Prevalence and risk factors of diarrhea diseases in Sierra Leone, 2019: a cross-sectional study

被引:7
作者
Bah, Doris [1 ]
Gebru, Gebrekrstos [2 ]
Hakizimana, Jean Leonard [2 ]
Ogbonna, Uzoma [2 ]
Sesay, Bockarie [1 ]
Bah, Binta [1 ]
Mansaray, Paul [1 ]
Charles, Joseph [1 ]
Jimmy, Aiah [1 ]
Leno, Amara [1 ]
Jalloh, Fatmata [1 ]
Sengu, Nyuma [1 ]
Sogbeh, Solomon [1 ]
Mansaray, Hamidu [1 ]
Kanneh, Lansan [1 ]
Elduma, Adel Hussein [2 ]
机构
[1] Minist Hlth & Sanitat, Freetown, Sierra Leone
[2] Sierra Leone Field Epidemiol Training Program, Freetown, Sierra Leone
关键词
Prevalence; diarrheal diseases; households; Sierra Leone; SHARED SANITATION; UNDER-5; CHILDREN; WATER; COMMUNITIES; HOUSEHOLD; DISTRICT; HYGIENE;
D O I
10.11604/pamj.2022.41.3.32403
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: many studies have shown that unimproved water sources, inadequate sanitation facilities and poor hygiene are the main causes of diarrhea) diseases, especially in developing countries. The aim of this study was to determine the prevalence and risk factors associated with diarrhea) diseases in Sierra Leone. Methods: a cross-sectional study was conducted in March 2019. We used a questionnaire to collect data from study participants. Descriptive statistical analysis was followed to determine frequencies and percentages. Univariate analysis was used to find any association between dependent variable and independent variables. Independent variables that had on association in univariate were included in the multivariate model. Results: we surveyed 1,002 households (516 in rural and 486 in urban), and 2,311 respondents in four districts. The main source of income was farming 437 (43.6%). A total of 49 (54.2%) households earned below the national minimum wage per month. Females represented 61.9% of respondents. A total of 242 (32.2%) households had one to five household members and 229 (30.5%) households had more than ten members. Around 88.9% of households in urban, and 42.2% rural areas use improved water sources. The prevalence of diarrheal diseases was 12.3%. Multivariate analysis showed that using of unimproved water sources (aOR=1.9; 95% CI, 1.01 to 3.63, p=0.045), and large family size (aOR= 2.5; 95% CI, 1.18 to 5.35, p=0.017) were associated with diarrheal disease. Conclusion: we concluded that the risk factors associated with diarrheal diseases included unimproved water sources and large family size. More efforts required to improve water resources, adequate sanitation, and hygiene, particularly in rural areas.
引用
收藏
页数:14
相关论文
共 27 条
[1]   Barriers to access improved water and sanitation in poor peri-urban settlements of Abidjan, Cote d'Ivoire [J].
Angoua, Eliachie Larissa Emeline ;
Dongo, Kouassi ;
Templeton, Michael R. ;
Zinsstag, Jakob ;
Bonfoh, Bassirou .
PLOS ONE, 2018, 13 (08)
[2]   Health Risk Perceptions Are Associated with Domestic Use of Basic Water and Sanitation Services-Evidence from Rural Ethiopia [J].
Anthonj, Carmen ;
Fleming, Lisa ;
Godfrey, Samuel ;
Ambelu, Argaw ;
Bevan, Jane ;
Cronk, Ryan ;
Bartram, Jamie .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2018, 15 (10)
[3]  
Bhandari GP, 2009, J NEPAL HLTH RES COU, V7
[4]   Heavy Rainfall Events and Diarrhea Incidence: The Role of Social and Environmental Factors [J].
Carlton, Elizabeth J. ;
Eisenberg, Joseph N. S. ;
Goldstick, Jason ;
Cevallos, William ;
Trostle, James ;
Levy, Karen .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2014, 179 (03) :344-352
[5]   Diarrhoea prevalence in children under five years of age in rural Burundi: an assessment of social and behavioural factors at the household level [J].
Diouf, Katharina ;
Tabatabai, Patrik ;
Rudolph, Jochen ;
Marx, Michael .
GLOBAL HEALTH ACTION, 2014, 7 :1-9
[6]   Water, sanitation and hygiene in developing countries: interventions and diarrhoea - a review [J].
Fewtrell, L ;
Colford, JM .
WATER SCIENCE AND TECHNOLOGY, 2005, 52 (08) :133-142
[7]   Hygiene and health: systematic review of handwashing practices worldwide and update of health effects [J].
Freeman, Matthew C. ;
Stocks, Meredith E. ;
Cumming, Oliver ;
Jeandron, Aurelie ;
Higgins, Julian P. T. ;
Wolf, Jennyfer ;
Pruess-Ustuen, Annette ;
Bonjour, Sophie ;
Hunter, Paul R. ;
Fewtrell, Lorna ;
Curtis, Valerie .
TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2014, 19 (08) :906-916
[8]   Factors associated with mortality in children under five years old hospitalized for Severe Acute Malnutrition in Limpopo province, South Africa, 2014-2018: A cross-sectional analytic study [J].
Gavhi, Fhatuwani ;
Kuonza, Lazarus ;
Musekiwa, Alfred ;
Motaze, Nkengafac Villyen .
PLOS ONE, 2020, 15 (05)
[9]   Shared Sanitation versus Individual Household Latrines in Urban Slums: A Cross-Sectional Study in Orissa, India [J].
Heijnen, Marieke ;
Routray, Parimita ;
Torondel, Belen ;
Clasen, Thomas .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2015, 93 (02) :263-268
[10]   Diarrhoeal Disease in Relation to Possible Household Risk Factors in South African Villages [J].
Kapwata, Thandi ;
Mathee, Angela ;
le Roux, Wouter Jacobus ;
Wright, Caradee Yael .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2018, 15 (08)