Risk factors for acute childhood diarrhea: A cross-sectional study comparing refugee camps and host communities in Gambella Region, Ethiopia
AbstractBackgroundDiarrhea is one of the most common causes of child morbidity and mortality in refugee camps, aggravated by inadequate water, sanitation and hygiene services, and malnutrition, particularly in developing countries. MethodologyA comparative cross-sectional study was conducted to asse...
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| Veröffentlicht in: | Travel medicine and infectious disease 2019-09, Vol.31, p.101385-101385, Article 101385 |
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| creator | Mekonnen, Getachew Kabew Alemu, Bezatu Mengistie Mulat, Worku Sahilu, Geremew Kloos, Helmut |
| description | AbstractBackgroundDiarrhea is one of the most common causes of child morbidity and mortality in refugee camps, aggravated by inadequate water, sanitation and hygiene services, and malnutrition, particularly in developing countries. MethodologyA comparative cross-sectional study was conducted to assess acute diarrhea and associated risk factors among under-five children in refugee and host communities in Gambella Region, Ethiopia. Descriptive statistics were used, and bivariate and multivariate logistic regressions were performed to identify variables associated with diarrhea. ResultsA total of 1667 under-five children was included in this study, and prevalence of diarrhea differed between the refugee (38%) and host (33%) communities [OR = 1.37, 95% CI 1.04, 1.8]. Refugee camp households using uncovered water containers, consuming low quantities of water, and lacking hand washing setups were more likely to report children with diarrhea. Within host communities, households were more likely to report acute childhood diarrhea if they consumed surface water or did not have a latrine. ConclusionThe two-week prevalence of diarrhea was significantly higher among children in the refugee camps than those in the host communities. Therefore, further collaboration between government and non-government organizations is required to identify persisting factors of diarrhea transmission in various communities in the region. |
| doi_str_mv | 10.1016/j.tmaid.2019.02.003 |
| format | Article |
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MethodologyA comparative cross-sectional study was conducted to assess acute diarrhea and associated risk factors among under-five children in refugee and host communities in Gambella Region, Ethiopia. Descriptive statistics were used, and bivariate and multivariate logistic regressions were performed to identify variables associated with diarrhea. ResultsA total of 1667 under-five children was included in this study, and prevalence of diarrhea differed between the refugee (38%) and host (33%) communities [OR = 1.37, 95% CI 1.04, 1.8]. Refugee camp households using uncovered water containers, consuming low quantities of water, and lacking hand washing setups were more likely to report children with diarrhea. Within host communities, households were more likely to report acute childhood diarrhea if they consumed surface water or did not have a latrine. ConclusionThe two-week prevalence of diarrhea was significantly higher among children in the refugee camps than those in the host communities. Therefore, further collaboration between government and non-government organizations is required to identify persisting factors of diarrhea transmission in various communities in the region.</description><identifier>ISSN: 1477-8939</identifier><identifier>EISSN: 1873-0442</identifier><identifier>DOI: 10.1016/j.tmaid.2019.02.003</identifier><identifier>PMID: 30772602</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Age ; Caregivers ; Child, Preschool ; Childhood ; Children ; Children & youth ; Cross-Sectional Studies ; Developing countries ; Diarrhea ; Diarrhea - epidemiology ; Disease ; Displaced persons ; Drinking Water - standards ; Ethiopia ; Gambella ; Households ; Human settlements ; Humans ; Hygiene ; Infant ; Infectious Disease ; Infectious diseases ; LDCs ; Logistic Models ; Malnutrition ; Morbidity ; Mortality ; Organizations ; Population ; Prevalence ; Refugee camps ; Refugee Camps - statistics & numerical data ; Refugees ; Risk Factors ; Sociodemographics ; Statistical methods ; Surface water ; Travel medicine ; Under-five</subject><ispartof>Travel medicine and infectious disease, 2019-09, Vol.31, p.101385-101385, Article 101385</ispartof><rights>Elsevier Ltd</rights><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>2019. