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首页> 外文期刊>The East African medical journal >Determinants of diarrhoeal diseases: a community based study in urban south western Ethiopia.
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Determinants of diarrhoeal diseases: a community based study in urban south western Ethiopia.

机译：腹泻疾病的决定因素：埃塞俄比亚西南部城市的社区研究。

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OBJECTIVES: To identify the determinants and describe the extent of diarrhoeal diseases among under-five children in urban Ethiopia. DESIGN: Community based, cross-sectional study. SETTING: Jimma, a town in south western Ethiopia, is an urban area with multi-ethnic population. The town is divided into 20 kebelles. Each kebelle has a population of about 5000 people. SUBJECTS: Six hundred and five children under the age of five years were selected by random sampling. There were 142 children with diarrhoeal diseases in selected households. All those without diarrhoea were taken as controls. RESULTS: The incidence at diarrhoeal diseases was 5.48 episodes per child per year. The incidence of persistent diarrhoea was 7.75%. About 24.5% of the acute diarrhoeal diseases (ADD) culminated to persistent diarrhoea. Well source of water, lack of complete immunization, attack of measles and acute respiratory infecions (ARI) in the previous two weeks were found to be significantly associated with occurrence of diarrhoeal disease; however, only ARI and well water were retained in the logistic regression analysis. CONCLUSION: The incidence of diarrhoeal diseases and the progression to persistent diarrhoea are very high. Many of the socio-environmental factors did not appear as significant determinants independently. The implication of this is that in a homogenous and economically deprived society improvement in a single factor does not reduce the problem of diarrhoeal diseases. Hence, an inter-sectoral approach is recommended to control diarrhoeal diseases.
机译：目的：确定埃塞俄比亚五岁以下儿童腹泻的决定因素并描述其腹泻病的程度。设计：基于社区的横断面研究。地点：埃塞俄比亚西南部的吉马（Jimma），是一个人口众多的城市地区。该镇分为20个凯贝尔。每个龙骨的人口约为5000人。主题：随机抽样选择了655名5岁以下的儿童。选定家庭中有142名腹泻病儿童。所有无腹泻者均作为对照。结果：腹泻病的发生率为每名儿童每年5.48次。持续性腹泻的发生率为7.75％。约24.5％的急性腹泻病（ADD）最终导致持续性腹泻。发现水源充足，缺乏完全的免疫接种，前两周出现麻疹发作和急性呼吸道感染（ARI）与腹泻病的发生密切相关。但是，在Logistic回归分析中仅保留了ARI和井水。结论：腹泻病的发生率和持续性腹泻的发生率很高。许多社会环境因素并没有独立地作为重要的决定因素。这意味着在同质和经济匮乏的社会中，单一因素的改善并不能减少腹泻疾病的问题。因此，建议采用跨部门的方法来控制腹泻病。

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