Mr Md Mijanur Rahman
My research background is multi-disciplinary with a mixture of statistics, gerontology, and public health. I am interested in modeling the ageing experience of older people and their health service utilization. I am also interested in applying different statistical techniques in all areas of medical and health research, for example, clinical trial and intervention, and prospective longitudinal research. I have enough experience of teaching in statistics, leading an academic department, and managing project on higher education quality enhancement. I have published 14 articles in the different international peer-reviewed journals.
I am currently a Ph.D. candidate in Clinical Epidemiology and Medical Statistics at the Priority Research Centre for Generational Health and Ageing, University of Newcastle. Beyond my Ph.D., I have two different casual-appointments with the same institute (Statistics Assistant and Research Assistant). I am also an Associate Professor (on study leave) of Statistics in Comilla University, Bangladesh. I received MSc in Gerontology in 2014 from the University of Southampton, United Kingdom. Prior to that, I passed BSc and MSc in Statistics from the University of Rajshahi, Bangladesh.
My Ph.D. project title is “Modelling Trajectories to Aged Care Service Use among Older Australian Women”. This project contributes a sound understanding of the system for delivering of aged care services according to clients’ changing needs over time, identifying risk factors of using different levels of services, estimating length of stay at each level of service use, predicting probabilities of transitioning into and through entire aged care system, and forecasting care needs for the people of future cohorts.
- Aged care
- Health service research
- Healthcare modelling
- Multi-state modelling
- Population ageing
- Public health
- Statistical modelling
- Survival analysis
- Bengali (Mother)
- English (Fluent)
Fields of Research
|111799||Public Health and Health Services not elsewhere classified||30|
|110308||Geriatrics and Gerontology||20|
|Dates||Title||Organisation / Department|
|24/11/2010 - 27/5/2018||Assistant professor||Comilla University
Department of Statistics
|1/2/2005 - 23/11/2010||Lecturer of Statistics||Dhaka City College
Department of Statistics
I am currently on study leave to undertake a Ph.D. in Clinical Epidemiology and Medical Statistics
Department of Statistics
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (15 outputs)
Rahman MM, Byles JE, 'Older women's patterns of home and community care use and transition to residential aged care: An Australian cohort study', Maturitas, 131 28-33 (2020)
© 2019 Elsevier B.V. Objective: To examine whether patterns of home and community care (HACC) use and person-based characteristics were associated with time to enter permanent res... [more]
© 2019 Elsevier B.V. Objective: To examine whether patterns of home and community care (HACC) use and person-based characteristics were associated with time to enter permanent residential aged care (RAC). Study design: A prospective cohort study. The sample consisted of 8062 participants of the Australian Longitudinal Study on Women's Health who used HACC services between 2001 and 2014. Main outcome measures: Time from first HACC use to enter permanent RAC. The median follow-up time was 63 months. Factors associated with time to enter RAC were identified using competing risk regression models. Results: Of the 8062 participants, 60% belonged to the ¿basic HACC¿ group, who used few services minimally; 16% belonged to the ¿moderate HACC¿ group, who predominantly used domestic assistance with moderate use of other services; and 24% belonged to the ¿complex HACC¿ group, who used many services frequently. Being a member of the complex HACC group was associated with a lower cumulative incidence of RAC than basic or moderate HACC (chances 15% versus 30% by the median observation period, p < 0.01). Living in a remote/outer region (sub-distributional hazard ratio (sdHR) = 0.83, 95%CI: 0.74 ¿ 0.93) was associated with delayed admission to RAC. Meanwhile, earlier admission was associated with living in an apartment (sdHR = 1.29, 95%CI: 1.20¿1.40) or a retirement village (sdHR = 1.54, 95%CI = 1.38¿1.72), having a physical functioning score <40 (sdHR = 1.16, 95%CI = 1.05¿1.25), and falls with injury (sdHR = 1.15, 95%CI = 1.05¿1.25). Conclusions: Our findings highlight the importance of providing more community care services, age-friendly housing, falls prevention and physical activity programs to reduce inappropriate admission to RAC.
