Prevalence of diarrhoea and risk factors among children under five years old in Mbour,Senegal:a cross-sectional study

作     者：Sokhna Thiam Aminata N.Diene Samuel Fuhrimann Mirko S.Winkler Ibrahima Sy Jacques A.Ndione Christian Schindler Penelope Vounatsou Jurg Utzinger Ousmane Faye Gueladio Cisse Thiam Sokhna;Diène Aminata N.;Fuhrimann Samuel;Winkler Mirko S.;Sy Ibrahima;Ndione Jacques A.;Schindler Christian;Vounatsou Penelope;Utzinger Jürg;Faye Ousmane;Cissé Guéladio

作者机构：Swiss Tropical and Public Health InstituteP.O.BoxCH-4002 BaselSwitzerland University of BaselP.O.BoxCH-4003 BaselSwitzerland Departement de GeographieUniversiteCheikh Anta Diop de DakarBP 5005 DakarSenegal Centre de Suivi EcologiqueBP 15532 Dakar-FannSenegal Departement de Biologie AnimaleUniversiteCheikh Anta Diop de DakarBP 5005 DakarSenegal 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2017年第6卷第1期

页      面：976-987页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

基　　金：This study received financial support from l’Agence Universitaire de la Francophonie and from the Swiss government through the Swiss Government Excellence Scholarships for Foreign Scholars(ESKAS scholarship)research training at the Swiss Tropical and Public Health Institute an associated institute of the University of Basel.The funders had a supporting role in the data collection analysis and preparation of the manuscript. 

主　　题：Children under five year-old Cross-sectional survey Diarrhoea Multivariable logistic regression Risk factor Senegal 

摘      要：Background:Diarrhoeal diseases remain an important cause of mortality and morbidity among children,particularly in low-and middle-income countries.In Senegal,diarrhoea is responsible for 15%of all deaths in children under the age of five and is the third leading cause of childhood deaths.For targeted planning and implementation of prevention strategies,a context-specific understanding of the determinants of diarrhoeal diseases is needed.The aim of this study was to identify risk factors of diarrhoeal diseases in children under the age of five in Mbour,Senegal.Methods:Between February and March 2014,a cross-sectional survey was conducted in four zones of Mbour to estimate the burden of diarrhoeal diseases(i.***.diarrhoea episodes in the 2 weeks preceding the survey)and associated risk factors.The zones covered urban central,peri-central,north peripheral and south peripheral areas.Overall,596 households were surveyed by a questionnaire,yielding information on sociodemographic,environmental and hygiene behavioural factors.Univariable and multivariable logistic regression analyses were used to identify risk factors associated with the occurrence of diarrhoea.Results:The reported prevalence of diarrhoea among children under the age of five during the 2 weeks preceding the survey was 26%.Without adjustment,the highest diarrhoea prevalence rates were observed in the peri-central(44.8%)and urban central zones(36.3%).Multivariable regression revealed significant associations between diarrhoeal diseases and unemployment of mothers(adjusted odds ratio[aOR]=1.62,95%confidence interval[CI]:1.18-2.23),use of open bags for storing household waste(aOR=1.75,95%CI:1.00-3.02),evacuation of household waste in public streets(aOR=2.07,95%CI:1.20-3.55),no treatment of stored drinking water(aOR=1.69,95%CI:1.11-2.56)and use of shared toilets(aOR=1.69,95%CI:1.11-2.56).Conclusion:We found a high prevalence of diarrhoea in children under the age of five in Mbour,with the highest prevalence occurring in the central and peri-central areas.These findings underscore the need for public health interventions to alleviate the burden of diarrhoea among vulnerable groups.Promotion of solid waste disposal and reduction of wastewater exposure should be implemented without delay.