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Determinants of Diarrhea Among Children Aged 1 to 6 Years in Flood-Affected Areas of Pakistan: A Cross-Sectional Study.
Haq, Ijaz Ul; Mehmood, Zafar; Ahmed, Bilal; Shah, Jahan; Begum, Nabila; Hajira, Bibi; Xu, Jielian; Wang, Shengru.
Afiliación
  • Haq IU; Department of Public Health & Nutrition, The University of Haripur, Haripur, Pakistan.
  • Mehmood Z; Department of Maths, Stats & Computer Science, The University of Agriculture, Peshawar, Pakistan.
  • Ahmed B; School of Pharmacy, Nanjing Medical University, Nanjing, China.
  • Shah J; Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing, China.
  • Begum N; School of Medicine, Foshan University, Foshan, China.
  • Hajira B; Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan.
  • Xu J; Department of Clinical Nutrition, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, China.
  • Wang S; Department of Clinical Nutrition, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, China.
Am J Trop Med Hyg ; 110(2): 323-330, 2024 02 07.
Article en En | MEDLINE | ID: mdl-38109773
ABSTRACT
Frequent floods can contribute to the spread of various diseases and complications, some of which may result in diarrhea, especially among children. The current study aimed to find the determinants of diarrhea among children aged 1-6 years in flood-affected areas in Khyber Pakhtunkhwa, Pakistan. A cross-sectional study was conducted in flood-affected districts. Data regarding sociodemographic information related to diarrhea and anthropometric data were collected through a validated questionnaire. Logistic regression was used to find the determinants of diarrhea. In the presence of diarrhea, the prevalences found of stunting, wasting, and being underweight were 75.2%, 76.5%, and 74.1%, respectively, which is higher than those in children without diarrhea (stunting, 24.8%; wasting, 23.5%; and being underweight, 25.9%). In bivariate regression, children aged 2-4 years (odds ratio [OR] = 1.65, P < 0.05), large family size (OR = 7.46, P < 0.01), low income (OR = 2.55, < 0.001), bathing in ponds (OR = 3.05, P < 0.05), drinking of untreated water (OR = 3, P < 0.05), flooding (OR = 1.8, P < 0.05), children living in mud houses (OR = 1.5, P < 0.05), and usage of utensils without lids (OR = 1.96, P < 0.001) were significantly associated with occurrence of diarrhea. In multivariate regression, the identified risk factors (P < 0.05) for diarrhea in flood-affected areas included illiterate mothers, flooding, large family size, households without livestock, poor water quality, untreated water, and lack of toilet facilities. In conclusion, addressing the determinants of diarrhea identified in this study is crucial for mitigating the impact of frequent floods on children in flood-affected areas. Moreover, the higher prevalence of malnutrition underscores the urgent need for comprehensive strategies and proper water, sanitation, and hygiene programs to reduce the occurrence and determinants of diarrhea.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Delgadez / Inundaciones Límite: Child / Female / Humans / Infant País/Región como asunto: Asia Idioma: En Revista: Am J Trop Med Hyg Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Delgadez / Inundaciones Límite: Child / Female / Humans / Infant País/Región como asunto: Asia Idioma: En Revista: Am J Trop Med Hyg Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Estados Unidos