Determinants of diarrheal disease in children undergoing complementary feeding in a low‐income urban setting in Kenya
Objectives This study aimed to identify and characterise the determinants influencing the occurrence of diarrheal diseases in children aged 6–24 months undergoing complementary feeding within a low‐income urban community in Kenya. Methods This study followed a cross‐sectional design and recruited ca...
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| Veröffentlicht in: | Tropical medicine & international health 2024-09, Vol.29 (9), p.813-819 |
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| creator | Okeyo, Frida Adhiambo Nyang'echi, Edna Guyah, Bernard |
| description | Objectives
This study aimed to identify and characterise the determinants influencing the occurrence of diarrheal diseases in children aged 6–24 months undergoing complementary feeding within a low‐income urban community in Kenya.
Methods
This study followed a cross‐sectional design and recruited caregivers of children aged 6–24 months from 302 households. The dependent variable was the 2‐week diarrhoea prevalence among children, with independent variables including sociodemographic characteristics, child immunisation and feeding status, and water and sanitation facilities. Data analysis was performed using SPSS. Descriptive statistics and logistic regression analyses were used to assess associations between independent variables and the occurrence of diarrheal diseases.
Results
The majority of caregivers were female (n = 282, 93.4%), aged 25–34 years (n = 156, 51.7%), had attained secondary school education (n = 154, 51%), were unemployed (n = 162, 53.6%), and earned Ksh 10,000 (USD 100) or less. 296 (98%) indexed children were fully vaccinated against rotavirus. Most households used improved drinking water sources (n = 272, 90.1%). Most caregivers did not regularly wash their hands with soap and water (n = 225, 74.5%). The 2‐week diarrhoea prevalence among children was 34.1% (103/302), with 69.9% (72/103) of these cases seeking care at a healthcare facility. Logistic regression analysis revealed that children of caregivers earning Ksh 20,000 and below (aOR = 2.9[1.3–6.5], p = 0.01), and those from households using unimproved sanitation facilities (aOR = 1.9 [CI 1–3.4], p = 0.042), had significantly higher odds of having diarrhoea.
Conclusion
The study found a high prevalence of diarrhoea in Kenyan children aged 6–24 months, with caregiver income and household sanitation facilities significantly impacting the occurrence of the disease. The study suggests integrated approaches, including education, income generation, hygiene, and improved nutrition, to address the burden of diarrheal disease. |
| doi_str_mv | 10.1111/tmi.14035 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3079172716</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3079172716</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2435-9cca5920d05653d6c4da73e8c0a3679a42ce349c30b19f1cae54505c50fce05d3</originalsourceid><addsrcrecordid>eNp1kU1OwzAQhS0EoqWw4ALIEhtYpLXj2GmWqPxVgNiUdeTak9ZV4hQ7UdUdR-CMnAT3BxZIzGZGM5-eRu8hdE5Jn4YaNJXp04QwfoC6lAkeMcrF4XYmURynooNOvF8QQpKEi2PUYcMsYzQedtHqFhpwlbHSNh7XBdZGOjcHWYbJg_SAjcVqbkrtwOLWanCz2tgZVnW1LKEC20i3xgWA3mwDLHFZr74-Po0NCODWTaXFHppmf38Cu5an6KiQpYezfe-ht_u7yegxen59GI9uniMVJ4xHmVKSZzHRhAvOtFCJlimDoSKSiTSTSayAJZliZEqzgioJPOGEK04KBYRr1kNXO92lq99b8E1eGa-gLKWFuvU5I2lG0zilIqCXf9BF3TobvgtU8ItxHjzuoesdpVztvYMiXzpTBQtySvJNGnlII9-mEdiLvWI7rUD_kj_2B2CwA1amhPX_SvnkZbyT_AbkVJWm</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3099335540</pqid></control><display><type>article</type><title>Determinants of diarrheal disease in children undergoing complementary feeding in a low‐income urban setting in Kenya</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Okeyo, Frida Adhiambo ; Nyang'echi, Edna ; Guyah, Bernard</creator><creatorcontrib>Okeyo, Frida Adhiambo ; Nyang'echi, Edna ; Guyah, Bernard</creatorcontrib><description>Objectives
This study aimed to identify and characterise the determinants influencing the occurrence of diarrheal diseases in children aged 6–24 months undergoing complementary feeding within a low‐income urban community in Kenya.
