Association between water, sanitation and hygiene practices and diarrhea among under 3-year-old children: evidence from a nationally representative sample in India (2019–2021)

IF 1.6 4区 环境科学与生态学 Q3 WATER RESOURCES Journal of Water Sanitation and Hygiene for Development Pub Date : 2023-08-17 DOI:10.2166/washdev.2023.108
Shubhanjali Roya, G. Kiruthika, Sendhilkumar Muthappan, S. Rizwan, J. Kathiresan
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引用次数: 1

Abstract

Globally, 1.7 billion cases of childhood diarrheal disease occur every year. The Government of India initiated the Intensive Diarrhea Control Fortnight (IDCF) program in 2015 aimed to reduce childhood diarrheal deaths to zero. We aimed to ascertain the association between WASH practices and the prevalence of diarrhea in India's children under three years of age. We analyzed the data from the NFHS-5 survey conducted between 2019 and 2021. We extracted data on household and individual levels. The association between WASH practice in the household and diarrheal episodes in children <3 years old were presented by unadjusted and adjusted prevalence ratio (PR) with a 95% confidence interval (CI). We used STATA v 16 for analysis. We included 132,198 children, 8.4% (n = 11,060) had diarrhea in the 2 weeks preceding the survey. The majority of the children were residing in rural areas (79.8%) and using unprotected water (90%) sources. The diarrhea was associated with using shared toilet facilities (adj. PR: 1.28, 95% CI: 1.17, 1.34), improper disposal of child's stools (adj. PR: 1.12, 95% CI: 1.05, 1.20) and having no separate kitchen (adj. PR: 1.16, 95% CI: 1.08, 1.23). Household WASH practices continue to be independent predictors of diarrhea among <3 children.
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水、环境卫生和个人卫生习惯与3岁以下儿童腹泻之间的关系:来自印度全国代表性样本的证据(2019-2021年)
在全球范围内,每年发生17亿例儿童腹泻病。印度政府于2015年启动了“强化腹泻控制双夜”计划,旨在将儿童腹泻死亡人数降至零。我们旨在确定讲卫生习惯与印度三岁以下儿童腹泻患病率之间的关系。我们分析了2019年至2021年间进行的NFHS-5调查的数据。我们提取了家庭和个人层面的数据。未经调整和调整的患病率(PR)显示了家庭讲卫生实践与<3岁儿童腹泻发作之间的关系,置信区间为95%。我们使用STATA v 16进行分析。我们纳入了132198名儿童,8.4%(n=11060)在调查前两周内腹泻。大多数儿童居住在农村地区(79.8%),使用无保护水源(90%)。腹泻与使用共用厕所设施(调整后PR:1.28,95%CI:1.17,1.34)、儿童粪便处理不当(调整后PR:1.12,95%CI:1.05,1.20)和没有单独的厨房(调整后公关:1.16,95%CI:1.08,1.23)有关。家庭讲卫生实践仍然是3岁以下儿童腹泻的独立预测因素。
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来源期刊
CiteScore
3.10
自引率
11.80%
发文量
58
审稿时长
16 weeks
期刊介绍: The Journal of Water, Sanitation and Hygiene for Development is a peer-reviewed journal devoted to the dissemination of high-quality information on the science, policy and practice of drinking-water supply, sanitation and hygiene at local, national and international levels.
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