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Predicting risks of low birth weight in Bangladesh with machine learning
S M Ashikul Islam Pollob1, Md Menhazul Abedin1, Md Touhidul Islam1
1Statistics Discipline, Khulna University, Khulna, Bangladesh.
Insights
Low birth weight (LBW) is a major concern in Bangladesh. Machine learning models, particularly logistic regression, accurately identified risk factors and predicted LBW, aiding in targeted interventions.
Area of Science:
- Public Health
- Biostatistics
- Machine Learning in Healthcare
Background:
- Low birth weight (LBW) is a significant contributor to child mortality and long-term health issues, particularly in developing nations like Bangladesh.
- Identifying risk factors and improving prediction of LBW are crucial for public health initiatives.
Purpose of the Study:
- To determine the key risk factors associated with low birth weight in Bangladesh.
- To develop and evaluate machine learning algorithms for predicting low birth weight babies.
Main Methods:
- Utilized data from the Bangladesh Demographic and Health Survey (2017-18) with 2351 respondents.
- Employed binary logistic regression to identify risk factors and logistic regression and decision tree classifiers for prediction.
- Model performance was assessed using accuracy, sensitivity, specificity, PPV, NPV, and AUC.
Main Results:
- The prevalence of low birth weight in Bangladesh was found to be 16.2%.
- Significant risk factors included respondent's region, education, wealth index, height, twin status, and number of alive children.
- The logistic regression classifier achieved 87.6% accuracy and an AUC of 0.59, outperforming the decision tree classifier.
Conclusions:
- The logistic regression classifier demonstrated superior accuracy in classifying low birth weight babies.
- Findings underscore the need for integrated, cost-effective strategies to reduce and predict low birth weight in Bangladesh.
Background And Objective:
Low birth weight is one of the primary causes of child mortality and several diseases of future life in developing countries, especially in Southern Asia. The main objective of this study is to determine the risk factors of low birth weight and predict low birth weight babies based on machine learning algorithms.
Materials And Methods:
Low birth weight data has been taken from the Bangladesh Demographic and Health Survey, 2017-18, which had 2351 respondents. The risk factors associated with low birth weight were investigated using binary logistic regression. Two machine learning-based classifiers (logistic regression and decision tree) were adopted to characterize and predict low birth weight. The model performances were evaluated by accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and area under the curve.
Results:
The average percentage of low birth weight in Bangladesh was 16.2%. The respondent's region, education, wealth index, height, twin child, and alive child were statistically significant risk factors for low birth weight babies. The logistic regression-based classifier performed 87.6% accuracy and 0.59 area under the curve for holdout (90:10) cross-validation, whereas the decision tree performed 85.4% accuracy and 0.55 area under the curve.
Conclusions:
Logistic regression-based classifier provided the most accurate classification of low birth weight babies and has the highest accuracy. This study's findings indicate the necessity for an efficient, cost-effective, and integrated complementary approach to reduce and correctly predict low birth weight babies in Bangladesh.
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