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Journal of Tropical Pediatrics Advance Access published online on December 9, 2008
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmn108
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Behaviour Problems in Young Children in Rural Bangladesh

Naila Z. Khana, Shamim Ferdousb, Robiul Islamb, Afroza Sultanab, Maureen Durkinc and Helen McConachied

aChild Development and Neurology Unit, Dhaka Shishu Hospital, Dhaka, Bangladesh
bBangladesh Protibondhi Foundation, Dhaka, Bangladesh
cWaisman Center, University of Wisconsin, Madison, WI, USA
dInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK

Correspondence: Helen McConachie, Institute of Health and Society, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne NE1 4LP, UK. Tel: 0191 282 1396; Fax: 0191 282 4725. E-mail <h.r.mcconachie{at}ncl.ac.uk>.


  Abstract

Objective: To determine the prevalence of child behaviour problems reported by parents in rural Bangladesh.

Methods: A total of 4003 children aged 2–9 years were identified during a population-based survey of 2231 households. A predetermined sample of 499 was selected, of which health professionals saw 453 (90.8%) for structured physical and neurological examination, standardized testing of cognition and adaptive behaviour and parent report of developmental history and behaviour problems.

Results: The prevalence of behaviour impairments was 14.6% (95% CI 11.4, 17.9). The majority involved somatic complaints, including nocturnal enuresis and pica. Problems such as aggression or restlessness were infrequently reported. Behaviour impairments were significantly associated with malnutrition (prevalence ratio 2.1, 95% CI 1.2, 3.6, p < 0.01) and cognitive, motor or seizure disabilities (prevalence ratio 1.8, 95% CI 1.1, 2.9, p < 0.05).

Conclusions: The prevalence and nature of reported behaviour impairments in rural Bangladesh have implications for public health planning and delivery of health services.

Key Words: developmental disabilities • mental health • prevalence • pica


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