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- Publisher Website: 10.1111/tmi.12725
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- PMID: 27199167
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Article: Child diarrhoea and nutritional status in rural Rwanda: a cross-sectional study to explore contributing environmental and demographic factors
Title | Child diarrhoea and nutritional status in rural Rwanda: a cross-sectional study to explore contributing environmental and demographic factors |
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Authors | |
Keywords | stunting nutrition sanitation drinking water diarrhoea |
Issue Date | 2016 |
Citation | Tropical Medicine and International Health, 2016, v. 21, n. 8, p. 956-964 How to Cite? |
Abstract | © 2016 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd. Objective: To explore associations of environmental and demographic factors with diarrhoea and nutritional status among children in Rusizi district, Rwanda. Methods: We obtained cross-sectional data from 8847 households in May–August 2013 from a baseline survey conducted for an evaluation of an integrated health intervention. We collected data on diarrhoea, water quality, and environmental and demographic factors from households with children <5, and anthropometry from children <2. We conducted log-binomial regression using diarrhoea, stunting and wasting as dependent variables. Results: Among children <5, 8.7% reported diarrhoea in the previous 7 days. Among children <2, stunting prevalence was 34.9% and wasting prevalence was 2.1%. Drinking water treatment (any method) was inversely associated with caregiver-reported diarrhoea in the previous 7 days (PR = 0.79, 95% CI: 0.68–0.91). Improved source of drinking water (PR = 0.80, 95% CI: 0.73–0.87), appropriate treatment of drinking water (PR = 0.88, 95% CI: 0.80–0.96), improved sanitation facility (PR = 0.90, 95% CI: 0.82–0.97), and complete structure (having walls, floor and roof) of the sanitation facility (PR = 0.65, 95% CI: 0.50–0.84) were inversely associated with stunting. None of the exposure variables were associated with wasting. A microbiological indicator of water quality was not associated with diarrhoea or stunting. Conclusions: Our findings suggest that in Rusizi district, appropriate treatment of drinking water may be an important factor in diarrhoea in children <5, while improved source and appropriate treatment of drinking water as well as improved type and structure of sanitation facility may be important for linear growth in children <2. We did not detect an association with water quality. |
Persistent Identifier | http://hdl.handle.net/10722/280599 |
ISSN | 2023 Impact Factor: 2.6 2023 SCImago Journal Rankings: 0.830 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Sinharoy, Sheela S. | - |
dc.contributor.author | Schmidt, Wolf Peter | - |
dc.contributor.author | Cox, Kris | - |
dc.contributor.author | Clemence, Zachary | - |
dc.contributor.author | Mfura, Leodomir | - |
dc.contributor.author | Wendt, Ronald | - |
dc.contributor.author | Boisson, Sophie | - |
dc.contributor.author | Crossett, Erin | - |
dc.contributor.author | Grépin, Karen A. | - |
dc.contributor.author | Jack, William | - |
dc.contributor.author | Condo, Jeanine | - |
dc.contributor.author | Habyarimana, James | - |
dc.contributor.author | Clasen, Thomas | - |
dc.date.accessioned | 2020-02-17T14:34:26Z | - |
dc.date.available | 2020-02-17T14:34:26Z | - |
dc.date.issued | 2016 | - |
dc.identifier.citation | Tropical Medicine and International Health, 2016, v. 21, n. 8, p. 956-964 | - |
dc.identifier.issn | 1360-2276 | - |
dc.identifier.uri | http://hdl.handle.net/10722/280599 | - |
dc.description.abstract | © 2016 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd. Objective: To explore associations of environmental and demographic factors with diarrhoea and nutritional status among children in Rusizi district, Rwanda. Methods: We obtained cross-sectional data from 8847 households in May–August 2013 from a baseline survey conducted for an evaluation of an integrated health intervention. We collected data on diarrhoea, water quality, and environmental and demographic factors from households with children <5, and anthropometry from children <2. We conducted log-binomial regression using diarrhoea, stunting and wasting as dependent variables. Results: Among children <5, 8.7% reported diarrhoea in the previous 7 days. Among children <2, stunting prevalence was 34.9% and wasting prevalence was 2.1%. Drinking water treatment (any method) was inversely associated with caregiver-reported diarrhoea in the previous 7 days (PR = 0.79, 95% CI: 0.68–0.91). Improved source of drinking water (PR = 0.80, 95% CI: 0.73–0.87), appropriate treatment of drinking water (PR = 0.88, 95% CI: 0.80–0.96), improved sanitation facility (PR = 0.90, 95% CI: 0.82–0.97), and complete structure (having walls, floor and roof) of the sanitation facility (PR = 0.65, 95% CI: 0.50–0.84) were inversely associated with stunting. None of the exposure variables were associated with wasting. A microbiological indicator of water quality was not associated with diarrhoea or stunting. Conclusions: Our findings suggest that in Rusizi district, appropriate treatment of drinking water may be an important factor in diarrhoea in children <5, while improved source and appropriate treatment of drinking water as well as improved type and structure of sanitation facility may be important for linear growth in children <2. We did not detect an association with water quality. | - |
dc.language | eng | - |
dc.relation.ispartof | Tropical Medicine and International Health | - |
dc.subject | stunting | - |
dc.subject | nutrition | - |
dc.subject | sanitation | - |
dc.subject | drinking water | - |
dc.subject | diarrhoea | - |
dc.title | Child diarrhoea and nutritional status in rural Rwanda: a cross-sectional study to explore contributing environmental and demographic factors | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1111/tmi.12725 | - |
dc.identifier.pmid | 27199167 | - |
dc.identifier.pmcid | PMC6681136 | - |
dc.identifier.scopus | eid_2-s2.0-84981164891 | - |
dc.identifier.volume | 21 | - |
dc.identifier.issue | 8 | - |
dc.identifier.spage | 956 | - |
dc.identifier.epage | 964 | - |
dc.identifier.eissn | 1365-3156 | - |
dc.identifier.isi | WOS:000382563500003 | - |
dc.identifier.issnl | 1360-2276 | - |