Bizuneh Hailemichael, Getnet Fentabil, Meressa Beyene, Tegene Yonatan, Worku Getnet
Epidemiology and Biostatistics Unit, Department of Public Health, College of Medicine and Health Sciences, Jigjiga University, Jigjiga, Somali Regional State, Ethiopia.
School of Graduate Studies, College of Medicine and Health Sciences, Jigjiga University, Jigjiga, Somali Regional State, Ethiopia.
BMC Pediatr. 2017 Aug 23;17(1):182. doi: 10.1186/s12887-017-0934-5.
The prevalence of underfive diarrhea in Somali Regional State, Ethiopia is one of the highest in the country. This study attempted to examine the multiple factors associated with underfive diarrhea and how they might influence its prevalence in Jigjiga, Somali regional state, Ethiopia.
A community based cross-sectional study was conducted from February 15 to 28, 2015. Multistage sampling technique was used to collect data from 492 mothers via household survey. A pre-tested, structured questionnaire was used to collect data through face-to-face interview. Ethical clearance was obtained before data collection. Stepwise multivariable logistic regression was used to calculate adjusted odds ratios.
The two weeks prevalence of under five diarrhea in Jigjiga town was 14.6%. Up on multivariable analysis, maternal educational level of primary school and above was found to be protective against childhood diarrhea [AOR: 0.227(0.100-0.517)] whereas, unavailability of water [AOR: 2.124(1.231-3.664)] and lack of hand washing facility [AOR: 1.846(1.013-3.362)] were associated with diarrhea.
Poor water supply, lack of hand washing facilities and lack of formal maternal education were associated with underfive diarrhea in the study area. Improved access to water supply along with environmental health intervention programs designed to promote good hygiene behavior could be of paramount importance to alleviate burden of childhood diarrhea.
埃塞俄比亚索马里州五岁以下儿童腹泻的患病率是该国最高的地区之一。本研究试图调查与五岁以下儿童腹泻相关的多种因素，以及它们如何影响埃塞俄比亚索马里州吉吉加市的腹泻患病率。
2015年2月15日至28日进行了一项基于社区的横断面研究。采用多阶段抽样技术，通过家庭调查从492名母亲那里收集数据。使用经过预测试的结构化问卷，通过面对面访谈收集数据。在收集数据之前获得了伦理批准。采用逐步多变量逻辑回归计算调整后的比值比。
吉吉加镇五岁以下儿童两周腹泻患病率为14.6%。多变量分析显示，母亲小学及以上教育水平对儿童腹泻有保护作用[AOR：0.227(0.100 - 0.517)]，而缺水[AOR：2.124(1.231 - 3.664)]和缺乏洗手设施[AOR：1.846(1.013 - 3.362)]与腹泻有关。
研究地区的缺水问题、缺乏洗手设施以及母亲缺乏正规教育与五岁以下儿童腹泻有关。改善供水以及开展旨在促进良好卫生行为的环境卫生干预项目对于减轻儿童腹泻负担可能至关重要。
