Diarrhoea and acute respiratory infections prevalence and risk factors among under-five children in Iraq in 2000.
Diarrhoea and acute respiratory infections prevalence and risk factors among under-five children in Iraq in 2000.
复制标题
DOI：
10.1186/1824-7288-35-8
复制
发表时间：
2009-04-25
影响因子：
3.6
通讯作者：
Rudatsikira E
中科院分区：
文献类型：
--
作者：
Siziya S;Muula AS;Rudatsikira E
在资源有限和冲突的情况下，腹泻和急性呼吸道疾病是五岁以下儿童常见的病症。本研究旨在估算2000年伊拉克五岁以下儿童急性呼吸道疾病和腹泻的患病率以及相关因素。
伊拉克多指标类集调查的数据来自联合国儿童基金会。我们估算了急性呼吸道疾病和腹泻的患病率。通过逻辑回归分析，评估了这两种疾病与社会人口学和环境变量之间的关联。进行加权分析以考虑复杂的调查设计。
研究中母亲报告的五岁以下儿童共有14676名。其中50.4%为男性。约一半（53.9%）的儿童完成了疫苗接种。总体而言，在过去两周内，21.3%的儿童患有腹泻，6.9%患有急性呼吸道感染（ARI）。在多变量分析中，腹泻与儿童年龄、居住地区、母亲教育程度、水源、厕所设施、儿童粪便处理和污水排放有关。与48 - 59个月大的儿童相比，6 - 11个月和12 - 23个月年龄组的儿童患腹泻的可能性分别高2.22倍（95%置信区间[2.02, 2.44]）和1.84倍（95%置信区间[1.71, 2.00]）。母亲没有接受过正规教育的儿童患腹泻的可能性比母亲具有中学教育程度的儿童高11%（调整优势比 = 1.11，95%置信区间[1.04, 1.18]）。与家庭主要水源为无保护的井或河流的儿童相比，家庭使用自来水的儿童患腹泻的可能性高32%（调整优势比 = 1.32，95%置信区间[1.17, 1.48]），而家庭使用有保护的井的儿童患腹泻的可能性低26%（调整优势比 = 0.74，95%置信区间[0.62, 0.89]）。儿童年龄、厕所设施、财富和儿童性别与急性呼吸道感染显著相关。
在2000年对伊拉克五岁以下儿童的一项研究中，我们发现腹泻和急性呼吸道感染病史与较低的社会经济地位、儿童粪便和污水的妥善处理呈负相关，但在获得饮用水和卫生设施方面结果不一致，这可能是由于战后水厂和污水厂无法正常运行。改善水质和卫生条件对于减少腹泻疾病至关重要。
Diarrhoea and acute respiratory conditions are common medical conditions among under-five children in resource-limited and conflict situations. The present study was conducted to estimate the prevalence and associated factors for acute respiratory conditions and diarrhoea among children under the age of five years in Iraq in 2000. Data for the Iraqi Multiple Indicator Cluster Survey were obtained from UNICEF. We estimated the prevalence of acute respiratory conditions and diarrhoea. Assessment of the associations between these two medical conditions on one hand and socio-demographic and environmental variables on the other was done using logistic regression analysis. Weighted analysis was conducted to account for complex survey design. A total of 14,676 children under the age of 5 years were reported by their mothers in the study. Of these 50.4% were males. About half (53.9%) of the children had complete vaccination status. Overall, 21.3% of the children had diarrhoea, and 6.9% had acute respiratory infection (ARI) in the last two weeks. In multivariate analysis, diarrhoea was associated with age of child, area of residence, maternal education, source of water, toilet facility, disposal of children' stool and disposal of dirty water. Compared to children aged 48–59 months, children in the age groups 6–11 months and 12–23 months were 2.22 (95%CI [2.02, 2.44]) and 1.84 (95%CI [1.71, 2.00]) times more likely, respectively, to have diarrhoea. Children whose mothers had no formal education were 11% (AOR = 1.11, 95%CI [1.04, 1.18]) more likely to have diarrhoea compared to children with mothers who had attained secondary level of education. Compared to children who belonged to households with unprotected well or river as the main source of water, children who belonged to households with piped water were 32% (AOR = 1.32, 95%CI [1.17, 1.48]) more likely to have diarrhoea while those who belonged to households with protected well were 26% (AOR = 0.74, 95%CI [0.62, 0.89]) less likely to have diarrhoea. Age of child, toilet facility, wealth, and sex of child were significantly associated with ARI. In a study of under-five children in Iraq in 2000, we found that history of diarrhoea and ARI were negatively associated with lower socio-economic status, adequate disposal of children's stool and dirty water, but the results were inconsistent in terms of access to potable water and sanitation facilities possibly due to non-functioning of water and sewage plants after the war. Improvement in water quality and sanitation are vital in the reduction of diarrhoeal diseases.
登录
查看更多内容
影响因子：
168.9
作者：
Black, RE;Morris, SS;Bryce, J
通讯作者：
Bryce, J
影响因子：
168.9
作者：
Ali, HM;Shah, IH
通讯作者：
Shah, IH
影响因子：
2.4
作者：
Ali, MM;Blacker, J;Jones, G
通讯作者：
Jones, G
影响因子：
158.5
作者：
ASCHERIO, A;CHASE, R;ZAIDI, S
通讯作者：
ZAIDI, S
影响因子：
5.2
作者：
Etiler, N;Velipasaoglu, S;Aktekin, M
通讯作者：
Aktekin, M