Factors Associated with Diarrhea among Children Under Five Years of Age in Banten Province, Indonesia
Factors Associated with Diarrhea among Children Under Five Years of Age in Banten Province, Indonesia
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印度尼西亚万丹省五岁以下儿童腹泻的相关因素
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
S. Lertmaharit
中科院分区：
文献类型：
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作者：
N. Rohmawati;A. Panza;S. Lertmaharit
2007年印度尼西亚国家社会经济调查和2007年基本健康研究的数据被用来检查与印度尼西亚万丹省5岁以下儿童腹泻相关的因素。采用与家庭数量成比例的概率进行两阶段抽样。数据分析采用Pearson卡方检验和二元Logistic回归。五岁以下儿童腹泻患病率为18.9%。6-11个月年龄组的风险最高，母亲受教育程度低（p值= 0.001），无性别影响。母亲排便地点（P < 0.001）和洗手行为（P <0.001）有显著性差异，未成年母亲的腹泻风险最高（P =0.042），从未用肥皂洗手的比例最高（15.8%）。不安全的饮用水源和饮用水的物理质量差与儿童腹泻有关（p值<0.001和0.005），以及共享饮用水源和厕所，使用开放式水容器，开放式液体排水通道，不使用化粪池进行粪便填埋的家庭。纯母乳喂养、良好的营养、维生素A补充、麻疹免疫接种不足以预防5岁以下儿童腹泻。建议进行健康教育、推迟早婚、使用安全饮用水源和厕所。需要进行纵向研究以确定腹泻流行病学中的混杂因素、因果关系和季节差异。
The data from Indonesian National Socio-economic Survey 2007 and Basic Health Research 2007 was used to examine the factors associated with diarrhea among children under-five years of age in Banten Province, Indonesia. A two stage sampling was done using probability proportional to the household’s number. Data analysis was done using Pearson’s Chi-square test and binary logistic regression. The prevalence of diarrhea among under-five old children was found to be 18.9%. The highest risk was in age group 6-11 months, low education mother (p-value = 0.001) and without gender influences. Mother’s defecation place (p-value < 0.001) and hand washing behavior (p-value <0.001) were found to be significant. Teenage mothers were found to have high risk of having children with diarrhea (p-value =0.042) and the highest percentage of never practiced hand washing with soap (15.8%). Unsafe drinking water source and poor physical quality of drinking water were associated with diarrhea in children (p-value <0.001 and 0.005) as well as the household which shared drinking water source and latrine, used open water container, open liquid drainage channel, and did not use septic tank for feces landfills. Exclusive breast feeding, good nutrition, vitamin A supplementation, measles immunization were not enough to prevent under-five old children from diarrhea. Health education, postpone young marriage, use of safe drinking water source and latrine, are recommended. Longitudinal study is needed to identify confounding factors, causal relationships and seasonal differences in the epidemiology of diarrhea.