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-f847368695f7f84b49d43781961997bbd43351bc98fcd4d7b27fef39c4c0a0863</citedby><cites>FETCH-LOGICAL-c442t-f847368695f7f84b49d43781961997bbd43351bc98fcd4d7b27fef39c4c0a0863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1477893919300341$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30772602$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mekonnen, Getachew Kabew</creatorcontrib><creatorcontrib>Alemu, Bezatu Mengistie</creatorcontrib><creatorcontrib>Mulat, Worku</creatorcontrib><creatorcontrib>Sahilu, Geremew</creatorcontrib><creatorcontrib>Kloos, Helmut</creatorcontrib><title>Risk factors for acute childhood diarrhea: A cross-sectional study comparing refugee camps and host communities in Gambella Region, Ethiopia</title><title>Travel medicine and infectious disease</title><addtitle>Travel Med Infect Dis</addtitle><description>AbstractBackgroundDiarrhea is one of the most common causes of child morbidity and mortality in refugee camps, aggravated by inadequate water, sanitation and hygiene services, and malnutrition, particularly in developing countries. MethodologyA comparative cross-sectional study was conducted to assess acute diarrhea and associated risk factors among under-five children in refugee and host communities in Gambella Region, Ethiopia. Descriptive statistics were used, and bivariate and multivariate logistic regressions were performed to identify variables associated with diarrhea. ResultsA total of 1667 under-five children was included in this study, and prevalence of diarrhea differed between the refugee (38%) and host (33%) communities [OR = 1.37, 95% CI 1.04, 1.8]. Refugee camp households using uncovered water containers, consuming low quantities of water, and lacking hand washing setups were more likely to report children with diarrhea. Within host communities, households were more likely to report acute childhood diarrhea if they consumed surface water or did not have a latrine. ConclusionThe two-week prevalence of diarrhea was significantly higher among children in the refugee camps than those in the host communities. Therefore, further collaboration between government and non-government organizations is required to identify persisting factors of diarrhea transmission in various communities in the region.</description><subject>Age</subject><subject>Caregivers</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cross-Sectional Studies</subject><subject>Developing countries</subject><subject>Diarrhea</subject><subject>Diarrhea - epidemiology</subject><subject>Disease</subject><subject>Displaced persons</subject><subject>Drinking Water - standards</subject><subject>Ethiopia</subject><subject>Gambella</subject><subject>Households</subject><subject>Human settlements</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infant</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>LDCs</subject><subject>Logistic Models</subject><subject>Malnutrition</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Organizations</subject><subject>Population</subject><subject>Prevalence</subject><subject>Refugee camps</subject><subject>Refugee Camps - statistics & numerical data</subject><subject>Refugees</subject><subject>Risk Factors</subject><subject>Sociodemographics</subject><subject>Statistical methods</subject><subject>Surface water</subject><subject>Travel medicine</subject><subject>Under-five</subject><issn>1477-8939</issn><issn>1873-0442</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFklFr1TAUx4sobk4_gSABX3xYa9LkNomgMMacwkCY-hzSJL3NXdt0SSrc77AP7enu3MNefMoJ_P4nOf__KYq3BFcEk-bjrsqj9raqMZEVriuM6bPimAhOS8xY_RxqxnkpJJVHxauUdgBsBKMviyOKOa8bXB8Xd9c-3aBOmxxiQl2ISJslO2R6P9g-BIus1zH2Tn9CZ8jEkFKZnMk-THpAKS92j0wYZx39tEXRdcvWgVqPc0J6sqgPKa_AuEw-e5eQn9ClHls3DBpduy30OUUXufdh9vp18aLTQ3JvHs6T4vfXi1_n38qrH5ffz8-uSgNz5bITjNNGNHLTcahbJi2jXBDZECl528KNbkhrpOiMZZa3Ne9cR6VhBmssGnpSfDj0nWO4XVzKavTJrF-aXFiSqomgRBBcM0DfP0F3YYkwO1DgIm0aTChQ9EDdGwQuqDn6Uce9IlitYamdug9LrWEpXCvIAlTvHnov7ejso-ZfOgB8PgAOzPjjXVTJeDcZZ32EDJQN_j8PfHmiN4OfvNHDjdu79DgJUQkE6ue6L-u6EElBzgj9CyR0u_g</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Mekonnen, Getachew Kabew</creator><creator>Alemu, Bezatu Mengistie</creator><creator>Mulat, Worku</creator><creator>Sahilu, Geremew</creator><creator>Kloos, Helmut</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H95</scope><scope>H97</scope><scope>K9.