Khan MN, Kumar P, Rahman MM, Islam Mondal MN, Islam MM, 'Inequalities in Utilization of Maternal Reproductive Health Care Services in Urban Bangladesh: A Population-Based Study', SAGE Open, 10 (2020)
© The Author(s) 2020. This study examined inequalities in the utilization of maternal reproductive health care services in urban Bangladesh. Data of 6,617 urban women were extract... [more]
© The Author(s) 2020. This study examined inequalities in the utilization of maternal reproductive health care services in urban Bangladesh. Data of 6,617 urban women were extracted from most recent two rounds of Bangladesh Demographic and Health Survey, conducted in the years 2011 and 2014. Inequalities in the utilization of antenatal checkup, receiving care from a skilled birth attendant, delivery in health care facilities, and postnatal care were investigated through concentration index. Contributions of selected predictors to inequalities were estimated by using the regression-based decomposition method. Noticeable inequalities were observed. Concentration index for utilization of at least one antenatal care visit was 0.09, four or more antenatal visits was 0.17, care from skilled birth attendant was 0.16, delivery care in health care facilities was 0.17, and postnatal care within 2 days of delivery was 0.19. Exposure to mass media, educational status of women and their spouses, wealth status, employment, birth order, and age of pregnancy were significant determinants of inequalities. There was a gradient in the utilization of services when examined across wealth status. Those with unfavorable social determinants of health reported low levels of utilization. Alongside providing tailored health care services to urban poor women, efforts should be made to reduce inequalities in social determinants of health.
Rahman MM, Efird JT, Byles JE, 'Transitioning of older Australian women into and through the long-term care system: a cohort study using linked data', BMC geriatrics, 19 286-197 (2019) [C1]
Rahman MM, Byles JE, 'Trajectories of Long-Term Residential Care Needs Among Older Australian Women: A Cohort Study Using Linked Data', Journal of the American Medical Directors Association, (2019)
© 2019 AMDA ¿ The Society for Post-Acute and Long-Term Care Medicine Objective: Older women are more likely than men to enter residential aged care (RAC) and generally stay longer... [more]
© 2019 AMDA ¿ The Society for Post-Acute and Long-Term Care Medicine Objective: Older women are more likely than men to enter residential aged care (RAC) and generally stay longer. We aimed to identify and examine their trajectories of care needs over time in RAC across 3 fundamental care needs domains, including activities of daily living (ADL), behavior, and complex health care. Design: Population-based longitudinal cohort study. Setting: RAC facilities in Australia. Participants: A total of 3519 participants from the 1921-1926 birth cohort of the Australian Longitudinal Study on Women's Health (ALSWH), who used permanent RAC between 2008 and 2014. Methods: We used data from the Aged Care Funding Instrument, National Death Index, and linked ALSWH survey. Participants¿ care needs in the 3 domains were followed every 6 months up to 60 months from the date of admission to RAC. Trajectories of care needs over time were identified using group-based multitrajectory modeling. Results: Five distinct trajectory groups were identified, with large variation in the combinations of levels of care needs over time. Approximately 28% of residents belonged to the ¿high dependent¿behavioral and complex need¿ group, which had high care needs in all 3 domains over time, whereas around one-third of residents (31%) were included in 2 trajectory groups (¿less dependent¿low need¿ and ¿less dependent¿increasing need¿), which had low or low to medium care needs over time. More than two-fifths of residents (41%) comprised 2 trajectory groups (¿high dependent¿complex need¿ and ¿high dependent¿behavioral need¿), which had medium to high care needs in 2 domains. Higher age at admission to RAC and multiple morbidities were associated with increased odds of being a member of the high dependent¿complex need group than the less dependent¿increasing need group. Conclusions and Implications: Identification of the differential trajectories of care needs among older women in RAC will help to better understand the circumstances of their changing care needs over time. This will facilitate appropriate care planning and service delivery for RAC residents, who are mostly older women.
