Department of Environmental Health, Mizan Tepi University Ethiopia, Mīzan Teferī, Ethiopia.
Department of Public Health, Mizan Tepi University Ethiopia, Mīzan Teferī, Ethiopia.
Front Public Health. 2024 Mar 6;12:1341422. doi: 10.3389/fpubh.2024.1341422. eCollection 2024.
Household vectors transmit pathogens from one child to another. This study aimed to investigate the prevalence and determinants of household vectors on child health.
A community-based cross-sectional study design was conducted, during which a total of 846 household data were collected using a pretested questionnaire and simple random sampling technique. The data was entered into EpiData3.4 and then exported to Stata 14 software for analysis. A multivariable logistic regression analysis was conducted to identify significant factors associated with household vectors that contribute child health problems. The correspondence analysis was used to determine statistically significant effects or associations between household vectors and child health problems, that was explained by the percentage of variance.
This study revealed that the prevalence of household vector effects among children was 35.5% suchas itching, allergies, nuisances and aesthetically displeasing factors. Households with no formal education were significantly 36% less likely to be affected compared to their counterparts (AOR 0.64, 95% CI 0.41, 0.99). Housewives are significantly 2.21 times more likely to be bexposed to household vectors compared to government workers (AOR 2.21, 95% CI 1.23, 3.70). Caregivers who had limited awareness of household vectors were 98.6% less likely to be affected compared to their counterparts (AOR 0.014; 95% CI 0.01-0.04). Similarly, children from households that consumed less than 20 liters of water per individual were 1.45 times more likely to be at risk compared to children from households that consumed more water (AOR 1.45, 95% CI 1.02, 2.07). The infestations of household vectors were found to be statistically significant and were associated with the occurrence of child health problems. This significant association accounted for 86.8 percent of the explained variance.
Addressing the high burden of household vectors on child health requires interventions that target informal education, limited access to information, and inadequate access to safe water. Implementing effective vector control measures is crucial to reduce the incidence of vector-borne diseases among children.
家庭传播媒介可将病原体从一个儿童传播到另一个儿童。本研究旨在调查家庭传播媒介对儿童健康的影响及其流行率和决定因素。
采用基于社区的横断面研究设计，共收集了 846 户家庭数据，使用预测试问卷和简单随机抽样技术。数据录入 EpiData3.4 后，导出到 Stata14 软件进行分析。采用多变量逻辑回归分析确定与家庭传播媒介对儿童健康问题有显著影响的因素。采用对应分析确定家庭传播媒介与儿童健康问题之间存在统计学显著影响或关联，用方差百分比解释。
本研究表明，儿童家庭传播媒介影响的患病率为 35.5%，如瘙痒、过敏、滋扰和美学不悦因素。与具有正规教育的家庭相比，没有正规教育的家庭受影响的可能性低 36%（优势比 0.64，95%可信区间 0.41，0.99）。与政府工作人员相比，家庭主妇受家庭传播媒介影响的可能性高 2.21 倍（优势比 2.21，95%可信区间 1.23，3.70）。对家庭传播媒介认识有限的照顾者受影响的可能性低 98.6%（优势比 0.014，95%可信区间 0.01-0.04）。同样，与家庭用水量超过 20 升/人的儿童相比，家庭用水量少于 20 升/人的儿童感染风险高 1.45 倍（优势比 1.45，95%可信区间 1.02，2.07）。家庭传播媒介的滋生与儿童健康问题的发生有统计学显著关联，这种显著关联占解释方差的 86.8%。
解决家庭传播媒介对儿童健康的高负担需要针对非正规教育、有限的信息获取和不安全用水进行干预。实施有效的媒介控制措施对于减少儿童媒介传播疾病的发生至关重要。
