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Title: Social and spatial processes associated with childhood diarrheal disease in Matlab, Bangladesh.

Authors: Perez-Heydrich, Carolina; Furgurson, Jill M; Giebultowicz, Sophia; Winston, Jennifer J; Yunus, Mohammad; Streatfield, Peter Kim; Emch, Michael

Published In Health Place, (2013 Jan)

Abstract: We develop novel methods for conceptualizing geographic space and social networks to evaluate their respective and combined contributions to childhood diarrheal incidence. After defining maternal networks according to direct familial linkages between females, and road networks using satellite imagery of the study area, we use a spatial econometrics model to evaluate the significance of correlation terms relating childhood diarrheal incidence to the incidence observed within respective networks. Disease was significantly clustered within road networks across time, but only inconsistently correlated within maternal networks. These methods could be widely applied to systems in which both social and spatial processes jointly influence health outcomes.

PubMed ID: 23178328 Exiting the NIEHS site

MeSH Terms: Bangladesh/epidemiology; Child, Preschool; Diarrhea/epidemiology*; Disease Transmission, Infectious/statistics & numerical data*; Environment Design; Family Relations*; Female; Geographic Information Systems; Humans; Incidence; Infant; Models, Econometric; Mothers*; Social Support; Socioeconomic Factors; Space-Time Clustering; Spatial Analysis; Transportation/methods*

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