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<title xml:lang="en">Hygiene and sanitation risk factors of diarrhoeal disease among under-five children in Ibadan, Nigeria</title>
<author>
<name sortKey="Oloruntoba, Elizabeth Omoladun" sort="Oloruntoba, Elizabeth Omoladun" uniqKey="Oloruntoba E" first="Elizabeth Omoladun" last="Oloruntoba">Elizabeth Omoladun Oloruntoba</name>
<affiliation>
<nlm:aff id="A1"> Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Folarin, Taiwo Bukola" sort="Folarin, Taiwo Bukola" uniqKey="Folarin T" first="Taiwo Bukola" last="Folarin">Taiwo Bukola Folarin</name>
<affiliation>
<nlm:aff id="A1"> Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ayede, Adejumoke Idowu" sort="Ayede, Adejumoke Idowu" uniqKey="Ayede A" first="Adejumoke Idowu" last="Ayede">Adejumoke Idowu Ayede</name>
<affiliation>
<nlm:aff id="A2"> Department of Paediatrics, University College Hospital, Ibadan, Nigeria</nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">25834513</idno>
<idno type="pmc">4370083</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370083</idno>
<idno type="RBID">PMC:4370083</idno>
<idno type="doi">10.4314/ahs.v14i4.32</idno>
<date when="2014">2014</date>
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<title xml:lang="en" level="a" type="main">Hygiene and sanitation risk factors of diarrhoeal disease among under-five children in Ibadan, Nigeria</title>
<author>
<name sortKey="Oloruntoba, Elizabeth Omoladun" sort="Oloruntoba, Elizabeth Omoladun" uniqKey="Oloruntoba E" first="Elizabeth Omoladun" last="Oloruntoba">Elizabeth Omoladun Oloruntoba</name>
<affiliation>
<nlm:aff id="A1"> Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Folarin, Taiwo Bukola" sort="Folarin, Taiwo Bukola" uniqKey="Folarin T" first="Taiwo Bukola" last="Folarin">Taiwo Bukola Folarin</name>
<affiliation>
<nlm:aff id="A1"> Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ayede, Adejumoke Idowu" sort="Ayede, Adejumoke Idowu" uniqKey="Ayede A" first="Adejumoke Idowu" last="Ayede">Adejumoke Idowu Ayede</name>
<affiliation>
<nlm:aff id="A2"> Department of Paediatrics, University College Hospital, Ibadan, Nigeria</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">African Health Sciences</title>
<idno type="ISSN">1680-6905</idno>
<idno type="eISSN">1729-0503</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Diarrhoea diseases are among the leading causes of morbidity and mortality in under-five-children (U-5C) in Nigeria. Inadequate safe water, sanitation, and hygiene account for the disease burden. Cases of diarrhoea still occur in high proportion in the study area despite government-oriented interventions.</p>
</sec>
<sec>
<title>Objective</title>
<p>To determine the hygiene and sanitation risk factors predisposing U-5C to diarrhoea in Ibadan, Nigeria.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>Two hundred and twenty pairs of children, matched on age, were recruited as cases and controls over a period of 5 months in Ibadan. Questionnaire and observation checklist were used to obtain information on hygiene practices from caregivers/mothers and sanitation conditions in the households of 30% of the consenting mothers/caregivers. Data were analysed using descriptive and inferential statistics.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>Caregivers/mothers' mean ages were 31.3 ±7.5 (cases) and 30.6 ±6.0(controls) years. The risk of diarrhoea was significantly higher among children whose mothers did not wash hands with soap before food preparation (OR=3.0, p<0.05), before feeding their children (OR=3.0, p<0.05) and after leaving the toilet (OR=4.7, p<0.05). Factors significantly associated with diarrhoea were: poor water handling (OR=2.0,CI=1.2–3.5), presence of clogged drainage near the house (OR=2.1,CI=1.2–3.7) and breeding places for flies (OR=2.7,CI=1.6–4.7). The mean risk score among cases and controls from the sanitary inspection of drinking water sources were 5.4 ± 2.2 and 3.2 ± 1.9 (p<0.05) and household storage containers were 2.4 ± 1.8 and 1.2 ± 0.7 (p<0.05) respectively</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>Hygiene and sanitation conditions within households were risk factors for diarrhoea. This study revealed the feasibility of developing and implementing an adequate model to establish intervention priorities in sanitation in Ibadan, Nigeria.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Afr Health Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">Afr Health Sci</journal-id>
