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埃塞俄比亚阿姆哈拉州五岁以下儿童腹泻及其相关因素的流行情况:横断面研究。

Prevalence of diarrheal and its associated factors among children aged under-five years in Amhara Regional State, Ethiopia: a cross-sectional study.

机构信息

Department of Statistics, College of Natural Science, Adigrat University, Adigrat, Ethiopia.

Department of Pharmacy, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia.

出版信息

Sci Rep. 2024 Nov 18;14(1):28481. doi: 10.1038/s41598-024-76540-5.

Abstract

Diarrhea is a major health problem in Ethiopia, and the Amhara Regional State is experiencing the highest prevalence rate of diarrhea. Therefore, this study was designed to assess the prevalence and risk factors attributed to diarrhea among children under-five in the Amhara Regional State. The study employed descriptive statistics and multivariable logistic regression analysis to identify the main statistically significant associated factors of diarrhea using Stata version 14. The overall prevalence rate of experiencing diarrhea was 17.7% [95% CI: 15.4, 20.2] in the Amhara Regional State. The multivariable logistic regression model analysis indicated that the risk factors are fourth and above birth order [AOR = 2.95, 95% CI (1.483, 5.85)], gender of child (being male) [AOR = 1.66, 95% CI (1.144, 2.41)], no education level of mother's [AOR = 4.7, 95% CI (1.01, 22.0)], being age of child 7-11 [AOR = 3.33, 95% CI (1.58, 7.01)] and 12-23 month [AOR = 2.17, 95% CI (1.11, 4.22)], mother's age at 15-19 years [AOR = 12.2, 95% CI (2.986, 50.2)], mother's age at 20-24 years [AOR = 6, 95% CI (1.758, 20.8)], and mother's age at 25-29 years [AOR = 4.48, 95% CI (1.41, 14.2)], and five and greater than family size [AOR = 0.53; 95% CI (0.343, 0.84)] were statistically significant associated with a higher risk of diarrhea. The prevalence of diarrhea in the Amhara Regional State was higher than that at the national level. The study identified gender of a child, education level of the mother's, birth order, family size, mother's age, and child's age as risk factors for diarrhea in children under-five.

摘要

腹泻是埃塞俄比亚的一个主要健康问题,而阿姆哈拉州正经历着最高的腹泻流行率。因此,本研究旨在评估阿姆哈拉州五岁以下儿童腹泻的患病率和相关风险因素。本研究采用描述性统计和多变量逻辑回归分析,使用 Stata 版本 14 确定与腹泻相关的主要统计学显著因素。在阿姆哈拉州,腹泻的总患病率为 17.7%[95%CI:15.4,20.2]。多变量逻辑回归模型分析表明,风险因素是第四及以上出生顺序[AOR=2.95,95%CI(1.483,5.85)]、儿童性别(男)[AOR=1.66,95%CI(1.144,2.41)]、母亲无教育水平[AOR=4.7,95%CI(1.01,22.0)]、儿童年龄为 7-11 岁[AOR=3.33,95%CI(1.58,7.01)]和 12-23 个月[AOR=2.17,95%CI(1.11,4.22)]、母亲 15-19 岁[AOR=12.2,95%CI(2.986,50.2)]、母亲 20-24 岁[AOR=6,95%CI(1.758,20.8)]和母亲 25-29 岁[AOR=4.48,95%CI(1.41,14.2)]以及家庭规模为 5 人及以上[AOR=0.53;95%CI(0.343,0.84)]与腹泻风险增加具有统计学显著相关性。阿姆哈拉州的腹泻患病率高于全国水平。本研究确定了儿童性别、母亲教育水平、出生顺序、家庭规模、母亲年龄和儿童年龄是五岁以下儿童腹泻的风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/98a6/11574280/a3c123317303/41598_2024_76540_Fig1_HTML.jpg

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