Menstrual hygiene management among reproductive‐aged women with disabilities in Bangladesh DOI Creative Commons
Md Nuruzzaman Khan, Shimlin Jahan Khanam,

Atika Rahman Chowdhury

и другие.

Health Science Reports, Год журнала: 2024, Номер 7(10)

Опубликована: Окт. 1, 2024

Abstract Background Women with disabilities in low‐ and middle‐income countries face unique challenges managing menstruation, affecting their health, dignity, quality of life. Aim This study aimed to explore menstrual hygiene management (MHM) practices among reproductive‐aged women Bangladesh its impact on social participation. Methods We analyzed data from 51,535 the 2019 Multiple Indicator Cluster Survey (MICS). The outcome variables were: (i) material used manage blood flow while menstruating (appropriate, inappropriate), (ii) availability a private place for washing changing menstruation rags (yes, no), (iii) attendance activities, school, or work during no). Disability status was considered as major explanatory variable categorized no disabilities, moderate severe disabilities. Associations were determined using multilevel mixed‐effects binary logistic regression model adjusted individual‐level factors, household‐level community‐level factors. Results Among sample, 2.7% reported disability 19.2% vision‐related (12.2%) being most prevalent, followed by cognitive (9.5%) walking (8.2%). Overall, 4% inappropriate materials flow, rising 8.0% those 5.8% had 33%–47% lower odds appropriate 34%–44% having change at home. Additionally, 1.66 times more likely report that impacted activities. Conclusion significant barriers effective MHM. Addressing these issues requires targeted interventions, including disability‐inclusive health education, improved access products sanitation facilities, community initiatives reduce stigma.

Язык: Английский

Impact of acupuncture on mortality in patients with disabilities and newly diagnosed heart failure: a nationwide cohort study DOI Creative Commons
Hyungsun Jun, Dasol Park, Jae-Uk Sul

и другие.

Frontiers in Medicine, Год журнала: 2025, Номер 12

Опубликована: Янв. 29, 2025

Objective People with disabilities have high rates of cardiovascular diseases and mortality, heart failure can worsen their condition. Therefore, preventing managing is particularly important for this population. Although acupuncture has been used failure, research on its impact mortality limited. Given the unique pathophysiological characteristics people disabilities, study aimed to evaluate effect in those newly diagnosed failure. Methods This retrospective cohort data from Korean National Health Insurance Service, focusing between 2014 2016. Acupuncture exposure within 1 year diagnosis was assessed by dividing participants into acupuncture-exposed non-exposed groups. Propensity score matching (PSM) adjust group differences, all-cause tracked 3 years. Cox proportional hazard models were employed calculate ratios (HRs) confidence intervals (CIs). Dose-response relationships also analyzed frequency quartiles. Results After PSM, 21,001 individuals included both The had a 20% lower risk (adjusted HR 0.80, 95% CI 0.76–0.84) than group. Higher doses associated greater reduction highest dose showing 36% 0.64, 0.58–0.69) subgroup analysis showed consistent across most groups, women, older adults, higher-income individuals, severe disabilities. Conclusion suggests that reduced who are While several limitations exist, we highlight potential role population encourage further support healthcare policies.

Язык: Английский

Процитировано

0
Victimization status among persons with disabilities and its predictors: Evidence from Bangladesh National Survey on Persons with Disabilities DOI Creative Commons
Mizanur Rahman, Md Shohel Rana, Gulam Khandaker

и другие.