<journal-title-group>
<journal-title>African Health Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">1680-6905</issn>
<issn pub-type="epub">1729-0503</issn>
<publisher>
<publisher-name>Makerere Medical School</publisher-name>
<publisher-loc>Kampala, Uganda</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25834513</article-id>
<article-id pub-id-type="pmc">4370083</article-id>
<article-id pub-id-type="publisher-id">jAFHS.v14.i4.pg1001</article-id>
<article-id pub-id-type="doi">10.4314/ahs.v14i4.32</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Hygiene and sanitation risk factors of diarrhoeal disease among under-five children in Ibadan, Nigeria</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Oloruntoba</surname>
<given-names>Elizabeth Omoladun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Folarin</surname>
<given-names>Taiwo Bukola</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ayede</surname>
<given-names>Adejumoke Idowu</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria</aff>
<aff id="A2">
<label>2</label>
Department of Paediatrics, University College Hospital, Ibadan, Nigeria</aff>
<author-notes>
<corresp>Corresponding author Elizabeth Omoladun Oloruntoba Department of Environmental Health Sciences, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
<email>li_zzyy@yahoo.com</email>
Tel: +234-802-894-6358</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2014</year>
</pub-date>
<volume>14</volume>
<issue>4</issue>
<fpage>1001</fpage>
<lpage>1011</lpage>
<permissions>
<copyright-statement>Copyright © Makerere Medical School, Uganda 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract abstract-type="executive-summary">
<sec>
<title>Background</title>
<p>Diarrhoea diseases are among the leading causes of morbidity and mortality in under-five-children (U-5C) in Nigeria. Inadequate safe water, sanitation, and hygiene account for the disease burden. Cases of diarrhoea still occur in high proportion in the study area despite government-oriented interventions.</p>
</sec>
<sec>
<title>Objective</title>
<p>To determine the hygiene and sanitation risk factors predisposing U-5C to diarrhoea in Ibadan, Nigeria.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>Two hundred and twenty pairs of children, matched on age, were recruited as cases and controls over a period of 5 months in Ibadan. Questionnaire and observation checklist were used to obtain information on hygiene practices from caregivers/mothers and sanitation conditions in the households of 30% of the consenting mothers/caregivers. Data were analysed using descriptive and inferential statistics.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>Caregivers/mothers' mean ages were 31.3 ±7.5 (cases) and 30.6 ±6.0(controls) years. The risk of diarrhoea was significantly higher among children whose mothers did not wash hands with soap before food preparation (OR=3.0, p<0.05), before feeding their children (OR=3.0, p<0.05) and after leaving the toilet (OR=4.7, p<0.05). Factors significantly associated with diarrhoea were: poor water handling (OR=2.0,CI=1.2–3.5), presence of clogged drainage near the house (OR=2.1,CI=1.2–3.7) and breeding places for flies (OR=2.7,CI=1.6–4.7). The mean risk score among cases and controls from the sanitary inspection of drinking water sources were 5.4 ± 2.2 and 3.2 ± 1.9 (p<0.05) and household storage containers were 2.4 ± 1.8 and 1.2 ± 0.7 (p<0.05) respectively</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>Hygiene and sanitation conditions within households were risk factors for diarrhoea. This study revealed the feasibility of developing and implementing an adequate model to establish intervention priorities in sanitation in Ibadan, Nigeria.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Diarrhoea</kwd>
<kwd>Drinking water</kwd>
<kwd>Hygiene Risk Factors</kwd>
<kwd>Sanitation</kwd>
<kwd>Under five children</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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