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埃塞俄比亚东部奥达布卢图区 6 至 59 个月儿童腹泻病及相关因素:一项基于社区的横断面研究。

Diarrheal disease and associated factors among children aged 6 to 59 months in Oda Bultum District, Eastern Ethiopia: a community-based cross-sectional study.

机构信息

Oda Bultum Woreda Health Office, Oda Bultum, West Hararghe, Oromia, Ethiopia.

School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

出版信息

BMC Infect Dis. 2024 Mar 12;24(1):303. doi: 10.1186/s12879-024-09169-4.

Abstract

BACKGROUND

Diarrhea is a serious health problem in children under the age of five that is both preventable and treatable. In low-income countries like Ethiopia, children under the age five years frequently experience diarrhea. However, the burden and associated factors of these diarrheal diseases are understudied in Eastern Ethiopia, Thus, this study aimed to determine the factors associated with the prevalence of diarrheal diseases in Eastern Ethiopia from September 1-30, 2022.

METHODS

A cross-sectional study was conducted on the total of 602 children aged 6 to 59 months in Oda Bultum district in eastern Ethiopia. A multistage sampling method was used. Three kebeles were selected from nine kebeles by the lottery method. Data was entered into Epi data 4.0.2 and exported to SPSS version 21 for analysis. Descriptive analysis was used for frequency, mean, and standard deviations. In addition, bivariable, and multivariable Poisson regression model was used to identify predictors of diarrhea along with a 95% confidence interval. Finally, statistical significance was declared at a p-value of 0.05.

RESULT

A total of 602 children were included in this study. The prevalence of diarrhea 7.4% (47/602), 95% CI; 5.5-9.7%) among the children. Factors such as being unvaccinated for any vaccine (AOR = 10.82, 95%CI; 4.58-25.48) and born from a mother who had medium level of empowerment (AOR = 0.34, 95%CI; 0.11-0.88) in the household had statistically significant association with diarrhea among the children compared to their counterparts.

CONCLUSION

The study found that nearly one out of thirteen children aged 6 to 59 months had any form of diarrheal diseases in Oda Bultum District, Eastern Ethiopia. In addition, the study revealed that children who were vaccinated for their age developed diarrhea less likely compared to those who did not receive any form of vaccine for their age. Moreover, children with mothers who had a medium level of empowerment were less likely to get diarrhea than children with mothers who had a low level of empowerment.

摘要

背景

腹泻是五岁以下儿童的严重健康问题,既可以预防,也可以治疗。在埃塞俄比亚等低收入国家,五岁以下儿童经常腹泻。然而,在东埃塞俄比亚,这些腹泻病的负担和相关因素研究不足。因此,本研究旨在 2022 年 9 月 1 日至 30 日期间确定东埃塞俄比亚儿童腹泻病的相关因素。

方法

本研究采用横断面研究,对东埃塞俄比亚奥达布卢特姆区 602 名 6 至 59 个月的儿童进行了研究。采用多阶段抽样方法。通过抽签法从 9 个 kebeles 中选择了 3 个 kebeles。数据输入 Epi data 4.0.2 并导出到 SPSS 版本 21 进行分析。采用频数、均数和标准差进行描述性分析。此外,采用单变量和多变量泊松回归模型,使用 95%置信区间来确定腹泻的预测因素。最后,以 p 值<0.05 表示具有统计学意义。

结果

本研究共纳入 602 名儿童。腹泻的患病率为 7.4%(47/602),95%CI;5.5-9.7%)。与对照组相比,未接种任何疫苗的儿童(AOR=10.82,95%CI;4.58-25.48)和出生在家庭中母亲权力处于中等水平的儿童(AOR=0.34,95%CI;0.11-0.88),其腹泻的发生率有统计学意义。

结论

研究发现,在东埃塞俄比亚奥达布卢特姆区,每 13 名 6 至 59 个月的儿童中就有近 1 名患有任何形式的腹泻病。此外,研究表明,与未接种任何年龄疫苗的儿童相比,接种年龄疫苗的儿童腹泻的可能性较小。此外,与母亲权力水平较低的儿童相比,母亲权力水平中等的儿童腹泻的可能性较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bad/10929219/b98f9f8004ed/12879_2024_9169_Fig1_HTML.jpg

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