How sustainable household environment and knowledge of healthy practices relate to childhood morbidity in South Asia: analysis of survey data from Bangladesh, Nepal and Pakistan.
How sustainable household environment and knowledge of healthy practices relate to childhood morbidity in South Asia: analysis of survey data from Bangladesh, Nepal and Pakistan.
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DOI：
10.1136/bmjopen-2016-015019
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发表时间：
2017-06-14
期刊：
影响因子：
2.9
通讯作者：
Richardson A
中科院分区：
文献类型：
--
作者：
Hasan MM;Richardson A
南亚儿童腹泻和急性呼吸道感染的发病率相当高。本研究的目的是比较可持续的家庭环境和健康做法的知识与这些疾病的发作在该地区的儿童之间的关联。这项研究分析了最新的、具有全国代表性的和跨部门的人口与健康调查数据。对孟加拉国、尼泊尔和巴基斯坦这三个国家的数据进行了分析。生活在选定家庭中的12至49岁妇女提供了关于其23 940名5岁以下子女的信息。在数据收集前2周内，记录儿童腹泻和/或ARI的发病情况。在调查的所有三个国家中，消费不卫生的饮用水增加了儿童腹泻的风险，使用固体燃料进行室内烹饪增加了ARI的风险。然而，母亲受教育程度的影响更为显著，未完成小学教育导致腹泻的几率接近中学或更高学历母亲的两倍（孟加拉国OR 1.70，95% CI 1.16至2.49）。目前的研究结果强调了在所调查的国家制定和实施母亲和儿童综合战略计划的重要性。推广卫生用水和卫生设施有助于减少儿童腹泻的流行。用更清洁的燃料或更通风的条件取代室内固体燃料烹饪安排有助于减少ARI的流行。然而，这些战略需要与妇女教育相结合，以提高实际降低风险的可能性。
Prevalence of diarrhoea and acute respiratory infection (ARI) is considerably high among South Asian children. The objective of this study is to compare the associations of sustainable household environment and knowledge of healthy practices with episodes of these diseases among the children in the region. The study analysed the latest, nationally representative and cross-sectional Demographic and Health Survey data. Data from three countries were analysed: Bangladesh, Nepal and Pakistan. Women aged between 12 and 49 years living in selected households provided information on 23 940 of their children under the age of 5 years. The morbidity status of the children was recorded with respect to episodes of diarrhoea and/or ARI in the 2 weeks preceding data collection. Consuming unhygienic drinking water increased the risks of childhood diarrhoea, and use of solid fuel for indoor cooking increased the risk of ARI, across all three countries investigated. However, far more significant were the effects of mother’s education, with incomplete primary education leading to an odds of diarrhoea approaching twice that of a mother with secondary education or higher (OR 1.70 in Bangladesh, 95% CI 1.16 to 2.49). Results from the current research underline the importance of developing and implementing integrated strategic plans for mothers and children in the countries investigated. Promoting hygienic water and sanitation facilities can help reduce the prevalence of childhood diarrhoea. Replacing indoor solid fuel cooking arrangements with cleaner fuel or more airy conditions can help reduce the prevalence of ARI. However, these strategies need to be integrated with education for women to raise the likelihood that reduced risks are actually realised.
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影响因子：
168.9
作者：
Bhutta, Zulfiqar A.;Das, Jai K.;Black, Robert E.
通讯作者：
Black, Robert E.
影响因子：
168.9
作者：
Chowdhury, A. Mushtaque R.;Bhuiya, Abbas;Chen, Lincoln C.
通讯作者：
Chen, Lincoln C.
DOI：
10.1111/tmi.12441
发表时间：
2015-03
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Fuller JA;Westphal JA;Kenney B;Eisenberg JN
通讯作者：
Eisenberg JN
影响因子：
6
作者：
Dostal, Miroslav;Pastorkova, Anna;Sram, Radim J.
通讯作者：
Sram, Radim J.
影响因子：
168.9
作者：
Black, RE;Morris, SS;Bryce, J
通讯作者：
Bryce, J