背景:腹泻疾病继续对非洲五岁以下儿童的福祉构成重大威胁,从而大大有助于发病率和死亡率。2013年1月至2023年12月期间,抗击这些疾病的斗争持续面临挑战,因此,有必要对决定其发生的因素进行彻底调查。值得注意的是,腹泻疾病的负担在整个非洲大陆分布不均,居住,社会经济,环境因素在影响患病率和发病率方面发挥着关键作用。因此,本系统综述旨在巩固和分析2013年1月至2023年12月期间非洲5岁以下儿童腹泻疾病决定因素的现有文献.
方法:系统评价采用了严格的方法学方法,研究了2013年1月至2023年12月期间非洲五岁以下儿童腹泻疾病的决定因素。实施了全面的搜索策略,利用PubMed等数据库,Scopus,和WebofScience,并结合相关关键词。纳入标准侧重于在指定时间范围内发表的研究,特别关注非洲五岁以下儿童腹泻疾病的决定因素。研究选择过程包括两阶段筛选,独立审稿人评估标题,摘要,和全文来确定资格。质量评估,采用标准化的工具,确保纳入具有稳健方法的研究。数据提取包括关键的研究细节,包括人口统计,居住因素,社会经济影响,环境变量,和干预结果。
结果:该搜索共产生了25个非洲国家的12,580篇文章;然而,只有97篇文章符合纳入标准,并最终纳入系统综述.系统审查揭示了非洲不同国家腹泻病流行的地理和季节差异。与年龄相关的脆弱性等因素,性别差异,产妇职业,幼儿凳子的处理,和经济状况被确定为腹泻疾病患病率的重要决定因素。
结论:本系统综述提供了对2013年1月至2023年12月期间非洲五岁以下儿童腹泻疾病的决定因素的全面了解。对居住变化的细微差别分析,社会经济影响,环境因素,干预结果强调了这个问题的复杂性。调查结果强调了针对特定地区和对环境敏感的干预措施的必要性,以应对不同社区面临的独特挑战。这篇评论为决策者提供了宝贵的资源,医疗保健专业人员,和研究人员,指导制定以证据为基础的策略,旨在减少非洲的腹泻疾病负担和改善儿童健康结果。
BACKGROUND: Diarrhea diseases continue to present a significant threat to the well-being of children under the age of five in Africa, thereby contributing substantially to both morbidity and mortality rates. The period spanning between January 2013 and December 2023 has witnessed persistent challenges in the fight against these diseases, thereby necessitating a thorough investigation into the factors that determine their occurrence. It is important to note that the burden of diarrhea diseases is not evenly distributed across the continent, with residence, socioeconomic, and environmental factors playing pivotal roles in shaping the prevalence and incidence rates. Consequently, this systematic
review aimed to consolidate and analyze the existing body of literature on the determinants of diarrhea diseases among children under the age of five in Africa between January 2013 and December 2023.
METHODS: The systematic
review employed a rigorous methodological approach to examine the determinants of diarrhea diseases among children under the age of five in Africa between January 2013 and December 2023. A comprehensive search strategy was implemented, utilizing databases such as PubMed, Scopus, and Web of Science, and incorporating relevant keywords. The inclusion criteria focused on studies published within the specified timeframe, with a specific focus on the determinants of diarrhea disease among children under the age of five in Africa. The study selection process involved a two-stage screening, with independent reviewers evaluating titles, abstracts, and full texts to determine eligibility. The quality assessment, employing a standardized tool, ensured the inclusion of studies with robust methodologies. Data extraction encompassed key study details, including demographics, residence factors, socioeconomic influences, environmental variables, and intervention outcomes.
RESULTS: The search yielded a total of 12,580 articles across 25 African countries; however, only 97 of these articles met the inclusion criteria and were ultimately included in the systematic
review. The systematic review revealed geographic and seasonal disparities in the prevalence of diarrhoeal diseases across different countries in Africa. Factors such as age-related vulnerabilities, gender disparities, maternal occupation, disposal of young children\'s stools, and economic status were identified as significant determinants of the prevalence of diarrhea disease.
CONCLUSIONS: This systematic
review provides a comprehensive understanding of the determinants of diarrhea diseases among children under the age of five in Africa between January 2013 and December 2023. The nuanced analysis of residence variations, socioeconomic influences, environmental factors, and intervention outcomes underscores the complex nature of this issue. The findings highlight the necessity for region-specific and context-sensitive interventions to address the unique challenges faced by diverse communities. This
review serves as a valuable resource for policymakers, healthcare professionals, and researchers, guiding the development of evidence-based strategies aimed at reducing the burden of diarrhea diseases and improving child health outcomes in Africa.