Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey
Abstract Background Diarrhoea is one of the major contributors to death among under-five children in Ethiopia. Studies conducted in different countries showed that rural children are more severely affected by diarrhoea than urban children. Thus, this study was aimed to identify the socio-demographic...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-05-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12887-020-02141-6 |
| _version_ | 1831691453409001472 |
|---|---|
| author | Melkamu Molla Ferede |
| author_facet | Melkamu Molla Ferede |
| author_sort | Melkamu Molla Ferede |
| collection | DOAJ |
| description | Abstract Background Diarrhoea is one of the major contributors to death among under-five children in Ethiopia. Studies conducted in different countries showed that rural children are more severely affected by diarrhoea than urban children. Thus, this study was aimed to identify the socio-demographic, environmental and behavioural associated risk factors of the occurrence of diarrhoea among under-five children in rural Ethiopia. Methods Data for the study was drawn from the 2016 Ethiopian Demographic and Health Survey. A total of 8041 under-five children were included in the study. Binary logistic regression was used to assess the association of occurrence of diarrhoea with socio-demographic, environmental and behavioural factors among under-five children. Results Children aged 6–11 months (AOR:3.5; 95% CI: 2.58–4.87), 12–23 months (AOR: 3.1; 95% CI: 2.33–4.04) and 24–35 months (AOR: 1.7; 95% CI: 1.26–2.34) as compared to > 35 months were significantly associated with an increasing prevalence of diarrhoea. Children in Afar region (AOR: 1.92; 95% CI: 1.01–3.64) and Gambela region (AOR: 2.12; 95% CI: 1.18, 3.81) were significantly associated with an increasing prevalence of diarrhoea, but a decreasing prevalence in Somali region (AOR: .42; 95% CI: (.217–.80) as compared to Tigray region. Increasing prevalence of diarrhoea was also significantly associated with male children (AOR: 1.3; 95% CI: 1.05–1.58); households who shared toilet facilities with other households (AOR: 1.4; 95% CI: 1.09–1.77); fourth birth order (AOR: 1.81; 95% CI: 1.17–2.79), and fifth and above birth order (AOR: 1.85; 95% CI: 1.22, 2.81) as compared to first order; and mother’s current age 35–49 years in a household with ≥3 under-five children (AOR: 4.7; 95% CI: 1.64–13.45) as compared to those maternal ages of 15–24 years in a household with ≤2 under-five children. Conclusion The age of a child, sex of a child, region, birth order, toilet facilities shared with other households and the interaction effect of the number of under-five children with mother’s current age are identified as associated risk factors for diarrhoea occurrence among under-five children in rural Ethiopia. The findings show the need for planning and implementing appropriate prevention strategies considering these risk factors for rural under-five children. |
| first_indexed | 2024-12-20T11:30:38Z |
| format | Article |
| id | doaj.art-e7082c7dc44f4e169c1657ebecc14463 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-20T11:30:38Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-e7082c7dc44f4e169c1657ebecc144632022-12-21T19:42:15ZengBMCBMC Pediatrics1471-24312020-05-012011910.1186/s12887-020-02141-6Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health surveyMelkamu Molla Ferede0Department of Statistics, College of Natural and Computational Science, University of GondarAbstract Background Diarrhoea is one of the major contributors to death among under-five children in Ethiopia. Studies conducted in different countries showed that rural children are more severely affected by diarrhoea than urban children. Thus, this study was aimed to identify the socio-demographic, environmental and behavioural associated risk factors of the occurrence of diarrhoea among under-five children in rural Ethiopia. Methods Data for the study was drawn from the 2016 Ethiopian Demographic and Health Survey. A total of 8041 under-five children were included in the study. Binary logistic regression was used to assess the association of occurrence of diarrhoea with socio-demographic, environmental and behavioural factors among under-five children. Results Children aged 6–11 months (AOR:3.5; 95% CI: 2.58–4.87), 12–23 months (AOR: 3.1; 95% CI: 2.33–4.04) and 24–35 months (AOR: 1.7; 95% CI: 1.26–2.34) as compared to > 35 months were significantly associated with an increasing prevalence of diarrhoea. Children in Afar region (AOR: 1.92; 95% CI: 1.01–3.64) and Gambela region (AOR: 2.12; 95% CI: 1.18, 3.81) were significantly associated with an increasing prevalence of diarrhoea, but a decreasing prevalence in Somali region (AOR: .42; 95% CI: (.217–.80) as compared to Tigray region. Increasing prevalence of diarrhoea was also significantly associated with male children (AOR: 1.3; 95% CI: 1.05–1.58); households who shared toilet facilities with other households (AOR: 1.4; 95% CI: 1.09–1.77); fourth birth order (AOR: 1.81; 95% CI: 1.17–2.79), and fifth and above birth order (AOR: 1.85; 95% CI: 1.22, 2.81) as compared to first order; and mother’s current age 35–49 years in a household with ≥3 under-five children (AOR: 4.7; 95% CI: 1.64–13.45) as compared to those maternal ages of 15–24 years in a household with ≤2 under-five children. Conclusion The age of a child, sex of a child, region, birth order, toilet facilities shared with other households and the interaction effect of the number of under-five children with mother’s current age are identified as associated risk factors for diarrhoea occurrence among under-five children in rural Ethiopia. The findings show the need for planning and implementing appropriate prevention strategies considering these risk factors for rural under-five children.http://link.springer.com/article/10.1186/s12887-020-02141-6DiarrhoeaRisk factorsUnder-five childrenRural Ethiopia |
| spellingShingle | Melkamu Molla Ferede Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey BMC Pediatrics Diarrhoea Risk factors Under-five children Rural Ethiopia |
| title | Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey |
| title_full | Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey |
| title_fullStr | Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey |
| title_full_unstemmed | Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey |
| title_short | Socio-demographic, environmental and behavioural risk factors of diarrhoea among under-five children in rural Ethiopia: further analysis of the 2016 Ethiopian demographic and health survey |
| title_sort | socio demographic environmental and behavioural risk factors of diarrhoea among under five children in rural ethiopia further analysis of the 2016 ethiopian demographic and health survey |
| topic | Diarrhoea Risk factors Under-five children Rural Ethiopia |
| url | http://link.springer.com/article/10.1186/s12887-020-02141-6 |
| work_keys_str_mv | AT melkamumollaferede sociodemographicenvironmentalandbehaviouralriskfactorsofdiarrhoeaamongunderfivechildreninruralethiopiafurtheranalysisofthe2016ethiopiandemographicandhealthsurvey |