Abstract：
OBJECTIVE: 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.
CONCLUSIONS: 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.
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.
CONCLUSIONS: 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.
摘要：
目的：本研究旨在确定和表征影响在肯尼亚低收入城市社区中接受补充喂养的6-24个月儿童腹泻病发生的决定因素。
方法：本研究遵循横断面设计，招募了来自302个家庭的6-24个月儿童的照顾者。因变量是儿童2周腹泻患病率，具有包括社会人口统计学特征在内的独立变量，儿童免疫接种和喂养状况，水和卫生设施。使用SPSS进行数据分析。描述性统计和逻辑回归分析用于评估自变量与腹泻疾病发生之间的关联。
结果：大多数照顾者是女性（n=282，93.4％），年龄25-34岁（n=156，51.7%），受过中学教育（n=154，51%），失业（n=162，53.6%），并赚取10,000韩元（100美元）或以下。296名（98％）有索引的儿童完全接种了轮状病毒疫苗。大多数家庭使用改善的饮用水源（n=272，90.1％）。大多数护理人员不经常用肥皂和水洗手（n=225，74.5％）。儿童2周腹泻患病率为34.1%(103/302),其中69.9%(72/103)的病例在医疗机构寻求治疗。Logistic回归分析显示，照顾者的子女收入在Ksh20,000及以下（aOR=2.9[1.3-6.5]，p=0.01),以及使用未改善的卫生设施的家庭(aOR=1.9[CI1-3.4]，p=0.042),腹泻的几率要高得多。
结论：研究发现，6-24个月大的肯尼亚儿童腹泻患病率很高，护理人员的收入和家庭卫生设施显著影响疾病的发生。这项研究提出了综合方法，包括教育,创收，卫生,和改善营养，解决腹泻病的负担。
方法：本研究遵循横断面设计，招募了来自302个家庭的6-24个月儿童的照顾者。因变量是儿童2周腹泻患病率，具有包括社会人口统计学特征在内的独立变量，儿童免疫接种和喂养状况，水和卫生设施。使用SPSS进行数据分析。描述性统计和逻辑回归分析用于评估自变量与腹泻疾病发生之间的关联。
结果：大多数照顾者是女性（n=282，93.4％），年龄25-34岁（n=156，51.7%），受过中学教育（n=154，51%），失业（n=162，53.6%），并赚取10,000韩元（100美元）或以下。296名（98％）有索引的儿童完全接种了轮状病毒疫苗。大多数家庭使用改善的饮用水源（n=272，90.1％）。大多数护理人员不经常用肥皂和水洗手（n=225，74.5％）。儿童2周腹泻患病率为34.1%(103/302),其中69.9%(72/103)的病例在医疗机构寻求治疗。Logistic回归分析显示，照顾者的子女收入在Ksh20,000及以下（aOR=2.9[1.3-6.5]，p=0.01),以及使用未改善的卫生设施的家庭(aOR=1.9[CI1-3.4]，p=0.042),腹泻的几率要高得多。
结论：研究发现，6-24个月大的肯尼亚儿童腹泻患病率很高，护理人员的收入和家庭卫生设施显著影响疾病的发生。这项研究提出了综合方法，包括教育,创收，卫生,和改善营养，解决腹泻病的负担。
