GEE Models for Maternal Morbidity in Rural Bangladesh
DOI:
https://doi.org/10.17713/ajs.v34i3.419Abstract
The maternal morbidity data in Bangladesh is scanty. This paper employs the prospective data on maternal morbidity in rural Bangladesh to identify the potential risk factors associated with pregnancy related complications. The data were collected by the Bangladesh Institute of Research for Promotion of Essential and Reproductive Health and Technologies (BIRPERHT) during November, 1992 to December, 1993. The GEE models with different correlation structures are used and tested for the maternal morbidity data. The logistic regression model based on exchangeable correlation structure for the repeated observations appears to be the best. The findings indicate that the risk of suffering from complications is higher for unwanted pregnancy, lower level or no schooling, lower age at marriage, 5 or more pregnancies prior to the index pregnancy.
References
Akhter, H. H., Chowdhury, M. E. E. K., and Sen, A. (1996). A cross-sectional study on maternal morbidity in Bangladesh (Tech. Rep.). Bangladesh Institute of Research
for Health and Technologies (BIRPERHT).
Bhargava, S. K., Singh, K. K., and Saxena, B. N. (1991). Task force national collaborative study on identication of high risk families, mothers and outcome of their off-springs with particular reference to the problem of maternal nutrition, low birth weight, perinatal and infant morbidity and mortality in rural and urban slum communities. summary, conclusions and recommendations. Indian Pediatrics, 28, 1473-1480.
BRAC. (1994). Maternal morbidity in Bangladesh (Tech. Rep.). BRAC, Dhaka.
Choolani, M., and Ratnam, S. S. (1995). Maternal mortality. Journal of the Indian Medical Association, 93, 36-40.
Cox, D. R. (1972). Regression models and life tables. Journal of the Royal Statistical Society, Series B, 34, 187-220.
Fauveau, V.,Wojtyniak, B., Koenig, M. A., Chakraborty, J., and Chowdhury, A. I. (1989). Epidemiology and cause of deaths among women in rural Bangladesh. International
Journal of Epidemiology, 18, 139-138.
Fortney, J. A., and Smith, J. B. (1999). Measuring maternal morbidity. In Safe motherhood initiatives: Critical issues (p. 43-50). Oxford, England: Blackwell Science.
Goodburn, E. A., Gazi, R., and Chowdhury, M. (1995). Beliefs and practices regarding delivery and postpartum maternal morbidity in rural bangladesh. Studies in family
Planning, 26, 22-32.
Haththotuwa, R., Arulkumaran, S., Chua, S., and Ratnam, S. S. (1995). Postpartum haemorrhage: Suggestions to reduce maternal mortality and morbidity. Journal of
the Indian Medical Association, 93, 67-70.
Islam, M. A. (1994). Multistate survival models for transitions and reverse transitions: An application to contraceptive use data. Journal of the Royal Statistical Society, Series A, 441-455.
Islam, M. A., and Singh, K. P. (1992). Multistate survival models for partially censored data. Environmetrics, 3, 223-234.
Jahan, A. R. K. F. A., and Begum, S. F. (1986). Maternal mortality in rural Bangladesh: The Jamalpur district. Studies in Family Planning, 17, 13-21.
Koenig, M. A., Fauveau, V., Chowdhury, A. I., Chakraborty, J., and Khan, M. A. (1988). Maternal mortality in rural Bangladesh: the Jamalpur districts. Studies in Family
Planning, 19, 69-80.
Kulier, R., deOnis, M., Gulmezoglu, A. M., and Villar, J. (1998). Nutritional interventions for the prevention of maternal morbidity. International Journal of Gynecology and Obstetrics, 63, 231-246.
Liang, K. Y., and Zeger, A. L. (1986). Longitudinal data analysis using generallized linear models. Biometrika, 73, 13-22.
Okolocha, C., Chiwuzie, J., Braimoh, S., Unuigbe, J., and Olumeko, P. (1998). Sociocultural factors in maternal morbidity and mortality: A study of a semi-urban community in southern Nigeria. Journal of Epidemiology and Community Health, 52, 293-297.
Ray, I. (1995). Editor's view. Journal of the Indian Medical Association, 93, 33-35.
Rush, D. (2000). Nutrition and maternal mortality in the developing world. American Journal of Clinical Nutrition, 72, suppl, 212S-240S.
WHO, UNICEF, and UNFPA. (2002). Maternal mortality in 2000. Estimates developed by WHO, UNICEF, and UNFPA. Department of Reproductive Health and Research, WHO, Geneva. (http://www.who.int/reproductiveealth/
publications/maternal mortality 2000/mme.pdf)
Zeger, S. L., and Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42, 121-130.
Downloads
Published
Issue
Section
License
The Austrian Journal of Statistics publish open access articles under the terms of the Creative Commons Attribution (CC BY) License.
The Creative Commons Attribution License (CC-BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
Copyright on any research article published by the Austrian Journal of Statistics is retained by the author(s). Authors grant the Austrian Journal of Statistics a license to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its original authors, citation details and publisher are identified.
Manuscripts should be unpublished and not be under consideration for publication elsewhere. By submitting an article, the author(s) certify that the article is their original work, that they have the right to submit the article for publication, and that they can grant the above license.
How to Cite
