Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional study

Abstract Background Uganda is among the 10 countries in the sub-Saharan Africa region that have the highest prevalence of diarrhoeal disease. Evidence suggests that the severity of childhood diarrhoeal disease is escalated through various sociodemographic and environmental factors. Objectives To ass...

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Main Authors: Nathan Ssekandi, Nonhlanhla Tlotleng, Nisha Naicker
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-023-08458-8
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author Nathan Ssekandi
Nonhlanhla Tlotleng
Nisha Naicker
author_facet Nathan Ssekandi
Nonhlanhla Tlotleng
Nisha Naicker
author_sort Nathan Ssekandi
collection DOAJ
description Abstract Background Uganda is among the 10 countries in the sub-Saharan Africa region that have the highest prevalence of diarrhoeal disease. Evidence suggests that the severity of childhood diarrhoeal disease is escalated through various sociodemographic and environmental factors. Objectives To assess prevalence of diarrheal illness in children below the age of 5 years in Uganda in 2016 and associated factors. Methods A cross-sectional study was employed that analyzed secondary data from the 2016 Uganda Demography and Health Surveys. Children with and without diarrhea were compared. A logistic regression was used to determine sociodemographic and environmental factors associated with diarrheal illness in children with statistical significance at p < 0.05. Results The prevalence of childhood diarrhoeal illness for children below the age of 5 years in Uganda was 20.9% (n = 2838/13,753). There was a statistically significant difference when comparing children diarrhoeal with the following sociodemographic factors: caregiver’s age, child’s age and gender and duration of breastfeeding (p < 0.0001). Children with a caregiver aged between 15 and 24 years (aOR;1.42; 95% CI:1.24–1.62) and 25–34 years (aOR;1.19; 95% CI:1.04–1.37) were more likely to report diarrhoeal disease, compared to those with a caregiver aged 35–49 years. For environmental factors, households using springs water, access to health facility and children who received a dose of vitamin A had a decreased risk of reporting children diarrhoeal. Conclusion Significant factors in the study like caregiver’s age, gender and duration of breastfeeding will create the opportunity for all interventions to shift their focus to these factors thus a better evidence-based approach to reducing of diarrhoeal disease will be achieved in the country.
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spelling doaj.art-261b2a2c79b445b5870d28e7201d340d2023-07-23T11:07:51ZengBMCBMC Infectious Diseases1471-23342023-07-0123111110.1186/s12879-023-08458-8Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional studyNathan Ssekandi0Nonhlanhla Tlotleng1Nisha Naicker2Epidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory ServicesEpidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory ServicesEpidemiology and Surveillance Section, National Institute for Occupational Health, National Health Laboratory ServicesAbstract Background Uganda is among the 10 countries in the sub-Saharan Africa region that have the highest prevalence of diarrhoeal disease. Evidence suggests that the severity of childhood diarrhoeal disease is escalated through various sociodemographic and environmental factors. Objectives To assess prevalence of diarrheal illness in children below the age of 5 years in Uganda in 2016 and associated factors. Methods A cross-sectional study was employed that analyzed secondary data from the 2016 Uganda Demography and Health Surveys. Children with and without diarrhea were compared. A logistic regression was used to determine sociodemographic and environmental factors associated with diarrheal illness in children with statistical significance at p < 0.05. Results The prevalence of childhood diarrhoeal illness for children below the age of 5 years in Uganda was 20.9% (n = 2838/13,753). There was a statistically significant difference when comparing children diarrhoeal with the following sociodemographic factors: caregiver’s age, child’s age and gender and duration of breastfeeding (p < 0.0001). Children with a caregiver aged between 15 and 24 years (aOR;1.42; 95% CI:1.24–1.62) and 25–34 years (aOR;1.19; 95% CI:1.04–1.37) were more likely to report diarrhoeal disease, compared to those with a caregiver aged 35–49 years. For environmental factors, households using springs water, access to health facility and children who received a dose of vitamin A had a decreased risk of reporting children diarrhoeal. Conclusion Significant factors in the study like caregiver’s age, gender and duration of breastfeeding will create the opportunity for all interventions to shift their focus to these factors thus a better evidence-based approach to reducing of diarrhoeal disease will be achieved in the country.https://doi.org/10.1186/s12879-023-08458-8DiarrhoeaSociodemographic factorsEnvironmental factorsChildren under fiveUganda
spellingShingle Nathan Ssekandi
Nonhlanhla Tlotleng
Nisha Naicker
Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional study
BMC Infectious Diseases
Diarrhoea
Sociodemographic factors
Environmental factors
Children under five
Uganda
title Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional study
title_full Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional study
title_fullStr Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional study
title_full_unstemmed Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional study
title_short Sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in Uganda, 2016: a cross-sectional study
title_sort sociodemographic and environmental factors associated with diarrhoeal illness in children under 5 years in uganda 2016 a cross sectional study
topic Diarrhoea
Sociodemographic factors
Environmental factors
Children under five
Uganda
url https://doi.org/10.1186/s12879-023-08458-8
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