Country characteristics and acute diarrhea in children from developing nations: A multilevel study

"Background: Each year 2.5 billion cases of diarrheal disease are reported in children under five years, and over 1,000 die. Country characteristics could play a role on this situation. We explored associations between country characteristics and diarrheal disease in children under 5 years of a...

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Autores Principales: "Pinzón-Rondón, Ángela María, Zárate-Ardila, Carol, Hoyos-Martínez, Alfonso, Ruiz-Sternberg, Ángela María, Vélez-van-Meerbeke, Alberto"
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: BioMed Central Ltd. 2015
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/23583
https://doi.org/10.1186/s12889-015-2120-8
id ir-10336-23583
recordtype dspace
spelling ir-10336-235832020-06-03T22:15:12Z Country characteristics and acute diarrhea in children from developing nations: A multilevel study "Pinzón-Rondón, Ángela María Zárate-Ardila, Carol Hoyos-Martínez, Alfonso Ruiz-Sternberg, Ángela María Vélez-van-Meerbeke, Alberto" "Adult Cross-sectional study Developing country Diarrhea, infantile Family size Female Health Health survey Human Infant Male Preschool child Prevalence Socioeconomics Adult Child, preschool Cross-sectional studies Developing countries Diarrhea, infantile Family characteristics Female Global health Health surveys Humans Infant Male Prevalence Socioeconomic factors" "Background: Each year 2.5 billion cases of diarrheal disease are reported in children under five years, and over 1,000 die. Country characteristics could play a role on this situation. We explored associations between country characteristics and diarrheal disease in children under 5 years of age, adjusting by child, mother and household attributes in developing countries. Methods: This study included 348,706 children from 40 nations. We conducted a multilevel analysis of data from the Demographic and Health Surveys and the World Bank. Results: The prevalence of acute diarrhea was 14 %. Country inequalities (OR = 1.335; 95 % CI 1.117-1.663) and country's low income (OR = 1.488; 95 % CI 1.024-2.163) were associated with diarrhea, and these country characteristics changed the associations of well-known determinants of diarrhea. Specifically, living in poor countries strengthens the association of poor household wealth and mother's lack of education with the disease. Other factors associated with diarrhea were female sex of the child (OR = 0.922; 95 % CI 0.900-0.944), age of the child (OR = 0.978; 95 % CI 0.978-0.979), immunization status (OR = 0.821; 95 % CI 0.799-0.843), normal birthweight (OR = 0.879; 95 % CI 0.834-0.926), maternal age (OR = 0.987; 95 % CI 0.985-0.989), lack of maternal education (OR = 1.416; 95 % CI 1.283-1.564), working status of the mother (OR = 1.136; 95 % CI 1.106-1.167), planned pregnancy (OR = 0.774; 95 % CI 0.753-0.795), a nuclear family structure (OR = 0.949; 95 % CI 0.923-0.975), and household wealth (OR = 0.948; 95 % CI 0.921-0.977). Conclusions: Inequalities and lack of resources at the country level in developing countries -but not health expenditure- were associated with acute diarrhea, independently of child, family and household features. The broad environment considerably modifies well-known social determinants of acute diarrhea and public health campaigns designed to target diarrhea should consider macro characteristics of the country. © 2015 Pinzón-Rondón et al." 2015 2020-05-26T00:03:21Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 14712458 https://repository.urosario.edu.co/handle/10336/23583 https://doi.org/10.1186/s12889-015-2120-8 eng info:eu-repo/semantics/openAccess application/pdf BioMed Central Ltd. instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR
institution EdocUR - Universidad del Rosario
collection DSpace
language Inglés (English)
topic "Adult
Cross-sectional study
Developing country
Diarrhea, infantile
Family size
Female
Health
Health survey
Human
Infant
Male
Preschool child
Prevalence
Socioeconomics