Rahman M, Efird JT, Byles JE, 'Patterns of aged care use among older Australian women: A prospective cohort study using linked data', Archives of Gerontology and Geriatrics, 81 39-47 (2019) [C1]
© 2018 Background: Women live longer than men and have an increased need for long-term care. The objective of this study was to identify patterns of aged care use among older Aust... [more]
© 2018 Background: Women live longer than men and have an increased need for long-term care. The objective of this study was to identify patterns of aged care use among older Australian women and to examine how these patterns were associated with their demographic and health-related characteristics. Methods: The sample consisted of 8768 women from the 1921¿1926 birth cohort of the Australian Longitudinal Study on Women's Health (ALSWH), who had survived to age 75-80 years. ALSWH survey and linked administrative aged care and death datasets from 2001 to 2011 were utilized. Patterns of aged care use were identified using a repeated measure latent class analysis. Results: We identified four patterns of aged care use over time, differentiated by timing of service onset, types of service use and time of death. Approximately 41% of the sample were non-users or using basic home and community care (HACC), while 24% were at high risk of using moderate to high-level HACC/community aged care package (CACP). Only 11% had a greater risk of using residential aged care (RAC) over time. Being widowed, residing in remote/regional areas, having difficulty in managing income, having a chronic condition, reporting poor/fair self-rated health, and lower SF-36 quality of life scores were associated with an increased odds of being a member of the following classes: 1) moderate to high-level HACC/CACP, 2) increasing RAC, and 3) early mortality, compared with the non-user class. Conclusions: Distinct patterns of aged care use were identified. These results will facilitate future capacity planning for aged care systems in Australia.
Byles JE, Rahman MM, Princehorn EM, Holliday EG, Leigh L, Loxton D, et al., 'Successful ageing from old to very old: A longitudinal study of 12,432 women from Australia', Age and Ageing, 48 803-810 (2019) [C1]
© 2019 The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissio... [more]
© 2019 The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: email@example.com. Objectives: We examined the development of disease and disability in a large cohort of older women, the extent to which these conditions exempt them from being classified as successful agers and different trajectories of disease, disability and longevity across women's later life. Methods: We used survey data from 12,432 participants of the 1921-26 birth cohort of the Australian Longitudinal Study of Women's Health from 1996 (age 70-75) to 2016 (age 90-95). Repeated measures latent class analysis (RMLCA) identified trajectories of the development of disease with or without disability and according to longevity. Bivariate analyses and multivariable multinomial logistic regression models were used to examine the association between participants' baseline characteristics and membership of the latent classes. Results: Over one-third of women could be considered to be successful agers when in their early 70s, few women could still be classified in this category throughout their later life or by the end of the study when they were in their 90s (~1%). RMLCA identified six trajectory groups including managed agers long survivors (9.0%) with disease but little disability, usual agers long survivors (14.9%) with disease and disability, usual agers (26.6%) and early mortality (25.7%). A small group of women having no major disease or disability well into their 80s were identified as successful agers (5.5%). A final group, missing surveys (18.3%), had a high rate of non-death attrition. Groups were differentiated by a number of social and health factors including marital status, education, smoking, body mass index, exercise and social support. Conclusions: The study shows different trajectories of disease and disability in a cohort of ageing women, over time and through to very old ages. While some women continue into very old age with no disease or disability, many more women live long with disease but little disability, remaining independent beyond their capacity to be classified as successful agers.
