Alemu Zinabu Assefa, Girmay Aderajew Mekonnen, Teklu Kirubel Tesfaye, Adugna Ermias Alemayehu, Serte Melaku Gizaw, Alemayehu Tsigereda Assefa, Likasa Badasa Wagari, Collyer Benjamin, Mehari Zelalem, Salasibew Mihretab, Tollera Getachew, Tessema Masresha
Nutrition and Environmental Health Research Directorate Ethiopian Public Health Institute Addis Ababa Ethiopia.
Imperial College London London UK.
Health Sci Rep. 2025 Jan 24;8(1):e70380. doi: 10.1002/hsr2.70380. eCollection 2025 Jan.
Globally, infectious diseases such as pneumonia, diarrhea, and malaria are the leading causes of death for children under 5. Diarrheal disease is a significant public health concern and causes the death of approximately 525,000 children under the age of 5 every year. In Ethiopia, studies revealed that the prevalence of diarrhea among children under 5 years is alarming. However, there has been a shortage of studies regarding the predictors of diarrheal disease in Geshiyaro project implementation sites in Ethiopia. Therefore, this study aimed to fill this gap.
A community-based cross-sectional study was conducted from June to July 2023. A total of 2937 participants were enrolled in this investigation. Descriptive and multivariate logistic regression analysis was performed using STATA version 16.
The 2-week prevalence of diarrhea among children under 5 years was 11.8%. The following factors were significantly associated (< 0.05) with the occurrence of childhood diarrhea: sex of the child (AOR: 1.6; 95% CI, 1.17-2.19), child age in a month (AOR: 0.5; 95% CI, 0.26-0.94), drinking water service (AOR: 2.6; 95% CI, 1.33-5.25), knowledge on diarrhea prevention (AOR: 1.4; 95% CI, 1.05-1.98), open defecation practice (AOR: 1.9; 95% CI, 1.33-2.74), and rotavirus vaccination (AOR: 1.8; 95% CI, 1.20-2.56).
This study identified several factors contributing to diarrhea. Besides, it also studied and showed a larger number of children who were not receiving basic vaccines. Therefore, the government and partner organizations should implement effective interventions to increase vaccine coverage and reduce diarrhea.
在全球范围内，肺炎、腹泻和疟疾等传染病是5岁以下儿童的主要死因。腹泻病是一个重大的公共卫生问题，每年导致约52.5万名5岁以下儿童死亡。在埃塞俄比亚，研究表明5岁以下儿童腹泻的患病率令人担忧。然而，关于埃塞俄比亚格希亚罗项目实施地点腹泻病预测因素的研究却很匮乏。因此，本研究旨在填补这一空白。
于2023年6月至7月开展了一项基于社区的横断面研究。本调查共纳入2937名参与者。使用STATA 16版进行描述性和多变量逻辑回归分析。
5岁以下儿童两周腹泻患病率为11.8%。以下因素与儿童腹泻的发生显著相关（<0.05）：儿童性别（调整后比值比：1.6；95%置信区间，1.17 - 2.19）、月龄（调整后比值比：0.5；95%置信区间，0.26 - 0.94）、饮用水供应（调整后比值比：2.6；95%置信区间，1.33 - 5.25）、腹泻预防知识（调整后比值比：1.4；95%置信区间，1.05 - 1.98）、露天排便习惯（调整后比值比：1.9；95%置信区间，1.33 - 2.74）以及轮状病毒疫苗接种（调整后比值比：1.8；95%置信区间，1.20 - 2.56）。
本研究确定了导致腹泻的几个因素。此外，研究还表明有大量儿童未接种基础疫苗。因此，政府和合作伙伴组织应实施有效干预措施，以提高疫苗接种覆盖率并减少腹泻。