Methods
This study followed a cross‐sectional design and recruited caregivers of children aged 6–24 months from 302 households. The dependent variable was the 2‐week diarrhoea prevalence among children, with independent variables including sociodemographic characteristics, child immunisation and feeding status, and water and sanitation facilities. Data analysis was performed using SPSS. Descriptive statistics and logistic regression analyses were used to assess associations between independent variables and the occurrence of diarrheal diseases.
Results
The majority of caregivers were female (n = 282, 93.4%), aged 25–34 years (n = 156, 51.7%), had attained secondary school education (n = 154, 51%), were unemployed (n = 162, 53.6%), and earned Ksh 10,000 (USD 100) or less. 296 (98%) indexed children were fully vaccinated against rotavirus. Most households used improved drinking water sources (n = 272, 90.1%). Most caregivers did not regularly wash their hands with soap and water (n = 225, 74.5%). The 2‐week diarrhoea prevalence among children was 34.1% (103/302), with 69.9% (72/103) of these cases seeking care at a healthcare facility. Logistic regression analysis revealed that children of caregivers earning Ksh 20,000 and below (aOR = 2.9[1.3–6.5], p = 0.01), and those from households using unimproved sanitation facilities (aOR = 1.9 [CI 1–3.4], p = 0.042), had significantly higher odds of having diarrhoea.
Conclusion
The study found a high prevalence of diarrhoea in Kenyan children aged 6–24 months, with caregiver income and household sanitation facilities significantly impacting the occurrence of the disease. The study suggests integrated approaches, including education, income generation, hygiene, and improved nutrition, to address the burden of diarrheal disease.</description><identifier>ISSN: 1360-2276</identifier><identifier>ISSN: 1365-3156</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/tmi.14035</identifier><identifier>PMID: 38993128</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Caregivers ; child health ; Children ; Childrens health ; complementary feeding ; Cross-sectional studies ; Data analysis ; Dependent variables ; Diarrhea ; Diarrhoea ; Drinking water ; Education ; Health care facilities ; Health education ; Households ; Hygiene ; Immunization ; Income ; Income generation ; Independent variables ; Low income groups ; Nutrition ; prevalence ; Public health ; Regression analysis ; Rotavirus ; Sanitation ; Sanitation facilities ; Sociodemographics ; Statistical analysis ; Urban areas ; Urban environments</subject><ispartof>Tropical medicine & international health, 2024-09, Vol.29 (9), p.813-819</ispartof><rights>2024 John Wiley & Sons Ltd</rights><rights>2024 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2435-9cca5920d05653d6c4da73e8c0a3679a42ce349c30b19f1cae54505c50fce05d3</cites><orcidid>0000-0002-6189-6299</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftmi.14035$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftmi.14035$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38993128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okeyo, Frida Adhiambo</creatorcontrib><creatorcontrib>Nyang'echi, Edna</creatorcontrib><creatorcontrib>Guyah, Bernard</creatorcontrib><title>Determinants of diarrheal disease in children undergoing complementary feeding in a low‐income urban setting in Kenya</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description>Objectives
This study aimed to identify and characterise the determinants influencing the occurrence of diarrheal diseases in children aged 6–24 months undergoing complementary feeding within a low‐income urban community in Kenya.
Methods
This study followed a cross‐sectional design and recruited caregivers of children aged 6–24 months from 302 households. The dependent variable was the 2‐week diarrhoea prevalence among children, with independent variables including sociodemographic characteristics, child immunisation and feeding status, and water and sanitation facilities. Data analysis was performed using SPSS. Descriptive statistics and logistic regression analyses were used to assess associations between independent variables and the occurrence of diarrheal diseases.
