Household wealth, residential status and the incidence of diarrhoea among children under-five years in Ghana

作者: Akwasi Kumi-Kyereme , Joshua Amo-Adjei

DOI: 10.1016/J.JEGH.2015.05.001

关键词: Socioeconomic statusUnder-fiveResidenceDisease clusterDemographyMedicinePopulationOddsIncidence (epidemiology)Logistic regression

摘要: This study examines the impact that joint effect of household wealth quintile and urban-rural residence has on incidence diarrhoea among Ghanaian children. Data for this paper were drawn from Ghana Multiple Indicator Cluster Survey (MICS) 2006. Descriptive logistic regression was applied to analyse data 3466 Rural residents are less likely, albeit insignificant, report compared with those in urban areas. Significant gradients manifested childhood experiences diarrhoea. However, an interaction does not show significant disparities. Controlling other important covariates childhood, odds significantly higher among: rural poorer (OR=4.869; 95% CI=0.792, 29.94), middle (OR=7.477; CI=1.300, 42.99), richer (OR=6.162; CI=0.932, 40.74) richest (OR=6.152; CI=0.458, 82.54). Apart residential status quintile, female children (OR=0.441; CI=0.304, 0.640), older (OR=0.968; CI=0.943, 0.993), having a mother secondary education (OR=0.313; CI) had lesser experiencing The findings there is need apportion interventions intended improve child health outcomes even beyond position.

参考文章(21)
Gebremariam Woldemicael, Diarrhoeal morbidity among young children in Eritrea: environmental and socioeconomic determinants. Journal of Health Population and Nutrition. ,vol. 19, pp. 83- 90 ,(2001) , 10.3329/JHPN.V19I2.80
D. L. Daniels, S. N. Cousens, R. G. Feachem, L. N. Makoae, A case-control study of the impact of improved sanitation on diarrhoea morbidity in Lesotho. Bulletin of The World Health Organization. ,vol. 68, pp. 455- 463 ,(1990)
Ronak B. Patel, Thomas F. Burke, Urbanization — An Emerging Humanitarian Disaster The New England Journal of Medicine. ,vol. 361, pp. 741- 743 ,(2009) , 10.1056/NEJMP0810878
A. Mekasha, A. Tesfahun, Determinants of diarrhoeal diseases: a community based study in urban south western Ethiopia East African Medical Journal. ,vol. 80, pp. 77- 82 ,(2004) , 10.4314/EAMJ.V80I2.8650
Ngianga-Bakwin Kandala, Monica Akinyi Magadi, Nyovani Janet Madise, An Investigation of District Spatial Variations of Childhood Diarrhoea and Fever Morbidity in Malawi Social Science & Medicine. ,vol. 62, pp. 1138- 1152 ,(2006) , 10.1016/J.SOCSCIMED.2005.07.028
E. Awuah, K.B. Nyarko, P.A. Owusu, Water and sanitation in Ghana Desalination. ,vol. 248, pp. 460- 467 ,(2009) , 10.1016/J.DESAL.2008.05.088
Shantanu Nundy, Ynes R. Ortega, Lilia Cabrera, Rosa Cama, Robert H. Gilman, Geoffrey Kahn, Lihua Xiao, Vitaliano A. Cama, Wealth and Its Associations with Enteric Parasitic Infections in a Low-Income Community in Peru: Use of Principal Component Analysis The American Journal of Tropical Medicine and Hygiene. ,vol. 84, pp. 38- 42 ,(2011) , 10.4269/AJTMH.2011.10-0442