Prevalence and determinants of diarrhea among under-five children in Ethiopia: A systematic review and meta-analysis.
Prevalence and determinants of diarrhea among under-five children in Ethiopia: A systematic review and meta-analysis.
复制标题
DOI：
10.1371/journal.pone.0199684
复制
发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Kibret GD
中科院分区：
文献类型：
--
作者：
Alebel A;Tesema C;Temesgen B;Gebrie A;Petrucka P;Kibret GD
尽管在降低五岁以下儿童死亡率方面取得了显著进展，但在这一高度敏感和脆弱的人群中，儿童腹泻仍然是死亡和发病的主要原因。在埃塞俄比亚，关于五岁以下儿童腹泻患病率和决定因素的研究结果一直不一致。因此，这项系统回顾和荟萃分析估计了埃塞俄比亚五岁以下儿童中腹泻的共同流行率及其决定因素。系统检索了PubMed、Web of Science、EMBASE、CINAHL、Google Scholar、Science Direct和Cochrane图书馆等国际数据库。所有已确定的观察性研究都报告了埃塞俄比亚五岁以下儿童腹泻的患病率和决定因素。两位作者使用标准化的数据提取格式独立提取了所有必要的数据。采用STATA Version 13统计软件。采用Cochrane q检验、统计学和I2检验评价研究的异质性。计算了一个随机效应模型，以估计腹泻的综合流行率。此外，使用随机效应模型检验了决定因素与儿童腹泻之间的关系。经研究回顾，31项研究符合纳入标准并纳入Meta分析。31项研究的结果表明，埃塞俄比亚5岁以下儿童的腹泻合并患病率为22%(95%可信区间：19%，25%)。这项研究的分组分析显示，阿法尔地区的流行率最高(27%)，其次是索马里和迪雷达瓦地区(26%)，然后是亚的斯亚贝巴(24%)。缺乏母亲教育(OR：2.5，95%CI：1.3，2.1)、缺乏厕所(OR：2.0，95%CI：1.3、3.2)、城市户口(OR：1.9，95%CI：1.2、3.0)和母亲洗手(OR：2.2，95%CI：2.0、2.6)与儿童腹泻显著相关。在这项研究中，埃塞俄比亚五岁以下儿童的腹泻发生率很高。缺乏母亲教育、缺乏厕所、城市住所和母亲缺乏洗手与儿童腹泻显著相关。
Despite remarkable progress in the reduction of under-five mortality, childhood diarrhea is still the leading cause of mortality and morbidity in this highly susceptible and vulnerable population. In Ethiopia, study findings regarding prevalence and determinants of diarrhea amongst under-five children have been inconsistent. Therefore, this systematic review and meta-analysis estimates the pooled prevalence of diarrhea and its determinants among under-five children in Ethiopia. International databases, including PubMed, Web of Science, EMBASE, CINAHL, Google Scholar, Science Direct, and the Cochrane Library, were systematically searched. All identified observational studies reporting the prevalence and determinants of diarrhea among under-five children in Ethiopia were included. Two authors independently extracted all necessary data using a standardized data extraction format. STATA Version 13 statistical software was used. The Cochrane Q test statistics and I2 test were used to assess the heterogeneity of the studies. A random effects model was computed to estimate the pooled prevalence of diarrhea. Moreover, the associations between determinant factors and childhood diarrhea were examined using the random effect model. After reviewing of 535 studies, 31studies fulfilled the inclusion criteria and were included in the meta-analysis. The findings from the 31 studies revealed that the pooled prevalence of diarrhea among under-five children in Ethiopia was 22% (95%CI: 19, 25%). Subgroup analysis of this study revealed that the highest prevalence was observed in Afar region (27%), followed by Somali and Dire Dawa regions (26%), then Addis Abeba (24%). Lack of maternal education (OR: 2.5, 95% CI: 1.3, 2.1), lack of availability of latrine (OR: 2.0, 95%CI: 1.3, 3.2), urban residence (OR: 1.9, 95%CI: 1.2, 3.0), and maternal hand washing (OR: 2.2, 95%CI: 2.0, 2.6) were significantly associated with childhood diarrhea. In this study, diarrhea among under-five children in Ethiopia was significantly high. Lack of maternal education, lack of availability of latrine, urban residence, and lack of maternal hand washing were significantly associated with childhood diarrhea.
登录
查看更多内容
2014年，埃塞俄比亚西北部的贾比森南地区，五岁以下儿童急性腹泻的患病率和决定因素。
影响因子：
4.5
作者：
Anteneh ZA;Andargie K;Tarekegn M
通讯作者：
Tarekegn M
影响因子：
168.9
作者：
Black, RE;Morris, SS;Bryce, J
通讯作者：
Bryce, J
DOI：
10.4236/ojpm.2013.37060
发表时间：
2013-01-01
期刊：
Open Journal of Preventive Medicine
影响因子：
--
作者：
Bezatu Mengistie, Bezatu Mengistie;Yemane Berhane, Yemane Berhane;Alemayehu Worku, Alemayehu Worku
通讯作者：
Alemayehu Worku, Alemayehu Worku
影响因子：
4.5
作者：
Berhe, Fekadeselassie;Berhane, Yemane
通讯作者：
Berhane, Yemane
DOI：
10.2471/blt.07.050054
发表时间：
2008-09-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Boschi-Pinto, Cynthia;Velebit, Lana;Shibuya, Kenji
通讯作者：
Shibuya, Kenji