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尼日利亚0至24个月儿童的母亲教育程度与腹泻情况

Maternal Education and Diarrhea among Children aged 0-24 Months in Nigeria.

作者信息

Desmennu Adeyimika T, Oluwasanu Mojisola M, John-Akinola Yetunde O, Oladunni Opeyemi, Adebowale Ayo S

机构信息

Department of Health Promotion and Education, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Department of Health Promotion and Education, Faculty of Public Health, University of Ibadan, Ibadan, Nigeria.

出版信息

Afr J Reprod Health. 2017 Sep;21(3):27-36. doi: 10.29063/ajrh2017/v21i3.2.

Abstract

Childhood diarrhea remains a problem in countries like Nigeria where access to potable water, good hygiene and sanitation are lacking. Maternal education is an important determinant of health status of under-five children. Very few studies have investigated the relationship between maternal education and diarrhea in children in Nigeria. Therefore, this study was implemented to fill the gap. The study design was cross-sectional and 2013 National Survey was used. Children aged 0-24 months were investigated and the dependent variable was diarrhea status of the index child in the last two weeks prior the survey. The main independent variable was maternal education. Data were analyzed using Chi-square and Logistic regression models (α=0.05). Diarrhea prevalence was 13.7% and higher (15.5%) among children of women who have no formal education, and mothers living in the North East region of Nigeria experienced the highest prevalence (26.4%). Children whose mothers had no formal education were 2.69(CI= 1.800-4.015, p <0.001) more likely to have diarrhea as compared to those who had higher education. Maternal education is an important predictor of diarrhea among children aged 0-24 months in Nigeria. Policies to reduce diarrhea among children in Nigeria should target children of the illiterate, less educated mothers and those living in the North-West.

摘要

在像尼日利亚这样缺乏安全饮用水、良好卫生和环境卫生条件的国家,儿童腹泻仍然是一个问题。母亲的教育程度是五岁以下儿童健康状况的一个重要决定因素。在尼日利亚,很少有研究调查母亲教育程度与儿童腹泻之间的关系。因此,开展这项研究以填补这一空白。研究设计为横断面研究,并采用了2013年全国调查数据。对0至24个月大的儿童进行了调查,因变量是调查前两周内指标儿童的腹泻状况。主要自变量是母亲的教育程度。使用卡方检验和逻辑回归模型(α=0.05)对数据进行分析。未接受过正规教育的女性所生子女的腹泻患病率为13.7%,而未接受过正规教育的母亲所生子女的腹泻患病率更高(15.5%),居住在尼日利亚东北部地区的母亲所生子女的腹泻患病率最高(26.4%)。与母亲受过高等教育的儿童相比,母亲未接受过正规教育的儿童患腹泻的可能性高2.69倍(CI=1.800-4.015,p<0.001)。在尼日利亚,母亲的教育程度是0至24个月大儿童腹泻的一个重要预测因素。尼日利亚减少儿童腹泻的政策应针对文盲、受教育程度较低的母亲所生子女以及居住在西北部的儿童。

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