Kabuya M S, Mukuku O, Van Geertruyden J P, Mutombo A M, Luboya O N, Wembonyama S O, Lutumba P
Département de pédiatrie, Faculté de médecine, Université de Lubumbashi, Lubumbashi, République démocratique du Congo.
Institut supérieur des techniques médicales, Lubumbashi, République démocratique du Congo.
Med Sante Trop. 2019 Aug 1;29(3):273-278. doi: 10.1684/mst.2019.0918.
Diarrheal diseases are one of the leading causes of death among children younger than 5 years of age in the world in general and in sub-Saharan Africa in particular. Mothers are predominantly responsible for child care and housekeeping in this region. The objective of this study was to determine the prevalence of diarrhea and identify its maternal determinants in children under five in the city of Lubumbashi. A cross-sectional study conducted throughout March 2018 collected data from 299 mothers through a household survey. A pretested structured questionnaire was used to collect data in face-to-face interviews. The prevalence of diarrhea in children under 5 in Lubumbashi was 35.8%. In the univariate analysis, the variables associated with diarrhea were single motherhood, soap-free handwashing after latrine use, and the presence of feces around the latrines. Multivariate analysis revealed that the presence of feces around latrines (OR adjusted = 2.12 [1.18-3.80]) was associated with diarrhea. Defective cleaning by mothers, specifically their failure to keep latrine areas clean and free of feces, is associated with the risk of diarrhea in children under five in the study area. A hygiene intervention program must be designed to promote healthy behavior to alleviate the burden of diarrhea in children.
腹泻病是全球尤其是撒哈拉以南非洲地区5岁以下儿童的主要死因之一。在该地区，母亲主要负责照顾孩子和做家务。本研究的目的是确定卢本巴希市5岁以下儿童腹泻的患病率，并找出其与母亲相关的决定因素。2018年3月进行的一项横断面研究通过家庭调查从299名母亲那里收集了数据。在面对面访谈中，使用经过预测试的结构化问卷来收集数据。卢本巴希市5岁以下儿童腹泻的患病率为35.8%。在单因素分析中，与腹泻相关的变量包括单身母亲、便后不用肥皂洗手以及厕所周围有粪便。多因素分析显示，厕所周围有粪便（调整后的比值比=2.12[1.18 - 3.80]）与腹泻有关。母亲清洁不到位，特别是未能保持厕所区域清洁且无粪便，与研究区域内5岁以下儿童腹泻风险相关。必须设计一个卫生干预项目来促进健康行为，以减轻儿童腹泻的负担。
