Browsing by Author "Mahumud, Rashidul Alam"

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Assessment of Mental Well-being and Its Socio-economic Determinants Among Older Adults in the Rohingya Refugee Camp of Bangladesh
(Springer Nature, 2024-08-02) Anwar, Afsana; Akter, Nahida; Yadav, Uday Narayan; Ghimire, Saruna; Bhattacharjee, Shovon; Eusufzai, Sumaiya Zabin; Mahumud, Rashidul Alam; Ali, A. R. M. Mehrab; Huda, Md Nazmul; Majumder, Md Saiful Islam; Zahid, Arnob; Mondal, Probal Kumar; Rizwan, Abu Ansar Md; Shuvo, Suvasish Das; Simon Rosenbaum; Mistry, Sabuj Kanti
Older adults residing in refugee settlements with unhealthy living environments, inadequate access to health care services, and limited psychosocial support are vulnerable to experience mental health problems jeopardizing their mental well-being. The present study aims to explore the mental well-being status and its socio-economic determinants among the older adults living in the Rohingya refugee camp in Bangladesh. This cross-sectional study was conducted among adults aged ≥ 60 residing in five sub-camps within the Rohingya refugee camp of Cox’s Bazar, Bangladesh. Data were collected through face-to-face interviews conducted between November and December 2021. The 14-item Warwick-Edinburgh Mental Well-being Scale was used to assess mental well-being. A cumulated score was derived using the scale ranging from 14 to 70, with higher scores indicating greater levels of mental well-being. A generalized linear regression model was used to examine the socio-economic factors associated with the mental well-being of older adults. A total of 864 older adults participated in the study having a mean mental well-being score of 45.4. Regression analysis revealed that the difference in the logs of mental well-being score was expected to be significantly lower among participants aged 70–79 years (β: − 1.661; 95% CI: − 2.750 to − 0.572; p = 0.003), aged ≥ 80 years (β: − 3.198; 95% CI: − 5.114 to − 1.282; p = 0.001), and those with any non-communicable chronic conditions (β: − 2.903; 95% CI: − 3.833 to − 1.974; p < 0.001) when compared to their counterparts. Conversely, the difference in the logs of mental well-being score was expected to be significantly higher among individuals with formal schooling (β: 3.370, 95% CI: 1.855 to 4.886, p < 0.001) and those having additional income besides aid (β: 1.629; 95% CI: 0.642 to 2.615; p = 0.001), compared to their respective counterparts. Our findings highlight the need to provide psychosocial assistance to older individuals, particularly those who live in large families, suffer from chronic diseases, and live in socio-economic deprivation.
: Assessment of mental well-being and its socio-economic determinants among older adults in the Rohingya refugee camp of Bangladesh
(Scopus, 2024-08-02) Anwar, Afsana; Akter, Nahida; Yadav, Uday Narayan; Ghimire, Saruna; Bhattacharjee, Shovon; Eusufzai, Sumaiya Zabin; Mahumud, Rashidul Alam; Ali, A. R. M. Mehrab; Huda, Md Nazmul; Rosenbaum, Simon; Mistry, Sabuj Kanti
Older adults residing in refugee settlements with unhealthy living environments, inadequate access to health care services, and limited psychosocial support are vulnerable to experience mental health problems jeopardizing their mental well-being. The present study aims to explore the mental well-being status and its socio-economic determinants among the older adults living in the Rohingya refugee camp in Bangladesh. This cross-sectional study was conducted among adults aged ≥ 60 residing in five sub-camps within the Rohingya refugee camp of Cox’s Bazar, Bangladesh. Data were collected through face-to-face interviews conducted between November and December 2021. The 14-item Warwick-Edinburgh Mental Well-being Scale was used to assess mental well-being. A cumulated score was derived using the scale ranging from 14 to 70, with higher scores indicating greater levels of mental well-being. A generalized linear regression model was used to examine the socio-economic factors associated with the mental well-being of older adults. A total of 864 older adults participated in the study having a mean mental well-being score of 45.4. Regression analysis revealed that the difference in the logs of mental well-being score was expected to be significantly lower among participants aged 70–79 years (β: − 1.661; 95% CI: − 2.750 to − 0.572; p = 0.003), aged ≥ 80 years (β: − 3.198; 95% CI: − 5.114 to − 1.282; p = 0.001), and those with any non-communicable chronic conditions (β: − 2.903; 95% CI: − 3.833 to − 1.974; p < 0.001) when compared to their counterparts. Conversely, the difference in the logs of mental well-being score was expected to be significantly higher among individuals with formal schooling (β: 3.370, 95% CI: 1.855 to 4.886, p < 0.001) and those having additional income besides aid (β: 1.629; 95% CI: 0.642 to 2.615; p = 0.001), compared to their respective counterparts. Our findings highlight the need to provide psychosocial assistance to older individuals, particularly those who live in large families, suffer from chronic diseases, and live in socio-economic deprivation.
