Prevalence and determinants of acute diarrhea among children younger than five years old in Jabithennan District, Northwest Ethiopia, 2014.
Prevalence and determinants of acute diarrhea among children younger than five years old in Jabithennan District, Northwest Ethiopia, 2014.
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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。
DOI：
10.1186/s12889-017-4021-5
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发表时间：
2017-01-19
影响因子：
4.5
通讯作者：
Tarekegn M
中科院分区：
文献类型：
--
作者：
Anteneh ZA;Andargie K;Tarekegn M
尽管全球五岁以下儿童死亡率有所下降，但在世卫组织非洲区域，儿童在五岁前死亡的风险仍然最高。埃塞俄比亚的儿童死亡问题更严重，埃塞俄比亚儿童在五岁生日前死亡的可能性是西欧儿童的30倍。因此，本研究的目的是评估5岁以下儿童腹泻的患病率和相关因素。2014年4月至6月，对有5岁以下子女的母亲进行了一项以社区为基础的横断面研究。一个多阶段的抽样程序被用来选择合格的妇女。使用SPSS软件包（版本16）对数据进行编码、输入、清理和分析。775名母亲的数据被纳入分析，21.5%的儿童在调查前两周内出现腹泻。影响腹泻发生的主要因素是居住地（比值比（AOR）= 11.29，95%置信区间（CI）：3.49-36.52），性别（AOR = 2.52，95%CI：1.28-4.93），补充喂养方法（AOR = 50.88，95% CI：23.85- 108.54）、储水设备类型（AOR = 19.50，95% CI：8.11-46.90）和洗手用清洁材料（AOR = 5.53，95% CI：2.19-13.99）。研究中约有五分之一的儿童报告了腹泻病。居住地、儿童性别、储水容器类型、补充喂养方法和洗手用清洁材料是影响儿童腹泻发生的最重要变量。因此，在该地区工作的家庭、政府和非政府组织必须在干预和预防方面进行合作，以最大限度地减少疾病的风险。本文的在线版本（doi：10.1186/s12889-017-4021-5）包含补充材料，可供授权用户使用。
Despite the global decline in death rates of children younger than five years old, the risk of a child dying before turning five years of age remains highest in the WHO African Region. The problem of child death in Ethiopia is worse, with an Ethiopian child being 30 times more likely to die by his/her fifth birthday than a child in Western Europe. Therefore, the aim of this study was to assess the prevalence and factors associated with diarrhea among children younger than five years old. A community-based, cross-sectional study was conducted with mothers who had children younger than five years old from April to June 2014. A multistage sampling procedure was used to select eligible women. The data were coded, entered, cleaned and analyzed with the SPSS software package, version 16. he data of 775 mothers were included in the analysis, and 21.5% of the children had diarrhea in the two weeks before the survey. The main factors affecting the occurrence of diarrhea were residence (Odds ratio (AOR) = 11.29, 95% Confidence interval (CI): 3.49-36.52), sex (AOR = 2.52, 95% CI:1.28-4.93), methods of complementary feeding (AOR = 50.88, 95% CI: 23.85- 108.54), types of water storage equipment (AOR = 19.50, 95% CI: 8.11-46.90), and cleansing materials used to wash hands (AOR = 5.53, 95% CI: 2.19-13.99). Approximately one-fifth of the children included in the study reported diarrheal disease. Residence, sex of the child, type of water storage container, methods of complementary feeding, and cleansing materials to wash the hands were the most important variables that affected the occurrence of diarrhea in children. Therefore, families, the government and nongovernmental organizations working in the area must cooperate in interventions and prevention to minimize the risk of disease. The online version of this article (doi:10.1186/s12889-017-4021-5) contains supplementary material, which is available to authorized users.