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Prevalence and risk factors of childhood diarrhea among wastewater irrigating urban farming households in Addis Ababa.


ABSTRACT:

Introduction

Childhood diarrhea is one of the major contributors to the morbidity of under-five children in Ethiopia. Although researchers determine the risk factors varyingly, the exposure route to the pathogens is usually complicated. This study aims to investigate the prevalence and risk factors of diarrhea among children under the age of five among wastewater irrigation farming households in Addis Ababa, Ethiopia.

Methods

Cross-sectional study was conducted among 402 farming households from November 2021 to February 2022. Data was collected using a face-to-face interviewer-administered questionnaire. Stata version 14 software was used to analyze data. Factors associated with the prevalence of diarrhea was identified using binary logistic regression. Multivariable analysis was carried out to determine an adjusted odds ratio at a confidence level of 95% and level of significance at 0.05.

Results

The overall prevalence of under-five children diarrheal cases was 22.3%. The odds of diarrhea are associated with a multitude of variables. Major wastewater-related determinants associated with diarrhea are body washing with irrigation water [AOR: 37.7, 95%CI (3.1, 358)], contaminated cloth with irrigation water [AOR:10.8,95%CI(0.6, 205)], use of protective clothing during farm work [28.9,95%CI (3.9, 215)], use of farm work cloths at home [AOR: 31.7, 95%CI (4.4, 226)], and bringing unwashed farm tools to home [94 (5.7, 1575)].

Conclusion

The high prevalence of under-five children diarrheal disease among wastewater irrigation households was strongly associated with factors related to occupational exposure. Thus, to decrease childhood diarrheal among urban agriculture farmers, appropriate precautions need to be taken.

SUBMITTER: Ali AS 

PROVIDER: S-EPMC10631672 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Publications

Prevalence and risk factors of childhood diarrhea among wastewater irrigating urban farming households in Addis Ababa.

Ali Adane Sirage AS   Gari Sirak Robele SR   Goodson Michaela L ML   Walsh Claire L CL   Dessie Bitew K BK   Ambelu Argaw A  

PloS one 20231108 11


<h4>Introduction</h4>Childhood diarrhea is one of the major contributors to the morbidity of under-five children in Ethiopia. Although researchers determine the risk factors varyingly, the exposure route to the pathogens is usually complicated. This study aims to investigate the prevalence and risk factors of diarrhea among children under the age of five among wastewater irrigation farming households in Addis Ababa, Ethiopia.<h4>Methods</h4>Cross-sectional study was conducted among 402 farming h  ...[more]

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