Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study

Leslie Danquah; Charlotte Monica Mensah; Seth Agyemang; Esi Awuah

doi:doi:10.11648/j.sjph.20150303.17

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Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study

Leslie Danquah, Charlotte Monica Mensah, Seth Agyemang, Esi Awuah

Published in Science Journal of Public Health (Volume 3, Issue 3)

Received: 24 March 2015 Accepted: 7 April 2015 Published: 18 April 2015

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Abstract

This study was conducted in January 2013 to identify risk factors associated with diarrhea morbidity among children younger than 5 years in the Atwima Nwabiagya District, Ghana. A total of 378 households were drawn from four Atwima Nwabiagya District communities in the dry season using a systematic random sampling strategy. Quantitative data was collected from eligible households using interviewer-administered questionnaires and spot-checks. The relationships of socio-demographic, environmental, and behavioral factors with childhood diarrhea were assessed via logistic regression. The mother’s age [adjusted odds ratio (aOR) = 3.52, 95% confidence interval (CI) = 1.11–11.16] and educational level (aOR = 4.77, 95% CI = 1.85–12.28) and frequent playing on the bare ground with soil by the index child (aOR = 3.14, 95% CI = 1.40–7.05) were significant risk factors of childhood diarrhea. Water storage outside of the dwelling was significantly associated with a lower risk of diarrhea (aOR = 0.42, 95% CI = 0.19–0.89). In the study communities, we recommend providing more education to mothers regarding environmentally-related disease transmission mechanisms, encouraging safe disposal of children’s stools, discouraging children from playing with soil on bare floors, and promoting safe drinking water storage.

Published in	Science Journal of Public Health (Volume 3, Issue 3)
DOI	10.11648/j.sjph.20150303.17
Page(s)	344-352
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Childhood Diarrhea, Risk Factors, Dry Season, Ghana

