Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys

Background: Globally, stillbirth remains a significant public health issue, particularly in developing countries such as Bangladesh. Objective: This study aimed to investigate the potential predictors of stillbirths in Bangladesh over a ten-year period. Methods: The Bangladesh Demographic and Health...

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Main Authors: Tanvir Abir, Kingsley E. Agho, Felix A. Ogbo, Garry J. Stevens, Andrew Page, Milton A. Hasnat, Michael J. Dibley, Camille Raynes-Greenow
Format: Article
Language:English
Published: Taylor & Francis Group 2017-01-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2017.1410048
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author Tanvir Abir
Kingsley E. Agho
Felix A. Ogbo
Garry J. Stevens
Andrew Page
Milton A. Hasnat
Michael J. Dibley
Camille Raynes-Greenow
author_facet Tanvir Abir
Kingsley E. Agho
Felix A. Ogbo
Garry J. Stevens
Andrew Page
Milton A. Hasnat
Michael J. Dibley
Camille Raynes-Greenow
author_sort Tanvir Abir
collection DOAJ
description Background: Globally, stillbirth remains a significant public health issue, particularly in developing countries such as Bangladesh. Objective: This study aimed to investigate the potential predictors of stillbirths in Bangladesh over a ten-year period. Methods: The Bangladesh Demographic and Health Surveys data for the years 2004, 2007, 2011 and 2014 (n = 29,094) were used for the study to investigate the predictors of stillbirths. Stillbirth was examined against a set of community, socio-economic and child characteristics, using a multivariable logistic regression model that adjusted for cluster and sampling variability. Results: The pooled rate of stillbirth in Bangladesh was 28 in 1000 births (95% CI: 22, 34). Stillbirth rates were higher in rural compared to urban areas in Bangladesh. Mothers who had a secondary or higher level of education (OR = 0.59, 95%CI: 0.43–0.82, P = 0.002) and those with primary education (OR = 0.66, 95%CI: 0.55–0.80, P < 0.001) were less likely to experience stillbirths compared to mothers with no education. Mothers with more than two children were significantly less likely to have stillbirths compared to mothers with one child. Those from poor households reported increased odds of stillbirth compared to those from rich households. Conclusion: Our analysis indicated that no maternal education, primiparity and poor household were predictors of stillbirths in Bangladesh. A collaborative effort is needed to reduce stillbirth rates among these high-risk groups in Bangladesh, with the socio-economic and health-related Sustainable Development Goals providing a critical vehicle for the co-ordination of this work.
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spelling doaj.art-d87cb99421d6401b9f5b8712589206752024-06-17T13:28:51ZengTaylor & Francis GroupGlobal Health Action1654-98802017-01-0110110.1080/16549716.2017.14100481410048Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveysTanvir Abir0Kingsley E. Agho1Felix A. Ogbo2Garry J. Stevens3Andrew Page4Milton A. Hasnat5Michael J. Dibley6Camille Raynes-Greenow7Western Sydney UniversityWestern Sydney UniversityWestern Sydney UniversityWestern Sydney UniversityWestern Sydney UniversityThe University of NewcastleUniversity of SydneyUniversity of SydneyBackground: Globally, stillbirth remains a significant public health issue, particularly in developing countries such as Bangladesh. Objective: This study aimed to investigate the potential predictors of stillbirths in Bangladesh over a ten-year period. Methods: The Bangladesh Demographic and Health Surveys data for the years 2004, 2007, 2011 and 2014 (n = 29,094) were used for the study to investigate the predictors of stillbirths. Stillbirth was examined against a set of community, socio-economic and child characteristics, using a multivariable logistic regression model that adjusted for cluster and sampling variability. Results: The pooled rate of stillbirth in Bangladesh was 28 in 1000 births (95% CI: 22, 34). Stillbirth rates were higher in rural compared to urban areas in Bangladesh. Mothers who had a secondary or higher level of education (OR = 0.59, 95%CI: 0.43–0.82, P = 0.002) and those with primary education (OR = 0.66, 95%CI: 0.55–0.80, P < 0.001) were less likely to experience stillbirths compared to mothers with no education. Mothers with more than two children were significantly less likely to have stillbirths compared to mothers with one child. Those from poor households reported increased odds of stillbirth compared to those from rich households. Conclusion: Our analysis indicated that no maternal education, primiparity and poor household were predictors of stillbirths in Bangladesh. A collaborative effort is needed to reduce stillbirth rates among these high-risk groups in Bangladesh, with the socio-economic and health-related Sustainable Development Goals providing a critical vehicle for the co-ordination of this work.http://dx.doi.org/10.1080/16549716.2017.1410048bangladeshinfantsmortalitypredictorsstillbirthsunder-five
spellingShingle Tanvir Abir
Kingsley E. Agho
Felix A. Ogbo
Garry J. Stevens
Andrew Page
Milton A. Hasnat
Michael J. Dibley
Camille Raynes-Greenow
Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys
Global Health Action
bangladesh
infants
mortality
predictors
stillbirths
under-five
title Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys
title_full Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys
title_fullStr Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys
title_full_unstemmed Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys
title_short Predictors of stillbirths in Bangladesh: evidence from the 2004–2014 nation-wide household surveys
title_sort predictors of stillbirths in bangladesh evidence from the 2004 2014 nation wide household surveys
topic bangladesh
infants
mortality
predictors
stillbirths
under-five
url http://dx.doi.org/10.1080/16549716.2017.1410048
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