Food Hygiene

Risk factors for diarrheal disease incidence in early childhood: a community cohort study from Guinea-Bissau

Risk factors for diarrheal disease incidence in early childhood: a community cohort study from Guinea-Bissau.
M<o>lbak, K.; Jensen, H.; Ingholt, L.; Aaby, P.; American Journal of Epidemiology, 1997, 146, 3, 273-282, 47 ref.

To determine risk factors for diarrhoea, an open cohort of 1314 children from Guinea-Bissau was followed by weekly diarrhoea recall interviews between April 1987 and March 1990. Data on feeding practices and measles infection were available for all children and, for 531 children, comprehensive data on explanatory variables were recorded. Of 57 variables, 7 were independently associated with an increased incidence of diarrhoea. These were a recent (in the past 14 days) diarrhoeal episode, male sex, being weaned from breast milk, not being looked after by the mother, head of the household being <30 years old, eating cold leftovers, and drinking water from an unprotected public water supply. In breastfed children, only 3 variables were associated with diarrhoea, including prior diarrhoea, male sex, and not being looked after by the mother. Among weaned children, 6 variables delineated increased rates of diarrhoea, including unprotected public water supply, eating of cold leftovers, and lack of maternal education. Major determinants of persistent diarrhoea included weaning, lack of maternal education, and having pigs in the home. It is concluded that, in addition to the promotion of breastfeeding, important interventions against diarrhoea include improvements in water supply, hygiene, and food handling. However, because of effect modification by breastfeeding, the largest effects of these interventions will probably be among weaned children.

  • Publication type: Journal article
  • Record Number: 19972009147
  • Author Affiliation: Department of Epidemiology Research, Statens Serum Institut, Artillerivej 5, DK-2300 Copenhagen S, Denmark.
  • ISSN: 0002-9262
  • Language of publication: English
  • Geographical Location: Africa; Guinea-bissau;
  • Organism Descriptors: man;
  • Descriptors: breast feeding; children; diarrhoea; drinking water; effects; households; human diseases; incidence; infant feeding; infants; infection; males; risk factors;
  • Identifiers: diarrhea; scouring;
  • CABICODEs: VV200 – Parasites, Vectors, Pathogens and Biogenic Diseases of Humans, (Discontinued March 2000);
  • Broad Terms: Homo; Hominidae; Primates; mammals; vertebrates; Chordata; animals; eukaryotes; West Africa; Africa South of Sahara; Africa; Least Developed Countries; Developing Countries; ACP Countries; Portuguese Speaking Africa;


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Written by geraldmoy

March 4, 2011 at 2:40 pm