Sayers E, Rich J, Rahman MM, Kelly B, James C, 'Does Help Seeking Behavior Change over Time following a Workplace Mental Health Intervention in the Coal Mining Industry?', Journal of Occupational and Environmental Medicine, 61 E282-E290 (2019) [C1]
Copyright © 2019 The Author(s). Objectives: To investigate help seeking behavior and attitudes to mental health in mining employees. Methods: A pre-post survey study of employees ... [more]
Copyright © 2019 The Author(s). Objectives: To investigate help seeking behavior and attitudes to mental health in mining employees. Methods: A pre-post survey study of employees from two Australian coal mines. Data were collected prior to, at baseline, at 6 and 18 months following delivery of the MATES in mining (MIM) peer support mental health intervention. Results: Help seeking behaviors increased, with participants' sex, age, relationship status, shift type, and psychological distress significantly associated with likelihood of seeking help (P < 0.05). In relation to stigma, significantly more participants' disagreed that they would be treated differently by friends or colleagues following disclosure of mental illness (P < 0.01). Conclusions: Results provide an understanding of help seeking behaviors of mining employees; support the MATES in Mining peer support program in the men dominated industry and provide information to guide mental health workplace program development more broadly.
Rahman M, Efird JT, Kendig H, Byles JE, 'Patterns of home and community care use among older participants in the Australian Longitudinal Study of Women s Health', European Journal of Ageing, 16 293-303 (2019) [C1]
© 2019, Springer Nature B.V. The aims of this study were to investigate patterns of home and community care (HACC) use and to identify factors influencing first HACC use among old... [more]
© 2019, Springer Nature B.V. The aims of this study were to investigate patterns of home and community care (HACC) use and to identify factors influencing first HACC use among older Australian women. Our analysis included 11,133 participants from the Australian Longitudinal Study of Women¿s Health (1921¿1926 birth cohort) linked with HACC use and mortality data from 2001 to 2011. Patterns of HACC use were analysed using a k-median cluster approach. A multivariable competing risk analysis was used to estimate the risk of first HACC use. Approximately 54% of clients used a minimum volume and number of HACC services; 25% belonged to three complex care use clusters (referring to higher volume and number of services), while the remainder were intermediate users. The¿initiation of HACC use was significantly associated with (1) living in remote/inner/regional areas, (2) being widowed or divorced, (3) having difficulty in managing income, (4) not receiving Veterans¿ Affairs benefits, (5) having chronic conditions, (6) reporting lower scores on the SF-36 health-related quality of life, and (7) poor/fair self-rated health. Our findings highlight the importance of providing a range of services to meet the diverse care needs of older women, especially in the community setting.
Khan MN, Islam MM, Rahman MM, 'Inequality in utilization of cesarean delivery in Bangladesh: a decomposition analysis using nationally representative data', Public Health, 157 111-120 (2018) [C1]
© 2018 The Royal Society for Public Health Objective: This study examined the inequality in cesarean section (CS) utilization and its socio-economic contributors. Study design: Re... [more]
© 2018 The Royal Society for Public Health Objective: This study examined the inequality in cesarean section (CS) utilization and its socio-economic contributors. Study design: Retrospective two-stage stratified sample design. Methods: Data were extracted from two rounds of the Bangladesh Demographic and Health Survey conducted in 2004 and 2014. Concentration Index of CS utilization was calculated using the wealth quintile. Regression-based decomposition method was applied to assess the socio-economic contributors of inequality in CS utilization. Results: The rate of CS utilization increased from 4.98% in 2004 to 24.21% in 2014. The utilization of CS was highly concentrated among the women of higher socio-economic status (SES) in both rounds of the survey. Results of the decomposition models revealed wealth quintile, higher education, higher number of antenatal visits, and being overweight or obese as the critical factors contributing to the inequalities of CS utilization. Conclusion: Bangladesh is now observing a rapid rise in CS utilization and women with higher SES are the main client group of this life saving procedure. There may have inadequate access for those who are relatively less advantaged, even when CS is necessary. Strong initiative from the government is necessary to ensure proper access to this service regardless of women's SES.
