Negelle Health Center, Negelle Town, West Arsi Zone, Ethiopia.
Department of Public Health, School of Health Science, Shashemene Campus, Madda Walabu University, P.O.BOX: 238, Shashemene, Ethiopia.
J Health Popul Nutr. 2023 Jul 10;42(1):65. doi: 10.1186/s41043-023-00411-4.
A major cause of diarrheal illness mortality is a failure to seek immediate medical assistance. There is currently no evidence on the reasons that induce caregivers in Berbere Woreda to delayed seeking timely treatment for under-five children with diarrheal illnesses. As a result, the goal of this study was to identify determinants of delay in seeking timely treatment for childhood diarrheal diseases in Berbere Woreda, Bale Zone Oromia Region, South Eastern Ethiopia.
An unmatched case-control study on 418 child caregivers was conducted from April to May 2021. Cases were 209 children and their caregivers who sought treatment after 24 h of the onset of diarrheal disease symptoms, and controls were 209 children and their mothers/caregivers who sought treatment within 24 h of the onset of diarrheal disease symptoms. Data were collected through interviews and chart reviews using consecutive sampling. A multivariable logistic regression analysis was carried out, with variables with a P-value of 0.05 considered statistically significant. The Hosmer-Lemshow goodness of fit test was used to validate the model, and the variance inflation factor (VIF) was used to test for multi-collinearity.
In this study, we found that among 418 participants, determinants of delay in seeking timely treatment for childhood diarrheal diseases included mothers with more than two under-five children (AOR = 2.23, 95% CI 1.21-4.11), Divorce (AOR = 2.62, 95% CI 1.087-2.76), age of children < 24 months (AOR = 1.597, 95%,CI (1.008-2.531), and preference for a government health facility for treatment (AOR = 2.56, 95% CI 1.51-4.34). Besides, the odds of mothers aged 25-34 years being two times more likely to delay seeking timely treatment for 5 children with diarrhea were 1.537 (0.560-4.213).
Age of children, age of mothers, number of children, preference of health facilities, and marital status were factors influencing the failure to seek treatment within 24 h of recognizing diarrhea in children under the age of five.
腹泻病死亡的一个主要原因是未能及时寻求医疗援助。目前尚无证据表明贝雷布雷沃雷达的照顾者在 5 岁以下腹泻儿童出现症状后为何会延迟及时就医。因此，本研究的目的是确定贝雷布雷沃雷达（位于埃塞俄比亚东南地区奥罗米亚州贝尔勒区）儿童腹泻病延迟及时治疗的决定因素。
2021 年 4 月至 5 月，对 418 名儿童照顾者进行了一项未匹配的病例对照研究。病例组为 209 名在腹泻症状出现后 24 小时内接受治疗的儿童及其照顾者，对照组为 209 名在腹泻症状出现后 24 小时内接受治疗的儿童及其母亲/照顾者。通过连续抽样，使用访谈和图表审查收集数据。采用多变量逻辑回归分析，以 P 值<0.05 的变量为统计学显著变量。采用 Hosmer-Lemeshow 拟合优度检验对模型进行验证，采用方差膨胀因子（VIF）检验多重共线性。
在本研究中，我们发现，在 418 名参与者中，儿童腹泻病延迟及时治疗的决定因素包括有 2 个或以上 5 岁以下儿童的母亲（AOR=2.23，95%CI 1.21-4.11）、离婚（AOR=2.62，95%CI 1.087-2.76）、儿童年龄<24 个月（AOR=1.597，95%CI 1.008-2.531）和偏爱政府卫生机构治疗（AOR=2.56，95%CI 1.51-4.34）。此外，年龄在 25-34 岁的母亲与 5 岁以下腹泻儿童延迟 24 小时内寻求治疗的可能性是年龄在 25-34 岁的母亲的两倍，比值比为 1.537（0.560-4.213）。
儿童年龄、母亲年龄、儿童人数、卫生机构偏好和婚姻状况是影响 5 岁以下儿童出现腹泻症状后 24 小时内未能及时就医的因素。