PLoS ONE, Год журнала: 2025, Номер 20(2), С. e0304752 - e0304752

Опубликована: Фев. 24, 2025

Background Persons with disabilities often face various forms of victimization, yet there is limited research exploring this phenomenon in Bangladesh. This study aims to investigate the victimization status among persons and identify its predictors. Methods Data 4293 analyzed were extracted from 2021 National Survey on Disabilities. Victimization (yes, no) was considered as outcome variables. Explanatory variables factors at individual, household, community levels. A multilevel mixed-effect logistic regression model used explore association variable explanatory by dividing total sample into age groups 0–17 years, 18–59 ≥ 60 years. Results The found that 44% Bangladesh experienced primarily involving neighbours (90.64%), relatives (43.41%), friends (28.41%), family members (27.07%). Among aged increasing associated a higher likelihood being victimized, while residing wealthiest households or certain divisions like Khulna Rangpur lower likelihoods. Conversely, respondents victimized. Unmarried years had an increased compared married individuals. For level schooling reduced We also divisional differences Chattogram, Khulna, Mymensingh, Rangpur, Sylhet reporting likelihoods those Barishal division, Conclusion study’s findings underscore around 4 10 are Tailored programs awareness-building initiatives covering neighbours, relatives, friends, important ensure dignified lives for population.

Язык: Английский

Процитировано

0
Healthcare service access challenges and determinants among persons with Disabilities in Bangladesh DOI Creative Commons
Mizanur Rahman, Md Shohel Rana, Md. Mostafizur Rahman

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Фев. 20, 2024

Abstract Background: Persons with disabilities in LMICs facing numerous challenges accessing essential healthcare services. However, this understanding is lacking so far and Bangladesh. This study aimed to explore the pattern determinants of services access among persons disability Methods: We analysed data from 4,293 extracted 2021 National Survey on Persons Disabilities. The outcome variable was service within three months survey, categorized as either "yes" or "no" based perceived needs. Several individual, household, community-level factors were considered explanatory variables. We utilized a multilevel mixed-effect logistic regression model association analysis included stratification by age groups: 0-17 years 18-95 years. Results: One out every four Bangladesh reported that they could not their needs survey. main reasons for costs (52.10%), followed lack family support (27.0%), absence facilities areas residence (10.10%). Among those who did receive services, majority them governmental hospitals (26.50%), village practitioner (20.50%), private centres (19.78%). There higher likelihood residing households wealth quintiles living Chattogram Sylhet divisions. Unmarried divorced/widowed/separated lower likelihoods Conclusion: The findings emphasize need policies programs ensure entails raising awareness about importance providing demographic, well considering part social safety net programs.

Язык: Английский

Процитировано

2
National Burden of Disability in Bangladesh and its Socio-Demographic Correlates DOI Creative Commons

Mizanur Rahman,

Md Shohel Rana, Gulam Khandaker

и другие.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2023, Номер unknown

Опубликована: Сен. 13, 2023

Abstract Background The burden of disability remains a global challenge, particularly in low- and middle-income countries (LMICs) like Bangladesh. Understanding the national-level its socio-demographic determinants is crucial for informed policy program development. We aims to explore national level Bangladesh correlates. Methods This study presents cross-sectional analysis 155,025 participants 2021 National Survey on Persons with Disabilities (NSPD). Disability status (yes, no) served as outcome variable. explanatory variables considered were factors at individual, household, community levels. A multilevel mixed-effect logistic regression model was used associated variable, splitting total sample into two age-based groups: 0-17 years 18-95 years. Results Our findings reveal prevalence nearly 3% prevalent forms encompassed physical visual impairment. Close one ten individuals disabilities reported experiencing more than type concurrently. likelihoods observed be higher among educational attainment, those belonging households elevated socio-economic status, engaged white-collar occupations, residing Khulna, Rajshahi, Rangpur divisions. Additionally, heightened likelihood communities moderate illiteracy rates. Conclusion implications these extend extensively formulation allocation resources aimed tackling multifaceted challenges encountered by persons disability. Research Context Evidence before this Previous research has recognized substantial Bangladesh, yet lacked comprehensive nationwide assessments factors. Existing studies often focused localized contexts, leaving gap understanding broader landscape within country. Added value substantially contributes conducting analysis. Using representative samples rigorous methodology, it explores diverse dimensions approach bridges existing literature, offering insights nuanced intricacies Implications study’s have far-reaching resource allocation. By uncovering associations, enables policymakers formulate targeted interventions, addressing across education, employment, healthcare, social inclusion. Moreover, contributing discourse, underscores significance context-specific investigations impactful interventions. These can shape disability-related policies programs, not just but also comparable settings worldwide.

