2011
DOI: 10.1186/1476-072x-10-41
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Diarrheal disease risk in rural Bangladesh decreases as tubewell density increases: a zero-inflated and geographically weighted analysis

Abstract: BackgroundThis study investigates the impact of tubewell user density on cholera and shigellosis events in Matlab, Bangladesh between 2002 and 2004. Household-level demographic, health, and water infrastructure data were incorporated into a local geographic information systems (GIS) database. Geographically-weighted regression (GWR) models were constructed to identify spatial variation of relationships across the study area. Zero-inflated negative binomial regression models were run to simultaneously measure t… Show more

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Cited by 26 publications
(22 citation statements)
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“…This is consistent with recent studies showing that rotavirus transmission is sensitive to interannual variation in flooding [8], and that waterborne transmission alone is sufficient to spread the virus between hydrologically connected locations [7]. The use of tubewells has also been shown to provide a protective effect against other diarrheal diseases in Bangladesh, such as cholera [11,12] and shigellosis [12], especially in areas that are not protected from flooding [13]. Tubewells are less likely to be contaminated during flooding events as they source water from deeper underground compared to other water supply systems.…”
Section: Discussionsupporting
confidence: 90%
“…This is consistent with recent studies showing that rotavirus transmission is sensitive to interannual variation in flooding [8], and that waterborne transmission alone is sufficient to spread the virus between hydrologically connected locations [7]. The use of tubewells has also been shown to provide a protective effect against other diarrheal diseases in Bangladesh, such as cholera [11,12] and shigellosis [12], especially in areas that are not protected from flooding [13]. Tubewells are less likely to be contaminated during flooding events as they source water from deeper underground compared to other water supply systems.…”
Section: Discussionsupporting
confidence: 90%
“…In addition, GWR considers spatial autocorrelation, which is difficult to deal with in traditional statistical models (Brown et al, 2012). As an emerging technique, GWR has recently been applied in several disciplines, such as identification of high crime areas (Cahill and Mulligan, 2007), forest damage evaluations (Pineda et al, 2010), human health and disease analysis (Carrel et al, 2011), and atmospheric pollutant assessment (Song et al, 2014).…”
Section: Introductionmentioning
confidence: 99%
“…[44][45][46] Using the results from the GWR model for atopic dermatitis, we created maps to visualize the main findings of concentrations of PM10 and atopic dermatitis risks across sub-districts in Seoul.…”
Section: Methodsmentioning
confidence: 99%