Results
The majority of caregivers were female (n = 282, 93.4%), aged 25–34 years (n = 156, 51.7%), had attained secondary school education (n = 154, 51%), were unemployed (n = 162, 53.6%), and earned Ksh 10,000 (USD 100) or less. 296 (98%) indexed children were fully vaccinated against rotavirus. Most households used improved drinking water sources (n = 272, 90.1%). Most caregivers did not regularly wash their hands with soap and water (n = 225, 74.5%). The 2‐week diarrhoea prevalence among children was 34.1% (103/302), with 69.9% (72/103) of these cases seeking care at a healthcare facility. Logistic regression analysis revealed that children of caregivers earning Ksh 20,000 and below (aOR = 2.9[1.3–6.5], p = 0.01), and those from households using unimproved sanitation facilities (aOR = 1.9 [CI 1–3.4], p = 0.042), had significantly higher odds of having diarrhoea.
Conclusion
The study found a high prevalence of diarrhoea in Kenyan children aged 6–24 months, with caregiver income and household sanitation facilities significantly impacting the occurrence of the disease. The study suggests integrated approaches, including education, income generation, hygiene, and improved nutrition, to address the burden of diarrheal disease.</description><subject>Caregivers</subject><subject>child health</subject><subject>Children</subject><subject>Childrens health</subject><subject>complementary feeding</subject><subject>Cross-sectional studies</subject><subject>Data analysis</subject><subject>Dependent variables</subject><subject>Diarrhea</subject><subject>Diarrhoea</subject><subject>Drinking water</subject><subject>Education</subject><subject>Health care facilities</subject><subject>Health education</subject><subject>Households</subject><subject>Hygiene</subject><subject>Immunization</subject><subject>Income</subject><subject>Income generation</subject><subject>Independent variables</subject><subject>Low income groups</subject><subject>Nutrition</subject><subject>prevalence</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Rotavirus</subject><subject>Sanitation</subject><subject>Sanitation facilities</subject><subject>Sociodemographics</subject><subject>Statistical analysis</subject><subject>Urban areas</subject><subject>Urban environments</subject><issn>1360-2276</issn><issn>1365-3156</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp1kU1OwzAQhS0EoqWw4ALIEhtYpLXj2GmWqPxVgNiUdeTak9ZV4hQ7UdUdR-CMnAT3BxZIzGZGM5-eRu8hdE5Jn4YaNJXp04QwfoC6lAkeMcrF4XYmURynooNOvF8QQpKEi2PUYcMsYzQedtHqFhpwlbHSNh7XBdZGOjcHWYbJg_SAjcVqbkrtwOLWanCz2tgZVnW1LKEC20i3xgWA3mwDLHFZr74-Po0NCODWTaXFHppmf38Cu5an6KiQpYezfe-ht_u7yegxen59GI9uniMVJ4xHmVKSZzHRhAvOtFCJlimDoSKSiTSTSayAJZliZEqzgioJPOGEK04KBYRr1kNXO92lq99b8E1eGa-gLKWFuvU5I2lG0zilIqCXf9BF3TobvgtU8ItxHjzuoesdpVztvYMiXzpTBQtySvJNGnlII9-mEdiLvWI7rUD_kj_2B2CwA1amhPX_SvnkZbyT_AbkVJWm</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Okeyo, Frida Adhiambo</creator><creator>Nyang'echi, Edna</creator><creator>Guyah, Bernard</creator><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6189-6299</orcidid></search><sort><creationdate>202409</creationdate><title>Determinants of diarrheal disease in children undergoing complementary feeding in a low‐income urban setting in Kenya</title><author>Okeyo, Frida Adhiambo ; Nyang'echi, Edna ; Guyah, Bernard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2435-9cca5920d05653d6c4da73e8c0a3679a42ce349c30b19f1cae54505c50fce05d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Caregivers</topic><topic>child health</topic><topic>Children</topic><topic>Childrens health</topic><topic>complementary feeding</topic><topic>Cross-sectional studies</topic><topic>Data analysis</topic><topic>Dependent variables</topic><topic>Diarrhea</topic><topic>Diarrhoea</topic><topic>Drinking water</topic><topic>Education</topic><topic>Health care facilities</topic><topic>Health education</topic><topic>Households</topic><topic>Hygiene</topic><topic>Immunization</topic><topic>Income</topic><topic>Income generation</topic><topic>Independent variables</topic><topic>Low income