COVID-19-Related Stigma Among Older Adults Residing in the Rohingya Refugee Camps in Bangladesh
(American Psychological Association, 2023-07-16) Anwar, Afsana; Yadav, Uday Narayan; Huda, Md. Nazmul; Ghimire, Saruna; Rahman, Mahmudur; Ali, A. R. M. Mehrab; Mahumud, Rashidul Alam; Shuvo, Suvasish Das; Nowar, Abira; Mondal, Probal Kumar; Rizwan, Abu Ansar Md.; Mistry, Sabuj Kanti
The onset of the COVID-19 pandemic and its overwhelming physical and mental health burden can stigmatize those affected. This study aimed to assess the prevalence of COVID-19-related stigma and its associated factors among the older people residing in the Rohingya refugee camps of Bangladesh. This cross-sectional study was conducted among 864 older adults aged 60 years and above residing in selected Rohingya refugee camps in Bangladesh. The data were collected using face-to-face interviews conducted between November and December 2021. COVID-19-related stigma was measured using the eight-item Stigma Scale adapted to the Rakhine language. A linear regression model was used to identify the factors associated with COVID-19-related stigma among the participants. Participants, on average, had stigmas on three items and 52.8% had a high COVID-19-related stigma score. The average stigma score was higher among the participants who had formal schooling (β = 0.58, 95% CI [0.21, 0.94]), was dependent on family for a living (β = 0.41, 95% CI [0.12, 0.74]), resided away from health center (β = 0.25, 95% CI [0.01, 0.50]), whose family income decreased during the pandemic (β = 0.27, 95% CI [0.03, 0.51]), had close friends or family members previously diagnosed with COVID-19 (β = 1.64, 95% CI [1.08, 2.20]), and had less communication during the pandemic (β = 1.80, 95% CI [1.24, 2.34]). The study findings suggest raising awareness among the older population on COVID-19 and the mitigating strategies to deal with physical and mental well-being through appropriate health literacy interventions and mass media campaigns in Rohingya camps. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
The burden of chronic diseases, disease-stratified exploration and gender-differentiated healthcare utilisation among patients in Bangladesh
(Daffodil International University, 2023) Mahumud, Rashidul Alam; Gow, Jeff; Mosharaf, Md Parvez; Kundu, Satyajit; Rahman, Md Ashfikur; Dukhi, Natisha; Shahajalal, Md; Mistry, Sabuj Kanti; Alam, Khorshed
Background Chronic diseases are considered one of the major causes of illness, disability, and death worldwide. Chronic illness leads to a huge health and economic burden, especially in low- and middle-income countries. This study examined disease-stratified healthcare utilisation (HCU) among Bangladesh patients with chronic diseases from a gender perspective. Methods Data from the nationally representative Household Income and Expenditure Survey 2016–2017 consisting of 12,005 patients with diagnosed chronic diseases was used. Gender differentiated chronic disease stratified-analytical exploration was performed to identify the potential factors to higher or lower utilisation of healthcare services. Logistic regression with step-by-step adjustment for independent confounding factors was the method used. Results The five most prevalent chronic diseases among patients were gastric/ulcer (Male/Female, M/F: 16.77%/16.40%), arthritis/rheumatism (M/F: 13.70%/ 13.86%), respiratory diseases/asthma/bronchitis (M/F: 12.09% / 12.55%), chronic heart disease (M/F: 8.30% / 7.41%), and blood pressure (M/F: 8.20% / 8.87%). Eighty-six percent of patients with chronic diseases utilised health care services during the previous 30 days. Although most patients received outpatient healthcare services, a substantial difference in HCU among employed male (53%) and female (8%) patients were observed. Chronic heart disease patients were more likely to utilise health care than other disease types, which held true for both genders while the magnitude of HCU was significantly higher in males (OR = 2.22; 95% CI:1.51–3.26) than their female counterparts (OR = 1.44; 1.02–2.04). A similar association was observed among patients with diabetes and respiratory diseases. Conclusion A burden of chronic diseases was observed in Bangladesh. Patients with chronic heart disease utilised more healthcare services than patients experiencing other chronic diseases. The distribution of HCU varied by patient’s gender as well as their employment status. Risk-pooling mechanisms and access to free or low-cost healthcare services among the most disadvantaged people in society might enhance reaching universal health coverage.