References

[1]	UNICEF/WHO, 2009. Why are children still dying and what can be done? World Health Organization, Geneva.
[2]	UNICEF, 2010. Facts for life, fourth edition. United Nations Children’s Fund, New York.
[3]	UNICEF, 2007. State of the world’s children 2008: Child survival. United Nations Children’s Fund, New York.
[4]	Scott, B., Curtis, V., Rabie, T., Garbrah-Aidoo, N., 2007. Health in our hands, but not in our heads: Understanding hygiene motivation in Ghana. Health Policy Plan. 22, 225–233.
[5]	Ghana Health Service (GHS), 2009. The health sector in Ghana: Facts and figures 2009. Ghana Health Service, Accra.
[6]	Ghana Health Service (GHS), 2010. Ashanti regional health directorate half year report 2010. Ghana Health Service, Kumasi.
[7]	ANDA, 2011. Atwima Nwabiagya District Profile. Atwima Nwabiagya District Assembly, Nkawie.
[8]	Ghana Health Service (GHS), 2011. Health Information Unit data set. Ghana Health Service, Kumasi.
[9]	Traore, E., Cousens, S., Curtis, V., Mertens, T., Tall, F., Traore, A., Kanki, B., Diallo, I., Rochereau, A., Chiron, J.P., Megraud, F., 1994. Child defecation behavior, stool disposal practices and childhood diarrhoea in Burkina Faso: results from a case-control study. J. Epidemiol Comm. Health. 48, 270–275.
[10]	Mertens, T.E., Jaffar, S., Fernando, M.A., Cousens, S.N., Feachem, R.G., 1992. Excreta disposal behavior and latrine ownership in relation to the risk of childhood diarrhoea in Sri Lanka. Int. J. Epidemiol. 21, 1157–1164
[11]	Knight, S.M., Toodayan, W., Caique, W.C., Kyi, W., Barnes, A., Desmarchelier, P., 1992. Risk factors for the transmission of diarrhoea in children: A case-control study in rural Malaysia. Int. J. Epidemiol. 21, 812–818.
[12]	Alam, N., Wojtyniak, B., Henry, F.J., Rahaman, M.M., Wojtyniak, B., 1989. Mothers' personal and domestic hygiene and diarrhoea incidence in young children in rural Bangladesh. Int. J. Epidemiol. 18, 242–247.
[13]	Dikassa, L., Mock, N., Magnani, R., Rice, J., Abdoh, A., Mercer, D., Bertrand, W., 1993. Maternal behavioural risk factors for severe childhood diarrhoeal disease in Kinshasa, Zaire. Int. J. Epidemiol. 22, 327–333.
[14]	Alam, N., 1995. Birth spacing and infant and early childhood mortality in a high fertility area of Bangladesh; age-dependent and interactive effects. J. Biosoc. Sci. 27, 393–404.
[15]	Katema, L., Lulseged, S., 1997. Persistent diarrhoea: Socio-demographic and clinical profile of 264 children seen at referral hospitals in Addis Ababa. Ethiop. Med. J. 35, 616–618.
[16]	Timaeus, I.M., Lush, L., 1995. Intra-urban differentials in child health. Health Transit. Rev. 5, 163–190.
[17]	Ferrer, S.R., Strina, A., Jesus, S.R., Ribeiro, S.R., Cairncross, S., Rodrigues, L.C., Barreto, M.L., 2008. A hierarchical model for studying risk factors for childhood diarrhoea: a case-control study in a middle income country. Int. J. Epidemiol. 37, 805–815.
[18]	Mengistie, B., Berhane, Y., Worku, A., 2013. Prevalence of diarrhea and associated factors among children under-five years of age in Eastern Ethiopia. A cross-sectional study. Open J. Prev. Med. 3, 446–453.
[19]	GSS, 2014. 2010 Population and housing census. District Analytical Report, Atwima Nwabiagya District. Ghana Statistical Service, Accra.
[20]	Danquah, L., Awuah, E., Mensah., C. M., and Agyemang, S. 2014. Sanitation and Hygiene Practices in Relation to Childhood Diarrhoea Prevalence: The Case of Households with Children under-Five Years in Ghana. Sc. J. Pub. Health. 2, 119-125. doi: 10.11648/j.sjph.20140202.21
[21]	Dessalegn, M., Kumie, A., Tefera, W., 2011. Predictors of under-five childhood diarrhoea, Mecha District, West Gojam, Ethiopia. Ethiop. J. Health Dev. 25,192–200.
[22]	Mulugeta, T., 2003. Socio-economic, environmental and behavioural factors associated with the occurrence of diarrheal disease among under-five children in Meskanena Mareko Woreda, Southern Ethiopia. Unpublished MPH thesis. Addis Ababa University, Ethiopia.
[23]	Victora, C.G., Huttly, S.R., Fuchs, S.C., Olinto, M.T.A., 1997. The role of conceptual frameworks in epidemiological analysis: A hierarchical approach. Int. J. Epidemiol. 26, 224–227.
[24]	El-Gilany, A.H., Hammad, S., 2005. Epidemiology of diarrhoeal diseases among children under age 5 years in Dakahlia, Egypt. East Mediterr. Health J. 2, 762–775.
[25]	Jensen, P.K., Jayasinghe, G., van der Hoek, W., Cairncross, S., Dalsgaard, A., 2004. Is there an association between bacteriological drinking water quality and childhood diarrhoea in developing countries? Trop. Med. Int. Health. 9, 1210–1215.
[26]	Paniagua, M., Espinoza, F., Ringman, M., Reizenstein, E., Svennerholm, A.M., Hallander, H., 1997. Analysis and incidence of infection with Enterotoxigenic Escherichia coli in a prospective cohort study of infant diarrhea in Nicaragua. J. Clin. Microbiol. 35, 1404–1410.
[27]	WHO/UNICEF, 2013. Progress on sanitation and drinking water: 2013 update. Geneva: World Health Organization.
[28]	Ngure, F.M., Humphrey, J. H., Mbuya, M. N. N., Majo, F., Mutasa, K., Govha, M., Mazarura, E., Chasekwa, B., Prendergast, A. J., Curtis, V., Boor, K. J., and Stoltzfus, R. J., 2013. Formative research on hygiene behaviors and geophagy among infants and young children and implications of exposure to fecal bacteria. Am. J. Pub. Trop. Med. and Hygiene, 89, 709 - 716
[29]	Marquis, G.S., Ventura, G., Gilman, R.H., Porras, E., Miranda, E., Carbajal, L., Pentafiel, M., 1990. Fecal contamination of shanty town toddlers in households with non-corralled poultry, Lima, Peru. Am. J. Pub. Health. 80, 146–149.
[30]	Majorin, F., Freeman M.C., Barnard, S., Routray, P., Boisson, S., Clasen, T., 2014. Child Feces Disposal Practices in Rural Orissa: A Cross Sectional Study. PLoSONE 9, e89551. doi:10.1371/journal.pone.0089551
[31]	Cifuentes, E., Suarez, L., Solano, M., Santos, R., 2002. Diarrhoeal diseases in children from a water reclamation site in Mexico City. Environ. Health Perspect. 110, A619–A624.
[32]	Molbak, K., Jensen, H., Ingholt, L., Aaby, P., 1997. Risk factors for diarrheal disease incidence in Early Childhood: A Community Cohort Study from Guinea-Bissau. Am. J. Epidemiol. 146, 273–282.
[33]	Regassa, G., Birke, W., Deboch, B., Belachew, T., 2008. Environmental determinants of diarrhoea among under-five children. Ethiop. J. Health Sci. 18, 39–45.
[34]	Luby, S.P., Agboatwalla, M., Painter, J., 2004. Effect of intensive hand washing promotion on childhood diarrhoea in high-risk communities in Pakinstan: a randomized controlled trial. JAMA. 291, 2547–2554.

