main Authors: Jahidur Rahman Khan, Nabil Awan, Rownak Jahan Archie, Nasrin Sultana, Olav Muurlink
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2020-12-01
Series:Global Health Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2414644720300543
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author Jahidur Rahman Khan
Nabil Awan
Rownak Jahan Archie
Nasrin Sultana
Olav Muurlink
author_facet Jahidur Rahman Khan
Nabil Awan
Rownak Jahan Archie
Nasrin Sultana
Olav Muurlink
author_sort Jahidur Rahman Khan
collection DOAJ
description Aims: This study aims to explore the association between drinking water salinity and hypertension in three coastal sub-districts of Bangladesh. Methods: The study uses complete data on 6,296 individuals extracted from the latest Bangladesh Poverty and Groundwater Salinity Survey and a mixed-effects logistic regression model as the analytical tool. Results: Mixed-effects logistic regression analysis shows a significant association of medium or higher-level salinity with hypertension (adjusted odds ratio 1.650, 95% confidence interval: 1.101‒2.473). Other variables significantly associated with hypertension are age, sex, education status, water source, and geographical location. A sizable proportion of the total individual-level variance in the probability of being hypertensive was at household-level (20%) and cluster-level (8%). Conclusion: The findings from this study suggest that greater salinity in potable water common in coastal areas in Bangladesh is associated with increased risk of hypertension. The study refrains from asserting causality but seeks to stimulate public health and policy interventions to address the increased risk.
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spelling doaj.art-a01cdf50a592463eb15763f7735401302023-03-16T05:05:28ZengKeAi Communications Co., Ltd.Global Health Journal2096-39472020-12-0144153158The association between drinking water salinity and hypertension in coastal BangladeshJahidur Rahman Khan0Nabil Awan1Rownak Jahan Archie2Nasrin Sultana3Olav Muurlink4Health Research Institute, Faculty of Health, University of Canberra, Australia; Biomedical Research Foundation (BRF), Dhaka, Bangladesh; Corresponding author:Institute of Statistical Research and Training, University of Dhaka, Dhaka, Bangladesh; Department of Biostatistics, University of Pittsburgh, Pittsburgh, USAKarolinska Institutet, Stockholm, SwedenDepartment of Statistics, Bangabandhu Sheikh Mujibur Rahman Agricultural University, Gazipur, BangladeshSchool of Business and Law, Central Queensland University, Brisbane, AustraliaAims: This study aims to explore the association between drinking water salinity and hypertension in three coastal sub-districts of Bangladesh. Methods: The study uses complete data on 6,296 individuals extracted from the latest Bangladesh Poverty and Groundwater Salinity Survey and a mixed-effects logistic regression model as the analytical tool. Results: Mixed-effects logistic regression analysis shows a significant association of medium or higher-level salinity with hypertension (adjusted odds ratio 1.650, 95% confidence interval: 1.101‒2.473). Other variables significantly associated with hypertension are age, sex, education status, water source, and geographical location. A sizable proportion of the total individual-level variance in the probability of being hypertensive was at household-level (20%) and cluster-level (8%). Conclusion: The findings from this study suggest that greater salinity in potable water common in coastal areas in Bangladesh is associated with increased risk of hypertension. The study refrains from asserting causality but seeks to stimulate public health and policy interventions to address the increased risk.http://www.sciencedirect.com/science/article/pii/S2414644720300543SalinityHypertensionMultilevel modelBangladesh
spellingShingle Jahidur Rahman Khan
Nabil Awan
Rownak Jahan Archie
Nasrin Sultana
Olav Muurlink
The association between drinking water salinity and hypertension in coastal Bangladesh
Global Health Journal
Salinity
Hypertension
Multilevel model
Bangladesh
title The association between drinking water salinity and hypertension in coastal Bangladesh
title_full The association between drinking water salinity and hypertension in coastal Bangladesh
title_fullStr The association between drinking water salinity and hypertension in coastal Bangladesh
title_full_unstemmed The association between drinking water salinity and hypertension in coastal Bangladesh
title_short The association between drinking water salinity and hypertension in coastal Bangladesh
title_sort association between drinking water salinity and hypertension in coastal bangladesh
topic Salinity
Hypertension
Multilevel model
Bangladesh
url http://www.sciencedirect.com/science/article/pii/S2414644720300543
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