Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Pediatr. 2020 May 19;20(1):236. doi: 10.1186/s12887-020-02138-1.
Diarrheal diseases are the second major cause of death among under-five children globally. It kills about 2.5 million people each year, with 60-70% of them being children under 5 years of age. It is also the second leading cause of morbidity in Ethiopia, with Benishangul Gumuz region bearing burden the highest with 169/1000 under five. This study aimed to determine the prevalence and associated factors of acute diarrhea among under 5 years of age children in Kamashi district, western Ethiopia, 2018.
A community based cross-sectional study design was used. A two-stage systematic random sampling technique was used to select 8 kebeles and 717 study units. Binary logistic regression model to identify the association between dependent and independent variables.
The prevalence of acute diarrhea was 14.5% (95% CI: (12.3, 17.3%)). Poor latrine hygiene (AOR = 11.48, 95%CI: 5.64-23.35)), had no handwashing facilities near latrines (AOR = 7.07, 95%CI:3.84-13.03), poor handwashing practice at a critical time (AOR = 5.92, 95%CI: 2.58-13.70), who stored water at home in Jerricans (AOR = 8.6, 95%CI: 1.51-48.84) and complementary feeding before 6 months (AOR = 6.49, 95%CI: 2.01-20.96) had a significant association with acute diarrhea.
The prevalence of acute diarrhea was still high. Latrine cleanness, availability of handwashing facilities around latrine, hand washing practice at the critical time for handwashing, storage of water by "Jerrican" and time of initiation of supplementary food were the determinant factors of diarrheal diseases.
腹泻病是全球 5 岁以下儿童死亡的第二大原因。它每年导致约 250 万人死亡，其中 60-70%是 5 岁以下儿童。它也是埃塞俄比亚发病率的第二大原因，本尚古勒-古马兹地区的负担最重，每 1000 名 5 岁以下儿童中有 169 人患病。本研究旨在确定 2018 年在埃塞俄比亚西部卡马希地区 5 岁以下儿童急性腹泻的患病率及其相关因素。
采用社区为基础的横断面研究设计。采用两阶段系统随机抽样技术选择 8 个 kebeles 和 717 个研究单位。采用二元逻辑回归模型确定因变量和自变量之间的关联。
急性腹泻的患病率为 14.5%（95%CI：（12.3，17.3%））。较差的厕所卫生（AOR=11.48，95%CI：5.64-23.35）、厕所附近没有洗手设施（AOR=7.07，95%CI：3.84-13.03）、关键时间洗手不良（AOR=5.92，95%CI：2.58-13.70）、在家中使用 Jerrycan 储水（AOR=8.6，95%CI：1.51-48.84）和 6 个月前开始补充喂养（AOR=6.49，95%CI：2.01-20.96）与急性腹泻有显著关联。
急性腹泻的患病率仍然很高。厕所清洁度、厕所周围洗手设施的可用性、关键时间洗手的习惯、使用“Jerrycan”储水和补充食物开始时间是腹泻病的决定因素。