The burden of non-disabled frailty and its associated factors among older adults in Bangladesh
(Daffodil International University, 2023) Mistry, Sabuj Kanti; Ali, A R M Mehrab; Yadav, Uday Narayan; Ghimire, Saruna; Anwar, Afsana; Huda, Md Nazmul; Khanam, Fouzia; Mahumud, Rashidul Alam; Parray, Ateeb Ahmad; Bhattacharjee, Shovon; Lim, David; Harris, Mark Fort
Objective The present study aims to measure the prevalence of non-disabled frailty and its associated factors among Bangladeshi older adults. Methods This cross-sectional study was conducted during September and October 2021 among 1,045 Bangladeshi older adults (≥60 years). Telephone interviews, using a semi-structured questionnaire, were undertaken to collect data on participants’ characteristics and level of frailty. The non-disabled frailty was measured using the ‘Frail Non-Disabled (FiND)’ questionnaire. A multinomial logistic regression model assessed the factors associated with frailty among the participants. Results Around a quarter of the participants (24.8%) were frail. The multinomial regression analysis showed that older participants aged ≥80 years (RRR = 3.23, 95% CI: 1.41–7.37) were more likely to be frail compared to participants aged 60–69 years. Likewise, the participants living in a large family with ≥4 members (RRR = 1.39, 95% CI: 1.01–1.92) were more likely to be frail compared to those living in smaller families. Also, participants having memory or concentration problems (RRR = 1.56, 95% CI: 1.12–2.17) were more likely to be frail compared to those who were not suffering from these problems. Moreover, participants whose family members were non-responsive to their day-to-day assistance (RRR = 1.47, 95% CI: 1.06–2.03) were more likely to be frail compared to those whose family members were responsive. Furthermore, participants who were feeling lonely (RRR = 1.45, 95% CI: 1.07–1.98) were more likely to be frail than their counterparts who were not feeling lonely. Conclusions The findings of the present study suggest developing tailored interventions to address the burden of frailty among the older populations in Bangladesh. In particular, providing long-term care and health promotion activities can be of value in preventing frailty and reducing adverse health outcomes among this vulnerable population group.
Women’s preferences for maternal healthcare services in Bangladesh: Evidence from a discrete choice experiment.
(MDPI, 1/23/2019) Mahumud, Rashidul Alam; Alamgir, Nadia Ishrat; Hossain, Md. Tarek; Baruwa, Elaine; Sultana, Marufa; Gow, Jeff; Alam, Khorshed; Ahmed, Syed Masud; Khan, Jahangir A.M.
Despite substantial improvements in several maternal health indicators, childbearing and birthing remain a dangerous experience for many women in Bangladesh. This study assessed the relative importance of maternal healthcare service characteristics to Bangladeshi women when choosing a health facility to deliver their babies. The study used a mixed-methods approach. Qualitative methods (expert interviews, focus group discussions) were initially employed to identify and develop the characteristics which most influence a women’s decision making when selecting a maternal health service facility. A discrete choice experiment (DCE) was then constructed to elicit women’s preferences. Women were shown choice scenarios representing hypothetical health facilities with nine attributes outlined. The women were then asked to rank the attributes they considered most important in the delivery of their future babies. A Hierarchical Bayes method was used to measure mean utility parameters. A total of 601 women completed the DCE survey. The model demonstrated significant predictive strength for actual facility choice for maternal health services. The most important attributes were the following: consistent access to a female doctor, the availability of branded drugs, respectful provider attitudes, a continuum of maternal healthcare including the availability of a C-section delivery and lesser waiting times. Attended maternal healthcare utilisation rates are low despite the access to primary healthcare facilities. Further implementation of quality improvements in maternal healthcare facilities should be prioritised.