Evidence map›Paper›PMID 42688347›Full record

ArticleHealth science reports2026

Health Status in Informal Urban Settlements of Barishal, Bangladesh: Social Determinants, Environmental Risks, and Treatment-Seeking Behavior as Structural Drivers.

Md Ohidur Zaman, Farjana Afroz, Nahida Sultana, Dipti Ranjan Sahu

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Md Ohidur ZamanUniversity of Barishal Barishal Bangladesh.ORCID https://orcid.org/0000-0003-2744-2493
Farjana AfrozUniversity of Barishal Barishal Bangladesh.
Nahida SultanaUniversity of Barishal Barishal Bangladesh.
Dipti Ranjan SahuUniversity of Lucknow Lucknow Uttar Pradesh India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rapid urbanization in low- and middle-income countries has intensified health inequalities within informal settlements, yet empirical analyses often isolate behavioral factors from structural determinants. In Bangladesh, unplanned urban growth has produced vulnerable settlements where social inequalities intersect with infrastructural deficits, particularly in secondary coastal cities such as Barishal, a climate-sensitive region characterized by migration, poverty, and weak municipal capacity. Aim: This study examines the socio-demographic and socioeconomic patterning of self-reported health status among households residing in informal settlements in Barishal, Bangladesh, and assesses whether treatment-seeking behavior independently influences health outcomes or whether structural determinants play a more significant role. Methods: A cross-sectional quantitative research design was employed with 151 households selected through systematic random sampling from the Palashpur informal settlement under the Barishal City Corporation. Data were collected through face-to-face structured interviews using a pre-tested questionnaire. Health status was measured using the Veterans RAND 12-item composite index. Drawing on the Social Determinants of Health framework, we analyzed the effects of age, gender, education, income, household size, and treatment-seeking behavior using correlation and multiple linear regression models. Results: The regression model explains 46.3% of the variance in health status (adjusted Conclusion: Findings indicate that health disparities in informal settlements are primarily structured by demographic positioning and socioeconomic resources rather than individual treatment choices. The study contributes localized evidence from a secondary coastal city and underscores the centrality of structural determinants in shaping urban health inequalities.

Indexed as

health statusinformal settlementssocial determinants of healthtreatment‐seeking behaviorurban health inequalities

Identifiers

PMID42688347
PMCPMC13534855

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.