groups</topic><topic>Nutrition</topic><topic>prevalence</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Rotavirus</topic><topic>Sanitation</topic><topic>Sanitation facilities</topic><topic>Sociodemographics</topic><topic>Statistical analysis</topic><topic>Urban areas</topic><topic>Urban environments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okeyo, Frida Adhiambo</creatorcontrib><creatorcontrib>Nyang'echi, Edna</creatorcontrib><creatorcontrib>Guyah, Bernard</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okeyo, Frida Adhiambo</au><au>Nyang'echi, Edna</au><au>Guyah, Bernard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of diarrheal disease in children undergoing complementary feeding in a low‐income urban setting in Kenya</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2024-09</date><risdate>2024</risdate><volume>29</volume><issue>9</issue><spage>813</spage><epage>819</epage><pages>813-819</pages><issn>1360-2276</issn><issn>1365-3156</issn><eissn>1365-3156</eissn><abstract>Objectives
This study aimed to identify and characterise the determinants influencing the occurrence of diarrheal diseases in children aged 6–24 months undergoing complementary feeding within a low‐income urban community in Kenya.
Methods
This study followed a cross‐sectional design and recruited caregivers of children aged 6–24 months from 302 households. The dependent variable was the 2‐week diarrhoea prevalence among children, with independent variables including sociodemographic characteristics, child immunisation and feeding status, and water and sanitation facilities. Data analysis was performed using SPSS. Descriptive statistics and logistic regression analyses were used to assess associations between independent variables and the occurrence of diarrheal diseases.
Results
The majority of caregivers were female (n = 282, 93.4%), aged 25–34 years (n = 156, 51.7%), had attained secondary school education (n = 154, 51%), were unemployed (n = 162, 53.6%), and earned Ksh 10,000 (USD 100) or less. 296 (98%) indexed children were fully vaccinated against rotavirus. Most households used improved drinking water sources (n = 272, 90.1%). Most caregivers did not regularly wash their hands with soap and water (n = 225, 74.5%). The 2‐week diarrhoea prevalence among children was 34.1% (103/302), with 69.9% (72/103) of these cases seeking care at a healthcare facility. Logistic regression analysis revealed that children of caregivers earning Ksh 20,000 and below (aOR = 2.9[1.3–6.5], p = 0.01), and those from households using unimproved sanitation facilities (aOR = 1.9 [CI 1–3.4], p = 0.042), had significantly higher odds of having diarrhoea.
Conclusion
The study found a high prevalence of diarrhoea in Kenyan children aged 6–24 months, with caregiver income and household sanitation facilities significantly impacting the occurrence of the disease. The study suggests integrated approaches, including education, income generation, hygiene, and improved nutrition, to address the burden of diarrheal disease.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>38993128</pmid><doi>10.1111/tmi.14035</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6189-6299</orcidid></addata></record> |
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| ispartof | Tropical medicine & international health, 2024-09, Vol.29 (9), p.813-819 |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Caregivers child health Children Childrens health complementary feeding Cross-sectional studies Data analysis Dependent variables Diarrhea Diarrhoea Drinking water Education Health care facilities Health education Households Hygiene Immunization Income Income generation Independent variables Low income groups Nutrition prevalence Public health Regression analysis Rotavirus Sanitation Sanitation facilities Sociodemographics Statistical analysis Urban areas Urban environments |
| title | Determinants of diarrheal disease in children undergoing complementary feeding in a low‐income urban setting in Kenya |
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