Coliforms in the water and hemoglobin concentration are predictors of gastrointestinal morbidity of Bangladeshi children ages 1–10 years
Article first published online: 27 FEB 2003
Copyright © 2003 Wiley-Liss, Inc.
American Journal of Human Biology
Volume 15, Issue 2, pages 209–219, March/April 2003
How to Cite
Bhargava, A., Bouis, H. E., Hallman, K. and Hoque, B. A. (2003), Coliforms in the water and hemoglobin concentration are predictors of gastrointestinal morbidity of Bangladeshi children ages 1–10 years. Am. J. Hum. Biol., 15: 209–219. doi: 10.1002/ajhb.10141
- Issue published online: 27 FEB 2003
- Article first published online: 27 FEB 2003
- Manuscript Accepted: 20 NOV 2002
- Manuscript Revised: 13 NOV 2002
- Manuscript Received: 6 AUG 2002
The presence of pathogens in the water and children's poor nutritional status are likely to increase morbidity in developing countries. Understanding the interactions between the environmental and nutritional factors is important from the standpoint of improving child health. In this study, we analyzed the effects of fecal and total coliforms in the water available at the source and that stored in the household on the spells of gastrointestinal morbidity of 99 Bangladeshi children at three time points in an 8-month period. Fecal and total coliforms in the stored water were significant predictors (P < 0.05) of morbidity that was modeled using dynamic random effects models. Moreover, children with better hemoglobin status experienced lower morbidity. An empirical model for the proximate determinants of hemoglobin concentration showed significant negative associations between children's hookworm loads and hemoglobin. While the children's intakes of bioavailable iron, iron from meat, fish, and poultry, and iron from animal sources were not significant predictors of hemoglobin status in this population, the need for broader interventions for improving child health was apparent. Am. J. Hum. Biol. 15:209–219, 2003. © 2003 Wiley-Liss, Inc.