Risk Factors of Congenital Heart Defects among Bangladeshi Population

M A Mamun1, M Hussain, K E Khan

  • 1Dr Mohammad Abdullah Al Mamun, Associate Professor, Division of Neonatal Cardiology, Department of Paediatric Cardiology, Bangladesh Shishu Hospital & Institute, Dhaka, Bangladesh;

PubMed

Insights

Environmental factors like maternal illiteracy, rural residence, low socioeconomic status, consanguinity, passive smoking, and stress are linked to congenital heart defects (CHDs). Addressing these modifiable risks may aid in CHD prevention.

Area of Science:

  • Cardiology
  • Public Health
  • Pediatrics

Background:

  • Congenital heart defects (CHDs) have complex etiologies involving genetic and environmental factors.
  • Identifying modifiable environmental risk factors is crucial for CHD prevention strategies.
  • Previous research indicates a potential link between environmental exposures and CHD development.

Purpose of the Study:

  • To investigate the association between various environmental risk factors and the occurrence of CHDs.
  • To identify specific modifiable factors that contribute to the development of CHDs in a Bangladeshi population.

Main Methods:

  • A case-control study was conducted involving parents of children with and without CHDs.
  • Data were collected via face-to-face interviews using a structured questionnaire.
  • Statistical analysis was performed using SPSS version 21.0 to determine significant associations.

Main Results:

  • CHDs were significantly higher in rural populations, children of illiterate mothers, and those from lower socioeconomic backgrounds.
  • Consanguinity and maternal exposure to passive smoking and stress during pregnancy were significantly associated with increased CHD risk.
  • No significant association was found between maternal drug use or infections during pregnancy and CHDs.

Conclusions:

  • Maternal illiteracy, rural residence, low socioeconomic status, consanguinity, passive smoking, and stress during pregnancy are significant risk factors for CHDs.
  • These findings highlight the importance of addressing socioeconomic and environmental factors for CHD prevention.
  • Further research and targeted interventions are needed to mitigate these identified risks.

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