Язык: Английский

Процитировано

6
COMORBIDITY IN ONCOLOGY: MODERN CHALLENGES AND THE SEARCH FOR WAYS TO SOLVE THE PROBLEM DOI Creative Commons
O.V. Drobotun,

Nikolai N. Kolotilov,

V.F. Konovalenko

и другие.

Clinical and Preventive Medicine, Год журнала: 2024, Номер 3, С. 132 - 141

Опубликована: Май 8, 2024

Introduction. The article is devoted to the current problem of modern oncology – increasing treatment effectiveness cancer patients with comorbidities. Comorbidity accompanied by higher rates mortality, disability, side effects treatment, increased use patient's body resources, and lower quality life. aim study. To develop a method recurrence prevention after bone lesions resection replacement surgery for malignant primary tumors, which would ensure longer duration 1st recurrence-free period in Materials methods. study included control group consisting 27 who underwent removal tumors pelvis extremities. 25 biomin pelvic bones limbs, as well neuropeptide therapy drug dalargin. Results. obtained data testify proposed dalargin: compaction structure compact spongy tissues an increase their heterogeneity have been established. Under influence dalargin, interface, characteristic intact tissue, reorganized, accordingly, restoration strength observed. 12 months operation, density main practically recovered values typical limb (p<0.01). No such recovery was observed group. Within 11 23 months, 10 had tumor recurrences. Instead, group, analysis results revealed following: within 21 only 1 patient tumor. Conclusions. Neuropeptide Dalargin helps relapse-free polymorbidity. integration into therapeutic protocol dalargin allows complex improve prognosis course disease.

Язык: Английский

Процитировано

1
Healthcare services access challenges and determinants among persons with disabilities in Bangladesh DOI Creative Commons
Mizanur Rahman, Md Shohel Rana, Md. Mostafizur Rahman

и другие.

Scientific Reports, Год журнала: 2024, Номер 14(1)

Опубликована: Авг. 19, 2024

Persons with disabilities in LMICs facing numerous challenges accessing essential healthcare services. However, this understanding is lacking so far and Bangladesh. This study aimed to explore the pattern determinants of services access among persons We analysed data from 4293 extracted 2021 National Survey on Disabilities. The outcome variable was within three months survey, categorized as either "yes" or "no" based perceived needs. Several individual, household, community-level factors were considered explanatory variables. utilized a multilevel mixed-effect logistic regression model association analysis included stratification by age groups: 0-17 years 18-95 years. One out every four Bangladesh reported that they could not their needs survey. main reasons for costs (52.10%), followed lack family support (27.0%), absence facilities areas residence (10.10%). Among those who did receive services, majority them governmental hospitals (26.49%), village practitioner (20.52%), private centres (19.87%). There higher likelihood residing households wealth quintiles living Chattogram Sylhet divisions. Unmarried divorced/widowed/separated lower likelihoods findings emphasize need policies programs ensure entails raising awareness about importance providing demographic, well considering part social safety net programs.

Язык: Английский

Процитировано

1
Victimization Status Among Persons with Disabilities and its Predictors: Evidence from Bangladesh National Survey on Persons with Disabilities DOI Creative Commons
Mizanur Rahman, Md Shohel Rana, Gulam Khandaker