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APA Style

Leslie Danquah, Charlotte Monica Mensah, Seth Agyemang, Esi Awuah. (2015). Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study. Science Journal of Public Health, 3(3), 344-352. https://doi.org/10.11648/j.sjph.20150303.17

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ACS Style

Leslie Danquah; Charlotte Monica Mensah; Seth Agyemang; Esi Awuah. Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study. Sci. J. Public Health 2015, 3(3), 344-352. doi: 10.11648/j.sjph.20150303.17

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AMA Style

Leslie Danquah, Charlotte Monica Mensah, Seth Agyemang, Esi Awuah. Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study. Sci J Public Health. 2015;3(3):344-352. doi: 10.11648/j.sjph.20150303.17

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@article{10.11648/j.sjph.20150303.17,
  author = {Leslie Danquah and Charlotte Monica Mensah and Seth Agyemang and Esi Awuah},
  title = {Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {3},
  pages = {344-352},
  doi = {10.11648/j.sjph.20150303.17},
  url = {https://doi.org/10.11648/j.sjph.20150303.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150303.17},
  abstract = {This study was conducted in January 2013 to identify risk factors associated with diarrhea morbidity among children younger than 5 years in the Atwima Nwabiagya District, Ghana. A total of 378 households were drawn from four Atwima Nwabiagya District communities in the dry season using a systematic random sampling strategy. Quantitative data was collected from eligible households using interviewer-administered questionnaires and spot-checks. The relationships of socio-demographic, environmental, and behavioral factors with childhood diarrhea were assessed via logistic regression. The mother’s age [adjusted odds ratio (aOR) = 3.52, 95% confidence interval (CI) = 1.11–11.16] and educational level (aOR = 4.77, 95% CI = 1.85–12.28) and frequent playing on the bare ground with soil by the index child (aOR = 3.14, 95% CI = 1.40–7.05) were significant risk factors of childhood diarrhea. Water storage outside of the dwelling was significantly associated with a lower risk of diarrhea (aOR = 0.42, 95% CI = 0.19–0.89). In the study communities, we recommend providing more education to mothers regarding environmentally-related disease transmission mechanisms, encouraging safe disposal of children’s stools, discouraging children from playing with soil on bare floors, and promoting safe drinking water storage.},
 year = {2015}
}

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TY  - JOUR
T1  - Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study
AU  - Leslie Danquah
AU  - Charlotte Monica Mensah
AU  - Seth Agyemang
AU  - Esi Awuah
Y1  - 2015/04/18
PY  - 2015
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DO  - 10.11648/j.sjph.20150303.17
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 344
EP  - 352
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20150303.17
AB  - This study was conducted in January 2013 to identify risk factors associated with diarrhea morbidity among children younger than 5 years in the Atwima Nwabiagya District, Ghana. A total of 378 households were drawn from four Atwima Nwabiagya District communities in the dry season using a systematic random sampling strategy. Quantitative data was collected from eligible households using interviewer-administered questionnaires and spot-checks. The relationships of socio-demographic, environmental, and behavioral factors with childhood diarrhea were assessed via logistic regression. The mother’s age [adjusted odds ratio (aOR) = 3.52, 95% confidence interval (CI) = 1.11–11.16] and educational level (aOR = 4.77, 95% CI = 1.85–12.28) and frequent playing on the bare ground with soil by the index child (aOR = 3.14, 95% CI = 1.40–7.05) were significant risk factors of childhood diarrhea. Water storage outside of the dwelling was significantly associated with a lower risk of diarrhea (aOR = 0.42, 95% CI = 0.19–0.89). In the study communities, we recommend providing more education to mothers regarding environmentally-related disease transmission mechanisms, encouraging safe disposal of children’s stools, discouraging children from playing with soil on bare floors, and promoting safe drinking water storage.
VL  - 3
IS  - 3
ER  -