Adult
Child, preschool
Cross-sectional studies
Developing countries
Diarrhea, infantile
Family characteristics
Female
Global health
Health surveys
Humans
Infant
Male
Prevalence
Socioeconomic factors"
spellingShingle "Adult
Cross-sectional study
Developing country
Diarrhea, infantile
Family size
Female
Health
Health survey
Human
Infant
Male
Preschool child
Prevalence
Socioeconomics
Adult
Child, preschool
Cross-sectional studies
Developing countries
Diarrhea, infantile
Family characteristics
Female
Global health
Health surveys
Humans
Infant
Male
Prevalence
Socioeconomic factors"
"Pinzón-Rondón, Ángela María
Zárate-Ardila, Carol
Hoyos-Martínez, Alfonso
Ruiz-Sternberg, Ángela María
Vélez-van-Meerbeke, Alberto"
Country characteristics and acute diarrhea in children from developing nations: A multilevel study
description "Background: Each year 2.5 billion cases of diarrheal disease are reported in children under five years, and over 1,000 die. Country characteristics could play a role on this situation. We explored associations between country characteristics and diarrheal disease in children under 5 years of age, adjusting by child, mother and household attributes in developing countries. Methods: This study included 348,706 children from 40 nations. We conducted a multilevel analysis of data from the Demographic and Health Surveys and the World Bank. Results: The prevalence of acute diarrhea was 14 %. Country inequalities (OR = 1.335; 95 % CI 1.117-1.663) and country's low income (OR = 1.488; 95 % CI 1.024-2.163) were associated with diarrhea, and these country characteristics changed the associations of well-known determinants of diarrhea. Specifically, living in poor countries strengthens the association of poor household wealth and mother's lack of education with the disease. Other factors associated with diarrhea were female sex of the child (OR = 0.922; 95 % CI 0.900-0.944), age of the child (OR = 0.978; 95 % CI 0.978-0.979), immunization status (OR = 0.821; 95 % CI 0.799-0.843), normal birthweight (OR = 0.879; 95 % CI 0.834-0.926), maternal age (OR = 0.987; 95 % CI 0.985-0.989), lack of maternal education (OR = 1.416; 95 % CI 1.283-1.564), working status of the mother (OR = 1.136; 95 % CI 1.106-1.167), planned pregnancy (OR = 0.774; 95 % CI 0.753-0.795), a nuclear family structure (OR = 0.949; 95 % CI 0.923-0.975), and household wealth (OR = 0.948; 95 % CI 0.921-0.977). Conclusions: Inequalities and lack of resources at the country level in developing countries -but not health expenditure- were associated with acute diarrhea, independently of child, family and household features. The broad environment considerably modifies well-known social determinants of acute diarrhea and public health campaigns designed to target diarrhea should consider macro characteristics of the country. © 2015 Pinzón-Rondón et al."
format Artículo (Article)
author "Pinzón-Rondón, Ángela María
Zárate-Ardila, Carol
Hoyos-Martínez, Alfonso
Ruiz-Sternberg, Ángela María
Vélez-van-Meerbeke, Alberto"
author_facet "Pinzón-Rondón, Ángela María
Zárate-Ardila, Carol
Hoyos-Martínez, Alfonso
Ruiz-Sternberg, Ángela María
Vélez-van-Meerbeke, Alberto"
author_sort "Pinzón-Rondón, Ángela María
title Country characteristics and acute diarrhea in children from developing nations: A multilevel study
title_short Country characteristics and acute diarrhea in children from developing nations: A multilevel study
title_full Country characteristics and acute diarrhea in children from developing nations: A multilevel study
title_fullStr Country characteristics and acute diarrhea in children from developing nations: A multilevel study
title_full_unstemmed Country characteristics and acute diarrhea in children from developing nations: A multilevel study
title_sort country characteristics and acute diarrhea in children from developing nations: a multilevel study
publisher BioMed Central Ltd.
publishDate 2015
url https://repository.urosario.edu.co/handle/10336/23583
https://doi.org/10.1186/s12889-015-2120-8
_version_ 1669098471866499072
score 11,37374