и другие.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Май 21, 2024

Background Persons with disabilities often face various forms of victimization, yet there is limited research exploring this phenomenon in Bangladesh. This study aims to investigate the victimization status among persons and identify its predictors. Methods Data 4293 analyzed were extracted from 2021 National Survey on Disabilities. Victimization (yes, no) was considered as outcome variables. Explanatory variables factors at individual, household, community levels. A multilevel mixed-effect logistic regression model used explore association variable explanatory by dividing total sample into age groups 0-17 years ≥ 18 years. Results The found that 44% Bangladesh experienced predominantly involving neighbours (90.64%), friends (28.41%), family members (27.07%). Among aged years, increasing associated higher likelihood being victimized, while residing richest households or certain divisions like Khulna Rangpur lower likelihoods. Conversely, respondents 18-95 victimized. Unmarried had increased compared married individuals. Furthermore, wealth quintile poorest, residence such Chattogram, Khulna, Mymensingh, Rangpur, Sylhet reported likelihoods those Barishal division. Conclusion study’s findings underscore around 4 10 are Tailored programs awareness-building initiatives covering neighbours, friends, important ensure dignified lives for population.

Язык: Английский

Процитировано

0
Menstrual hygiene management among reproductive-aged women with disabilities in Bangladesh DOI Creative Commons
Md Nuruzzaman Khan, Shimlin Jahan Khanam,

Atika Rahman Chowdhury

и другие.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Май 23, 2024

Abstract Background Women with disabilities in low- and middle-income countries face unique challenges managing menstruation, affecting their health, dignity, quality of life. Objective This study explored menstrual hygiene management (MHM) practices among reproductive-aged women Bangladesh its impact on social participation. Methods We analyzed data from 51,535 the 2019 Multiple Indicator Cluster Survey (MICS). The outcome variables were: (i) material used to manage blood flow while menstruating (appropriate, inappropriate), (ii) availability a private place for washing changing menstruation rags (yes, no), (iii) impacted attendance activities, school, or work during no). Disability status was considered as major explanatory variable categorized no disabilities, moderate severe disabilities. Associations were determined using multilevel multinomial logistic regression model adjusted individual-level factors, household-level community-level factors. Results Among sample, 2.7% reported disability 19.2% vision-related (12.2%) being most prevalent, followed by cognitive (9.5%) walking (8.2%). Overall, 4% inappropriate materials flow, rising 8.0% those 5.8% had 33-47% lower odds appropriate 34-44% having change at home. Additionally, 1.66 times more likely report that activities. Conclusion significant barriers effective MHM. Addressing these issues requires targeted interventions, including disability-inclusive health education, improved access products sanitation facilities, community initiatives reduce stigma.

Язык: Английский

Процитировано

0
COVID-19 vaccine uptake in individuals with functional difficulty, disability, and comorbid conditions: insights from a national survey in Bangladesh DOI Creative Commons
Shimlin Jahan Khanam, Md Shohel Rana, M. Mofizul Islam

и другие.

BMC Public Health, Год журнала: 2024, Номер 24(1)

Опубликована: Сен. 17, 2024

Язык: Английский

Процитировано

0
Prevalence and determinants of modern contraception use among persons with disabilities in low- and middle-income countries: a systematic review and meta-analysis DOI Creative Commons

Atika Rahman Chowdhury,

Shimlin Jahan Khanam, Mohammad Zahidul Islam

и другие.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Сен. 15, 2024

Background Persons with disabilities should require the same level of access to contraception as general population. However, extent use among this group is underexplored in low- and middle-income countries (LMICs). Objective This study aimed determine prevalence modern persons LMICs identify key determinants. Methods In June 2024, we conducted a systematic search across six databases studies on disability LMICs. The primary outcomes were its determinants disabilities. Summary estimates calculated using fixed or random-effects meta-analysis, depending heterogeneity. Results A total 19 identified, 11 included meta-analysis. pooled was 31.4% (95% CI: 26.5, 36.2), significant heterogeneity respondent characteristics. Five factors significantly associated higher use: age over 25 years, having some education, being wealth quintile, adequate knowledge family planning, formal marital relationship. Conclusion reveals lower Improving addressing social norms, strengthening healthcare systems may contribute increase uptake

Язык: Английский

Процитировано

0