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采用埃塞俄比亚人口与健康调查数据,对与 5 岁以下儿童未治疗腹泻相关因素进行多层次分析。

Multilevel analysis of factors associated with untreated diarrhea among under five children in Ethiopia using Ethiopian demographic and health survey.

机构信息

Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Sci Rep. 2023 Sep 26;13(1):16126. doi: 10.1038/s41598-023-43107-9.


DOI:10.1038/s41598-023-43107-9
PMID:37752329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10522699/
Abstract

Diarrhea refers to the abrupt onset of three or more loose or liquid stools per day. It is the second leading cause of death in infants worldwide. It is an endemic disease and continues to be a serious threat to children in Ethiopia. Despite being a condition that may be prevented, diarrhea can have a negative impact on a child's health. Also, studies have not been able to explore the role of socio-economic characteristics in hindering the treatment. Therefore, this study aimed to explore socio-economic factors that influence treatment of childhood diarrhea. Secondary data analysis was conducted based on the demographic and health surveys data conducted in Ethiopia. A total weighted sample of 1227 under-five children was included for this study. Mixed-effect binary logistic regression analysis was done to identify associated factors of untreated diarrhea. Adjusted Odds Ratio with 95% CI was used to declare the strength and significance of the association. Prevalence of untreated diarrhea among under five children in Ethiopia was 57.32% (95% CI 54.52-60.06%). In the mixed-effect analysis; Children aged 6-11, 12-23, and 24-35 (AOR 0.384, 95% CI 0.187-0.789), 71% (AOR 0.29, 95% CI 0.149-0.596), and 51% (AOR 0.49, 95% CI 0.238-0.995). Children from family number six and above (AOR 1.635, 95% CI 1.102-2.426). Children from middle wealth of family (AOR 1.886, 95% CI 1.170-3.3040). Children from a community with high level of uneducated (AOR 2.78, 95% CI 1.065-3.442) were significantly associated with untreated diarrhea. The prevalence of untreated diarrhea among under-five children in Ethiopia is high. Age of child, family number, household wealth, and community-level educational status were significantly associated with untreated diarrhea among under-five children in Ethiopia. Hence, increasing community educational status, boosting the economic status of the community, and family planning for the community should get due attention.

摘要

腹泻是指每天突然出现 3 次或 3 次以上的稀便或水样便。它是全球导致婴儿死亡的第二大原因。这是一种地方病,在埃塞俄比亚仍然是儿童面临的严重威胁。尽管腹泻是一种可以预防的疾病,但它可能会对儿童的健康产生负面影响。此外,研究还未能探讨社会经济特征在阻碍治疗方面的作用。因此,本研究旨在探讨影响儿童腹泻治疗的社会经济因素。本研究基于在埃塞俄比亚开展的人口与健康调查数据进行了二次数据分析。这项研究共纳入了 1227 名 5 岁以下儿童的加权总样本。采用混合效应二项逻辑回归分析来确定未治疗腹泻的相关因素。使用调整后的比值比(95%置信区间)来表明关联的强度和显著性。埃塞俄比亚五岁以下儿童未治疗腹泻的患病率为 57.32%(95%置信区间 54.52-60.06%)。在混合效应分析中,6-11 岁、12-23 岁和 24-35 岁的儿童(AOR 0.384,95%CI 0.187-0.789)、71%(AOR 0.29,95%CI 0.149-0.596)和 51%(AOR 0.49,95%CI 0.238-0.995)的儿童,来自家庭人数为 6 及以上的儿童(AOR 1.635,95%CI 1.102-2.426)。家庭中等富裕的儿童(AOR 1.886,95%CI 1.170-3.304)。来自受教育程度低的社区的儿童(AOR 2.78,95%CI 1.065-3.442)与未治疗腹泻显著相关。埃塞俄比亚五岁以下儿童未治疗腹泻的患病率较高。儿童年龄、家庭数量、家庭财富以及社区教育水平与埃塞俄比亚五岁以下儿童未治疗腹泻显著相关。因此,应高度重视提高社区教育水平、改善社区经济地位以及社区计划生育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447b/10522699/b051ebb55f3a/41598_2023_43107_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447b/10522699/b051ebb55f3a/41598_2023_43107_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/447b/10522699/b051ebb55f3a/41598_2023_43107_Fig1_HTML.jpg

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Multilevel analysis of factors associated with untreated diarrhea among under five children in Ethiopia using Ethiopian demographic and health survey.

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引用本文的文献

[1]
Diarrhea in Yemeni children under five: A multi-level analysis of population-based surveys, 1991-2022.

PLoS Negl Trop Dis. 2025-7-30

[2]
Medical treatment-seeking behaviour for childhood diarrhea among Haitian mothers: secondary data analysis from the 2016-2017 Haitian demographic and health survey.

BMC Pediatr. 2025-6-5

[3]
Contribution of domestic animals' feces to the occurrence of diarrhoea among children aged 6-48 months in Sidama region, Ethiopia: a laboratory-based matched case-control study.

BMJ Glob Health. 2024-12-27

[4]
Predictive modeling and socioeconomic determinants of diarrhea in children under five in the Amhara Region, Ethiopia.

Front Public Health. 2024

本文引用的文献

[1]
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