High-resolution mapping of reproductive tract infections among women of childbearing age in Bangladesh: a spatial-temporal analysis of the demographic and health survey

BMC Public Health

Yuheng Ling¹  Yijing Wang²  Tingting Zhao²  Mengjie Li²  Zhicheng Du²  Ruixue Li³  Chenyang Feng³  Jing Liao⁴  Yingsi Lai⁴  Yuantao Hao⁴  Md Barkat Ullah⁵  Rubee Dev⁶  Abu Ahmed Shamim⁷ 

[1] CNRS UMR 6240, Universite de Corse Pascal Paoli, 20250, Corti, France;Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China;Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China;Department of Information, Sun Yat-Sen University Cancer Center, 510060, Guangzhou, China;Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China;Sun Yat-sen Global Health Institute, Sun Yat-Sen University, Guangzhou, China;Department of Nutrition, University of California Davis, California, USA;Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal;James P Grant School of public Health, BRAC University, Dhaka, Bangladesh;

关键词: Reproductive tract infections;    Spatial-temporal analysis;    High-resolution map;    Bangladesh;   

DOI  :  10.1186/s12889-021-10360-4

来源: Springer

【 摘 要 】

BackgroundReproductive tract infections (RTIs) have become major but silent public health problems devastating women’s lives in Bangladesh. Accurately and precisely identifying high-risk areas of RTIs through high-resolution risk maps is meaningful for resource-limited settings.MethodsWe obtained data reported with RTI symptoms by women of childbearing age in the years 2007, 2011 and 2014 from Bangladesh Demographic and Health Survey. High-spatial Environmental, socio-economic and demographic layers were downloaded from different open-access data sources. We applied Bayesian spatial-temporal models to identify important influencing factors and to estimate the infection risk at 5 km spatial resolution across survey years in Bangladesh.ResultsWe estimated that in Bangladesh, there were approximate 11.1% (95% Bayesian credible interval, BCI: 10.5–11.7%), 13.9% (95% BCI: 13.3–14.5%) and 13.4% (95% BCI: 12.8–14.0%) of women of childbearing age reported with RTI symptoms in 2007, 2011 and 2014, respectively. The risk of most areas shows an obvious increase from 2007 to 2011, then became stable between 2011 and 2014. High risk areas were identified in the southern coastal areas, the western Rajshahi Division, the middle of Khulna Division, and the southwestern Chittagong Division in 2014. The prevalence of Rajshahi and Nawabganj District were increasing during all the survey years.ConclusionThe high-resolution risk maps of RTIs we produced can guide the control strategies targeted to priority areas cost-effectively. More than one eighth of women of childbearing age reported symptoms suggesting RTIs and the risk of RTIs varies in different geographical area, urging the government to pay more attention to the worrying situation of female RTIs in the country.

【 授权许可】

CC BY