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Country characteristics and acute diarrhea in children from developing nations: A multilevel study

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dc.creatorPinzón Rondón, Ángela María
dc.creatorZárate-Ardila, Carolspa
dc.creatorHoyos-Martínez, Alfonsospa
dc.creatorRuíz Sternberg, Ángela María
dc.creatorVélez van Meerbeke, Alberto Franciscospa
dc.date.accessioned2020-05-26T00:03:21Z
dc.date.available2020-05-26T00:03:21Z
dc.date.created2015spa
dc.description.abstractBackground: Each year 2.5 billion cases of diarrheal disease are reported in children under five years, and over 1,000 die. Country characteristics could play a role on this situation. We explored associations between country characteristics and diarrheal disease in children under 5 years of age, adjusting by child, mother and household attributes in developing countries. Methods: This study included 348,706 children from 40 nations. We conducted a multilevel analysis of data from the Demographic and Health Surveys and the World Bank. Results: The prevalence of acute diarrhea was 14 %. Country inequalities (OR = 1.335; 95 % CI 1.117-1.663) and country's low income (OR = 1.488; 95 % CI 1.024-2.163) were associated with diarrhea, and these country characteristics changed the associations of well-known determinants of diarrhea. Specifically, living in poor countries strengthens the association of poor household wealth and mother's lack of education with the disease. Other factors associated with diarrhea were female sex of the child (OR = 0.922; 95 % CI 0.900-0.944), age of the child (OR = 0.978; 95 % CI 0.978-0.979), immunization status (OR = 0.821; 95 % CI 0.799-0.843), normal birthweight (OR = 0.879; 95 % CI 0.834-0.926), maternal age (OR = 0.987; 95 % CI 0.985-0.989), lack of maternal education (OR = 1.416; 95 % CI 1.283-1.564), working status of the mother (OR = 1.136; 95 % CI 1.106-1.167), planned pregnancy (OR = 0.774; 95 % CI 0.753-0.795), a nuclear family structure (OR = 0.949; 95 % CI 0.923-0.975), and household wealth (OR = 0.948; 95 % CI 0.921-0.977). Conclusions: Inequalities and lack of resources at the country level in developing countries -but not health expenditure- were associated with acute diarrhea, independently of child, family and household features. The broad environment considerably modifies well-known social determinants of acute diarrhea and public health campaigns designed to target diarrhea should consider macro characteristics of the country. © 2015 Pinzón-Rondón et al.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1186/s12889-015-2120-8
dc.identifier.issn14712458
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23583
dc.language.isoengspa
dc.publisherBioMed Central Ltd.spa
dc.relation.citationIssueNo. 1
dc.relation.citationTitleBMC Public Health
dc.relation.citationVolumeVol. 15
dc.relation.ispartofBMC Public Health, ISSN:14712458, Vol.15, No.1 (2015)spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84939800419&doi=10.1186%2fs12889-015-2120-8&partnerID=40&md5=bee6094c8f8da6a365c1cec6595049a8spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordinfantileeng
dc.subject.keywordpreschooleng
dc.subject.keywordinfantileeng
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordDeveloping countryspa
dc.subject.keywordDiarrheaeng
dc.subject.keywordFamily sizespa
dc.subject.keywordFemalespa
dc.subject.keywordHealthspa
dc.subject.keywordHealth surveyspa
dc.subject.keywordHumanspa
dc.subject.keywordInfantspa
dc.subject.keywordMalespa
dc.subject.keywordPreschool childspa
dc.subject.keywordPrevalencespa
dc.subject.keywordSocioeconomicsspa
dc.subject.keywordAdultspa
dc.subject.keywordChildeng
dc.subject.keywordCross-sectional studiesspa
dc.subject.keywordDeveloping countriesspa
dc.subject.keywordDiarrheaeng
dc.subject.keywordFamily characteristicsspa
dc.subject.keywordFemalespa
dc.subject.keywordGlobal healthspa
dc.subject.keywordHealth surveysspa
dc.subject.keywordHumansspa
dc.subject.keywordInfantspa
dc.subject.keywordMalespa
dc.subject.keywordPrevalencespa
dc.subject.keywordSocioeconomic factorsspa
dc.titleCountry characteristics and acute diarrhea in children from developing nations: A multilevel studyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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