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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1993-7-2
|
| pubmed:abstractText |
This study examines the relationship between severe diarrhoeal disease and maternal knowledge and behaviours related to hygiene and sanitation. Some 107 paediatric cases admitted to two hospitals in Kinshasa, Zaire in 1988 were matched on age and nearest-neighbour status to 107 controls. Personal interviews and observational methods were used to assess knowledge and behaviours related to hygiene and sanitation. Cases and controls had equivalent socioeconomic status, demographic profiles and access to water and sanitation facilities. However, cases generally exhibited lower levels of knowledge and less sanguine sanitary practices than did controls. Of particular interest was the finding that very specific behavioural items distinguished cases from controls. The disposal of the child faeces and household garbage and mother's knowledge that poor caretaker cleanliness was a cause of diarrhoea in children showed the strongest associations with risk of diarrhoea. There was an exponential relationship between the number of these items a mother answered incorrectly and the odds of diarrhoeal disease. The risk attributable to these three variables was as high as 70%. These findings provide further support for the view that focused educational interventions may have a substantial impact on the occurrence of severe diarrhoeal disease in low-income countries.
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| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/Behavior--women,
http://linkedlifedata.com/resource/pubmed/keyword/Biology,
http://linkedlifedata.com/resource/pubmed/keyword/Case Control Studies,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diarrhea--determinants,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/ENVIRONMENT,
http://linkedlifedata.com/resource/pubmed/keyword/Education,
http://linkedlifedata.com/resource/pubmed/keyword/Family And Household,
http://linkedlifedata.com/resource/pubmed/keyword/Family Characteristics,
http://linkedlifedata.com/resource/pubmed/keyword/Family Relationships,
http://linkedlifedata.com/resource/pubmed/keyword/French Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/HEALTH EDUCATION,
http://linkedlifedata.com/resource/pubmed/keyword/HYGIENE,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Knowledge,
http://linkedlifedata.com/resource/pubmed/keyword/Middle Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Mothers,
http://linkedlifedata.com/resource/pubmed/keyword/Natural Resources,
http://linkedlifedata.com/resource/pubmed/keyword/PARENTS,
http://linkedlifedata.com/resource/pubmed/keyword/PUBLIC HEALTH,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Research Report,
http://linkedlifedata.com/resource/pubmed/keyword/Risk Factors,
http://linkedlifedata.com/resource/pubmed/keyword/SANITATION,
http://linkedlifedata.com/resource/pubmed/keyword/Studies,
http://linkedlifedata.com/resource/pubmed/keyword/WATER SUPPLY,
http://linkedlifedata.com/resource/pubmed/keyword/Zaire
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0300-5771
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
22
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
327-33
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:otherAbstract |
PIP: Data on 107 children (mean age 12 months) with severe diarrhea admitted to Mama Yemo Hospital and Kalembelembe Children's Hospital in Kinshasa, Zaire, between March and November 1988 were compared with 107 age- and neighborhood-matched controls to determine the significance of maternal behavioral risk factors as determinants of severe diarrheal disease. The 2 groups were essentially of the same socioeconomic class. 97% of all children had access to latrines, especially pit latrines in the family compound. About one third of the children did not have access to piped water within their compounds. Mothers of controls had slightly higher levels of formal education than did case mothers (p = .07). The number of hygienic and sanitary questions that mothers did not answer correctly grew exponentially as did the odds of severe diarrheal disease. The multiple logistic regression analysis indicated that mothers' knowledge of the significance of child caretaker cleanliness was strongly related to severe diarrheal disease (odds ratio [OR] = 2.56; p = .01). Unsanitary disposal of child feces and garbage were also significant predictors of severe diarrheal disease (ORs = 2.69 and 2.92, respectively; p = .001). These 3 behavioral factors were responsible for up to 70% of the severe diarrhea cases. Thus, health education initiatives focusing on these 3 behaviors could eliminate as much as 70% of the cases.
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| pubmed:meshHeading |
pubmed-meshheading:8505192-Adult,
pubmed-meshheading:8505192-Case-Control Studies,
pubmed-meshheading:8505192-Child, Preschool,
pubmed-meshheading:8505192-Democratic Republic of the Congo,
pubmed-meshheading:8505192-Diarrhea,
pubmed-meshheading:8505192-Female,
pubmed-meshheading:8505192-Health Education,
pubmed-meshheading:8505192-Health Knowledge, Attitudes, Practice,
pubmed-meshheading:8505192-Humans,
pubmed-meshheading:8505192-Hygiene,
pubmed-meshheading:8505192-Incidence,
pubmed-meshheading:8505192-Infant,
pubmed-meshheading:8505192-Infant, Newborn,
pubmed-meshheading:8505192-Male,
pubmed-meshheading:8505192-Maternal Behavior,
pubmed-meshheading:8505192-Risk Factors,
pubmed-meshheading:8505192-Sanitation,
pubmed-meshheading:8505192-Socioeconomic Factors
|
| pubmed:year |
1993
|
| pubmed:articleTitle |
Maternal behavioural risk factors for severe childhood diarrhoeal disease in Kinshasa, Zaire.
|
| pubmed:affiliation |
International Health Academic Program, Tulane University, School of Public Health and Tropical Medicine, New Orleans, LA 70112.
|
| pubmed:publicationType |
Journal Article
|