Shared Sanitation and the Prevalence of Diarrhea in Young Children: Evidence from 51 Countries, 2001–2011
Autor: | James A. Fuller, Marieke Heijnen, Joseph N. S. Eisenberg, Thomas Clasen |
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Rok vydání: | 2014 |
Předmět: |
Diarrhea
Male Pediatrics medicine.medical_specialty Asia Latin Americans Sanitation 030231 tropical medicine Developing country Social class 03 medical and health sciences 0302 clinical medicine Risk Factors Virology Environmental health Prevalence medicine Humans 030212 general & internal medicine Toilet Facilities Risk factor Toilet Facility Child Developing Countries Socioeconomic status Family Characteristics business.industry 1. No poverty Articles Health Surveys 3. Good health Europe Latin America Infectious Diseases Social Class Child Preschool Africa Female Parasitology medicine.symptom business |
Zdroj: | The American Journal of Tropical Medicine and Hygiene. 91:173-180 |
ISSN: | 1476-1645 0002-9637 |
DOI: | 10.4269/ajtmh.13-0503 |
Popis: | Shared sanitation is defined as unimproved because of concerns that it creates unsanitary conditions; this policy is being reconsidered. We assessed whether sharing a toilet facility was associated with an increased prevalence of diarrhea among children < 5 years of age. We use data from Demographic and Health Surveys conducted in 51 countries. Crude and adjusted prevalence ratios (PRs) for diarrhea, comparing children from households that used a shared facility with children from households that used a non-shared facility, were estimated for each country and pooled across countries. Unadjusted PRs varied across countries, ranging from 2.15 to 0.65. The pooled PR was 1.09; differences in socioeconomic status explained approximately half of this increased prevalence (adjusted PR = 1.05). Shared sanitation appears to be a risk factor for diarrhea although differences in socioeconomic status are important. The heterogeneity across countries, however, suggests that the social and economic context is an important factor. |
Databáze: | OpenAIRE |
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