Rahman M, Guntupalli AM, Byles JE, 'Socio-demographic differences of disability prevalence among the population aged 60 years and over in Bangladesh', Asian Population Studies, 14 77-95 (2018) [C1]
© 2017 Informa UK Limited, trading as Taylor & Francis Group. This study aims to delineate the sociodemographic differences in disability prevalence across the population ag... [more]
© 2017 Informa UK Limited, trading as Taylor & Francis Group. This study aims to delineate the sociodemographic differences in disability prevalence across the population aged 60 years and over in Bangladesh, and to investigate the association of factors with reporting disability in later life. A microdata sample for those aged 60 years or over from the Census of Bangladesh 2011 was used where disability was assessed with a self-reported single response question. Logistic regression models were performed separately for men and women. Results reveal that the disability prevalence rate increased sharply with age, and it was higher among older women (5.2 per cent) compared to men (4.8 per cent). Physical and vision disabilities were the two categories with the highest prevalence of reported disabilities, with a higher prevalence of physical disability among men and vision disability among women. Being older, female, currently not in marital partnership, and having a lower educational attainment, not being employed, living alone, and residing in the rural areas were significantly associated with reporting disability in later life. The higher prevalence of disability among older women, those who are illiterate, and those residing in rural areas highlights the need for policies prioritising these groups. Special attention should also be given to those who are currently not in marital partnership, particularly women who are living alone.
James C, James C, Calear AL, Tynan R, Roach D, Leigh L, Oldmeadow C, 'Correlates of psychological distress among workers in the mining industry in remote Australia: Evidence from a multi-site cross-sectional survey', PLOS ONE, 13 (2018) [C1]
Milton AH, Rahman M, Hussain S, Jindal C, Choudhury S, Akter S, et al., 'Trapped in Statelessness: Rohingya Refugees in Bangladesh.', Int J Environ Res Public Health, 14 (2017) [C1]
Milton AH, Hussain S, Akter S, Rahman M, Mouly TA, Mitchell K, 'A Review of the Effects of Chronic Arsenic Exposure on Adverse Pregnancy Outcomes', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 14 (2017) [C1]
Rahman M, Khan HTA, Hafford-Letchfield T, Sultana R, 'Socio-economic inequalities in health among older adults in two rural sub-districts in India and Bangladesh: a comparative cross-sectional study', Asian Population Studies, 13 292-305 (2017) [C1]
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Health inequalities have been observed among older people in many developing countries, particularly among thos... [more]
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Health inequalities have been observed among older people in many developing countries, particularly among those with least social protection and low socio-economic (SES) status. This study attempted to examine effects of SES on the health of older adults, and related gender differences, in two rural sub-districts - Matlab, Bangladesh and Vadu, India. The study utilised the WHO SAGE-INDEPTH Wave 1, 2007 Matlab, Bangladesh and Vadu, Pune District, India datasets. Both gender and SES indicators were strongly associated with all health indicators of older adults in the Bangladesh site, whereas in India, education and asset quintiles were not consistently associated with self-rated health, quality of life and functional ability score but gender was consistently associated with all health indicators except the quality of life score. The SES-health gradient was noticeably higher amongst older adults in Matlab, Bangladesh than in Vadu, India. Education was also found to be an important predictor of health outcome in both sites.
|Show 12 more journal articles|
Conference (2 outputs)
James C, Rahman M, Sayers E, Kelly B, 'Task Rotation: Implementation in industry', Odense, Denmark (2019)
James C, Rahman M, Kelly B, 'Addressing industry Mental Health: Mates in Mining Mental Health Program', Sydney, NSW, Australia (2019)
Grants and Funding
|Number of grants||1|
Click on a grant title below to expand the full details for that specific grant.
20121 grants / $140,000
Improvement of Teaching and Learning environment at the Department of Statistics, Comilla University, Bangladesh$140,000
Funding body: World Bank
|Funding body||World Bank|
Dr dulal chandra Nandi, Md Tareq Ferdous Khan, and Md Adeed Salman Chowdury
|Scheme||Academic innovation in teaching and learning|
|Type Of Funding||C3232 - International Govt - Other|