</scope><scope>KB0</scope><scope>L.G</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20190901</creationdate><title>Risk factors for acute childhood diarrhea: A cross-sectional study comparing refugee camps and host communities in Gambella Region, Ethiopia</title><author>Mekonnen, Getachew Kabew ; Alemu, Bezatu Mengistie ; Mulat, Worku ; Sahilu, Geremew ; Kloos, Helmut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-f847368695f7f84b49d43781961997bbd43351bc98fcd4d7b27fef39c4c0a0863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Caregivers</topic><topic>Child, Preschool</topic><topic>Childhood</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cross-Sectional Studies</topic><topic>Developing countries</topic><topic>Diarrhea</topic><topic>Diarrhea - epidemiology</topic><topic>Disease</topic><topic>Displaced persons</topic><topic>Drinking Water - standards</topic><topic>Ethiopia</topic><topic>Gambella</topic><topic>Households</topic><topic>Human settlements</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Infant</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>LDCs</topic><topic>Logistic Models</topic><topic>Malnutrition</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Organizations</topic><topic>Population</topic><topic>Prevalence</topic><topic>Refugee camps</topic><topic>Refugee Camps - statistics & numerical data</topic><topic>Refugees</topic><topic>Risk Factors</topic><topic>Sociodemographics</topic><topic>Statistical methods</topic><topic>Surface water</topic><topic>Travel medicine</topic><topic>Under-five</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mekonnen, Getachew Kabew</creatorcontrib><creatorcontrib>Alemu, Bezatu Mengistie</creatorcontrib><creatorcontrib>Mulat, Worku</creatorcontrib><creatorcontrib>Sahilu, Geremew</creatorcontrib><creatorcontrib>Kloos, Helmut</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Travel medicine and infectious disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mekonnen, Getachew Kabew</au><au>Alemu, Bezatu Mengistie</au><au>Mulat, Worku</au><au>Sahilu, Geremew</au><au>Kloos, Helmut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for acute childhood diarrhea: A cross-sectional study comparing refugee camps and host communities in Gambella Region, Ethiopia</atitle><jtitle>Travel medicine and infectious disease</jtitle><addtitle>Travel Med Infect Dis</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>31</volume><spage>101385</spage><epage>101385</epage><pages>101385-101385</pages><artnum>101385</artnum><issn>1477-8939</issn><eissn>1873-0442</eissn><abstract>AbstractBackgroundDiarrhea is one of the most common causes of child morbidity and mortality in refugee camps, aggravated by inadequate water, sanitation and hygiene services, and malnutrition, particularly in developing countries. MethodologyA comparative cross-sectional study was conducted to assess acute diarrhea and associated risk factors among under-five children in refugee and host communities in Gambella Region, Ethiopia. Descriptive statistics were used, and bivariate and multivariate logistic regressions were performed to identify variables associated with diarrhea. ResultsA total of 1667 under-five children was included in this study, and prevalence of diarrhea differed between the refugee (38%) and host (33%) communities [OR = 1.37, 95% CI 1.04, 1.8]. Refugee camp households using uncovered water containers, consuming low quantities of water, and lacking hand washing setups were more likely to report children with diarrhea. Within host communities, households were more likely to report acute childhood diarrhea if they consumed surface water or did not have a latrine. ConclusionThe two-week prevalence of diarrhea was significantly higher among children in the refugee camps than those in the host communities. Therefore, further collaboration between government and non-government organizations is required to identify persisting factors of diarrhea transmission in various communities in the region.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>30772602</pmid><doi>10.1016/j.tmaid.2019.02.003</doi><tpages>1</tpages></addata></record> |
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| subjects | Age Caregivers Child, Preschool Childhood Children Children & youth Cross-Sectional Studies Developing countries Diarrhea Diarrhea - epidemiology Disease Displaced persons Drinking Water - standards Ethiopia Gambella Households Human settlements Humans Hygiene Infant Infectious Disease Infectious diseases LDCs Logistic Models Malnutrition Morbidity Mortality Organizations Population Prevalence Refugee camps Refugee Camps - statistics & numerical data Refugees Risk Factors Sociodemographics Statistical methods Surface water Travel medicine Under-five |
| title | Risk factors for acute childhood diarrhea: A cross-sectional study comparing refugee camps and host communities in Gambella Region, Ethiopia |
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