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Author Information

Leslie Danquah

Department of Geography & Rural Development, CASS, KNUST, Kumasi, Ghana
Charlotte Monica Mensah

Department of Geography & Rural Development, CASS, KNUST, Kumasi, Ghana
Seth Agyemang

Department of Geography & Rural Development, CASS, KNUST, Kumasi, Ghana
Esi Awuah

Universtiy of Energy and Natural Resources (UENR), Sunyani, Ghana

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APA Style

Leslie Danquah, Charlotte Monica Mensah, Seth Agyemang, Esi Awuah. (2015). Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study. Science Journal of Public Health, 3(3), 344-352. https://doi.org/10.11648/j.sjph.20150303.17

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ACS Style

Leslie Danquah; Charlotte Monica Mensah; Seth Agyemang; Esi Awuah. Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study. Sci. J. Public Health 2015, 3(3), 344-352. doi: 10.11648/j.sjph.20150303.17

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AMA Style

Leslie Danquah, Charlotte Monica Mensah, Seth Agyemang, Esi Awuah. Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study. Sci J Public Health. 2015;3(3):344-352. doi: 10.11648/j.sjph.20150303.17

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@article{10.11648/j.sjph.20150303.17,
  author = {Leslie Danquah and Charlotte Monica Mensah and Seth Agyemang and Esi Awuah},
  title = {Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study},
  journal = {Science Journal of Public Health},
  volume = {3},
  number = {3},
  pages = {344-352},
  doi = {10.11648/j.sjph.20150303.17},
  url = {https://doi.org/10.11648/j.sjph.20150303.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20150303.17},
  abstract = {This study was conducted in January 2013 to identify risk factors associated with diarrhea morbidity among children younger than 5 years in the Atwima Nwabiagya District, Ghana. A total of 378 households were drawn from four Atwima Nwabiagya District communities in the dry season using a systematic random sampling strategy. Quantitative data was collected from eligible households using interviewer-administered questionnaires and spot-checks. The relationships of socio-demographic, environmental, and behavioral factors with childhood diarrhea were assessed via logistic regression. The mother’s age [adjusted odds ratio (aOR) = 3.52, 95% confidence interval (CI) = 1.11–11.16] and educational level (aOR = 4.77, 95% CI = 1.85–12.28) and frequent playing on the bare ground with soil by the index child (aOR = 3.14, 95% CI = 1.40–7.05) were significant risk factors of childhood diarrhea. Water storage outside of the dwelling was significantly associated with a lower risk of diarrhea (aOR = 0.42, 95% CI = 0.19–0.89). In the study communities, we recommend providing more education to mothers regarding environmentally-related disease transmission mechanisms, encouraging safe disposal of children’s stools, discouraging children from playing with soil on bare floors, and promoting safe drinking water storage.},
 year = {2015}
}

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TY  - JOUR
T1  - Risk Factors Associated with Diarrhea Morbidity Among Children Younger than Five Years in the Atwima Nwabiagya District, Ghana: A Cross-Sectional Study
AU  - Leslie Danquah
AU  - Charlotte Monica Mensah
AU  - Seth Agyemang
AU  - Esi Awuah
Y1  - 2015/04/18
PY  - 2015
N1  - https://doi.org/10.11648/j.sjph.20150303.17
DO  - 10.11648/j.sjph.20150303.17
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 344
EP  - 352
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20150303.17
AB  - This study was conducted in January 2013 to identify risk factors associated with diarrhea morbidity among children younger than 5 years in the Atwima Nwabiagya District, Ghana. A total of 378 households were drawn from four Atwima Nwabiagya District communities in the dry season using a systematic random sampling strategy. Quantitative data was collected from eligible households using interviewer-administered questionnaires and spot-checks. The relationships of socio-demographic, environmental, and behavioral factors with childhood diarrhea were assessed via logistic regression. The mother’s age [adjusted odds ratio (aOR) = 3.52, 95% confidence interval (CI) = 1.11–11.16] and educational level (aOR = 4.77, 95% CI = 1.85–12.28) and frequent playing on the bare ground with soil by the index child (aOR = 3.14, 95% CI = 1.40–7.05) were significant risk factors of childhood diarrhea. Water storage outside of the dwelling was significantly associated with a lower risk of diarrhea (aOR = 0.42, 95% CI = 0.19–0.89). In the study communities, we recommend providing more education to mothers regarding environmentally-related disease transmission mechanisms, encouraging safe disposal of children’s stools, discouraging children from playing with soil on bare floors, and promoting safe drinking water storage.
VL  - 3
IS  - 3
ER  -

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