Relationship between Typhoid Fever and Socio-Economic, Demographic and Environmental Conditions among Children in A Tertiary Hospital, Dhaka, Bangladesh
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
Typhoid fever is an acute disease associated with several social factors and is most often caused by the Salmonella typhi bacteria. Typhoid fever is a rare disease in industrial countries but continues to be a significant public-health issue in developing countries. Aim of this study is to assess the association between Typhoid fever and socio-economic, demographic and environmental conditions among children. A case-control type of study was conducted over a period of 6 (Six) months following approval, in Department of Paediatric of Dhaka Shishu Hospital, Dhaka The sample size for this study was 240 (120 cases and 120 controls). Out of 120 participants, in 79.2% cases and 68.3% controls respondents were the mother of the child. In both groups most of the participants were from younger age group; 63.3% of cases and 80.8% of controls aged ≤ 5 years. Mean ± SD of age was (5.1042 ± 3.11575) for cases and for controls (3.5951 ± 2.50218). There was a statistical difference in age distribution p = 0.0001 for t-test and 0.01151045 for chi-square, (p<0.05) More than half of the participants in both group (69.2% cases and 55.0% controls) were Males. Male: Female ratio was about 2.25:1 and 1.2:1 respectively. There was a positive association between male gender and typhoid fever (RR=1.2582 and OR=1.8383). Accordingly, the difference was statistically significant (χ2 = 4.284, p = 0.03847271). The low incoming family was more among cases (17.5%) than the controls (16.7%). Mean ± SD of monthly income was (17,350.00 ± 8,799.016) in cases and (17,175.00 ± 6,847.268) in controls. In the conclusion, we can say, Typhoid fever has a strong relationship with socio-economic and environmental conditions.
Authors and Affiliations
Dr. Amal Kanti Banik, Dr. Nurul Kabir, Dr. Jahangir Alam
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