Guillaume Djounfoune A, Justus Osero O S, Ephantus Kabiru W
Department of Community Health and Epidemiology, Kenyatta University, Nairobi, Kenya.
J Public Health Afr. 2020 Oct 29;11(1):1312. doi: 10.4081/jphia.2020.1312. eCollection 2020 Apr 29.
Globally, diarrhoea is the second major cause of death among children under five years. The aim of the study was to establish factors influencing diarrhoeal prevalence among children under five years in Mathare Informal Settlement. Cross-sectional survey was used. Data was collected from 1 July to 1 August 2019 among primary caregivers (PCGs) of children under five years in Mathare Informal Settlement, in Nairobi, Kenya. This urban informal settlement in Kenya was purposively sampled. Simple random sampling was used to select the households and the respondents. P<0.05 was considered as statistically significant. A total of 324 primary caregivers selected from 324 households were included in the study. Fifty six point seventeen percent of the respondents were aged 25-31 years old. Prevalence of diarrhoea among children was 18.7%. Sex, relationship of the primary caregivers, number of people and children in the households were found to be statistically significant with diarrhoea prevalence with p=0.008, p<0.001, p<0.001, p<0.001 respectively. One hundred and seventy one (52.78%) primary caregivers had no formal education. primary caregivers disposed of the child's faeces in garbage in 38.89% of the cases. Education level of the primary caregivers, renting, presence of flies, faeces, and open garbage near or within the compound were found to be associated with diarrhoea prevalence with p<0.001, p=0.024, p<0.001, p<0.001 respectively. Several factors were found to be associated with diarrhoeal prevalence among children under five years.
在全球范围内，腹泻是五岁以下儿童的第二大主要死因。本研究的目的是确定影响马萨雷非正规住区五岁以下儿童腹泻患病率的因素。采用了横断面调查。2019年7月1日至8月1日期间，在肯尼亚内罗毕马萨雷非正规住区对五岁以下儿童的主要照料者进行了数据收集。对肯尼亚的这个城市非正规住区进行了有目的抽样。使用简单随机抽样来选择家庭和受访者。P<0.05被认为具有统计学意义。该研究共纳入了从324户家庭中选出的324名主要照料者。56.17%的受访者年龄在25至31岁之间。儿童腹泻患病率为18.7%。发现主要照料者的性别、关系、家庭中的人数和儿童数量与腹泻患病率具有统计学意义，p值分别为0.008、<0.001、<0.001、<0.001。171名（52.78%）主要照料者没有接受过正规教育。在38.89%的案例中，主要照料者将孩子的粪便丢弃在垃圾中。发现主要照料者的教育水平、租房情况、苍蝇的存在、粪便以及大院附近或院内的露天垃圾与腹泻患病率相关，p值分别为<0.001、0.024、<0.001、<0.001。发现有几个因素与五岁以下儿童的腹泻患病率相关。
