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尼日利亚西南部五岁以下儿童腹泻的风险因素

Risk Factors of Diarrhoea among Children Under Five Years in Southwest Nigeria.

作者信息

Ugboko Harriet U, Nwinyi Obinna C, Oranusi Solomon U, Fagbeminiyi Fasina F

机构信息

Department of Biological Sciences, Covenant University, Ota, Nigeria.

Department of Economics and Development Studies, Covenant University, Ota, Nigeria.

出版信息

Int J Microbiol. 2021 Feb 26;2021:8868543. doi: 10.1155/2021/8868543. eCollection 2021.

Abstract

Diarrhoea is the passage of three or more loose or liquid stools per day or more frequent passage than is normal for an individual. Diarrhoea alters the microbiome, thus the immune system, and is a significant cause of morbidity and mortality in young children. This study evaluated the association between the risk factors and diarrhoea prevalence among children under five years in Lagos and Ogun States, located in Southwest Nigeria. Participants included 280 women aged 15-49 years and children aged 0-59 months. The study used quantitative data, which were assessed by a structured questionnaire. Data obtained were analyzed using the Statistical Package for the Social Sciences Software Version 25.0 and Microsoft Excel 2013. The relationships and/or association between variables were evaluated using Pearson's Chi Square and logistic regression tests. One hundred and eighteen (42%) of the children were male, and 162 (58%) were female. The majority of the children belonged to the age group 0-11 months (166). Age (=0.113) and gender (=0.366) showed no significant association with diarrhoea among the children. The majority of the mothers belonged to the age group 30-34. Multivariate analysis showed that the mother's level of education (95% CI for OR = 11.45; =0.0001) and family income (95% CI for OR = 7.61, =0.0001) were the most significant risk factors for diarrhoea among children. Mother's educational status, mother's employment, and family income were the factors significantly associated with diarrhoea in Southwest Nigeria. The study recommends that female education should be encouraged by the right government policy to enhance the achievement of the sustainable development goal three (SDG 3) for the possible reduction of neonates and infants' deaths in Nigeria.

摘要

腹泻是指每天排出三次或更多次稀便或水样便,或排便频率高于个人正常水平。腹泻会改变微生物群,进而影响免疫系统,是幼儿发病和死亡的重要原因。本研究评估了尼日利亚西南部拉各斯州和奥贡州五岁以下儿童的危险因素与腹泻患病率之间的关联。参与者包括280名年龄在15 - 49岁的女性和年龄在0 - 59个月的儿童。该研究使用了定量数据,通过结构化问卷进行评估。所获得的数据使用社会科学统计软件包第25.0版和微软Excel 2013进行分析。使用Pearson卡方检验和逻辑回归检验评估变量之间的关系和/或关联。118名(42%)儿童为男性,162名(58%)为女性。大多数儿童属于0 - 11个月年龄组(166名)。年龄(=0.113)和性别(=0.366)与儿童腹泻之间无显著关联。大多数母亲属于30 - 34岁年龄组。多变量分析表明,母亲的教育水平(OR的95%置信区间=11.45;=0.0001)和家庭收入(OR的95%置信区间=7.61,=0.0001)是儿童腹泻最显著的危险因素。母亲的教育状况、母亲的就业情况和家庭收入是与尼日利亚西南部腹泻显著相关的因素。该研究建议政府应通过正确的政策鼓励女性接受教育,以促进实现可持续发展目标三(SDG 3),从而有可能减少尼日利亚新生儿和婴儿的死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa9b/7935574/316e2931e41e/ijmicro2021-8868543.001.jpg

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