BackgroundNon-communicable diseases (NCDs) have already become major killers in Bangladesh. Once NCDs are developed, they become chronic health and economic problems. Their primary prevention is linked to their common risk factors. This study was conducted to determine the prevalence of NCD risk factors with a focus on their clustering in Bangladeshi adults.MethodsThis nationally representative study was done in 4,073 (1,812 men and 2,261 women) adults aged 25 years or older selected from rural and urban households. Multistage cluster sampling design was used. Selected variables were in line with steps I and II of WHO stepwise surveillance except alcohol.ResultsForty-four percent used tobacco in any form. Almost 93 % did not consume adequate fruit and vegetables (5 servings or more). Thirty eight percent had low physical activity level (<600 MET-minutes/week). One-quarter (26 %) were overweight (body mass index > =25 kg/m^2). Twenty-one percent had hypertension (blood pressure > =140/90 mmHg or medication) and about 5 % had documented diabetes.Upon examination of risk factor clustering, we observed that 38 % had at least three risk factors. After this threshold, clustering suddenly dropped down to a fairly low level. Using this threshold as a cut-off, clustering of risk factors was associated with age, male gender, urban residence, educational levels and quality of house in multivariate analysis.ConclusionPrevalence of NCD risk factors is fairly high in Bangladeshi adults with a tendency of clustering. If a risk factor such as hypertension is detected, a closer look for other risk factors has to be given in both at clinical and public health settings. Clustering raises risk by more than a summation of risk factors. Our findings, therefore, suggest that Bangladesh could expect a significant increase in NCDs in near future.
An experiment was carried out to study the effect of cattle slurry on maize fodder (Zea mays) production. Maize fodder was produced at 4 cattle slurry levels T 0 (0 ton/ha), T 1 (10 ton/ha), T 2 (12 ton/ha) and T 3 (14 ton/ha) in a randomized block design. Agronomic characteristics, plant heights, circumference of stems, number of leaves, leaf area and dry matter yield of maize fodder were measured. Maize plant height and stem circumference were significantly (p<0.01) influenced by the increasing rate of cattle slurry at 15, 30, 45 and 56 days after sowing. Number of leaves of fodder plants was not significant but leaf area was significant (p<0.05) among the treatment groups. The highest biomass yield (p<0.01) of maize fodder was observed in T 2 (44.0 ton/ha). For crude protein content, a significant difference (p<0.01) was observed in the treatment groups and the highest value was observed in T 2 (11.99%). Organic matter content of maize fodder showed a significant difference but ash, ADF and NDF contents showed no significant differences among treatment groups. From this study it may be concluded that the application of 12 tons of cattle slurry/ha was optimal for production of biomass and nutrient content of maize fodder.
Dual use of tobacco is common in Bangladesh, and it is intimately linked with socioeconomic deprivation. Poverty reduction strategy and campaigns should address tobacco control not only tobacco in general, but its dual use in particular.
In this study an attempt has been made to examine the marriage to first birth interval and also to identify the socio-economic, demographic and cultural factors influencing the first birth interval among married women in Bangladesh. For this purpose the present study utilized the Bangladesh Demographic and health survey (Bdhs, 2004). Birth interval is major determinant of the rates of fertility. The average marriage to first birth interval of the respondent’s is observed to be 33.49 months. Independents test of chi-square and proportional hazards model are used to study the effect of selected background characteristics on first birth interval in Bangladesh. Accepted religion of respondent’s all of the independent variable has strong association with first birth interval. Result from proportional hazards model reveal that respondent’s education, access to mass media, age at first marriage, and use of contraception has highly significant impact on first interval excluding Rajshahi and Khulna division. Husband’s education is partially significant over first birth interval and childhood place of residence has little bit connotation on first birth interval.
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