Prevalence and clustering of diarrhoea within households in India: some evidence from NFHS-4, 2015–16

2020 ◽  
Vol 53 (1) ◽  
pp. 108-120 ◽  
Author(s):  
Bevin Vijayan ◽  
Mala Ramanathan
Keyword(s):  
Water Supply ◽  
Diarrhoeal Disease ◽  
Household Level ◽  
Individual Level ◽  
Under Five ◽  
Safe Water ◽  
Chi Squared ◽  
Improved Sanitation ◽  
Nationally Representative ◽  
Water Supply And Sanitation

AbstractDiarrhoeal disease is one of the major causes of morbidity and mortality in children and is usually measured at individual level. Shared household attributes, such as improved water supply and sanitation, expose those living in the same household to these same risk factors for diarrhoea. The occurrence of diarrhoea in two or more children in the same household is termed ‘diarrhoea clustering’. The aim of this study was to examine the role of improved water supply and sanitation in the occurrence of diarrhoea, and the clustering of diarrhoea in households, among under-five children in India. Data were taken from the fourth round of the National Family and Health Survey (NFHS-4), a nationally representative survey which interviewed 699,686 women from 601,509 households in the country. If any child was reported to have diarrhoea in a household in the 2 weeks preceding the survey, the household was designated a diarrhoeal household. Household clustering of diarrhoea was defined the occurrence of diarrhoea in more than one child in households with two or more children. The analysis was done at the household level separately for diarrhoeal households and clustering of diarrhoea in households. The presence of clustering was tested using a chi-squared test. The overall prevalences of diarrhoea and clustering of diarrhoea were examined using exogenous variables. Odds ratios, standardized to allow comparison across categories, were computed. The household prevalence of diarrhoea was 12% and that of clustering of diarrhoea was 2.4%. About 6.5% of households contributed 12.6% of the total diarrhoeal cases. Access to safe water and sanitation was shown to have a great impact on reducing diarrhoeal prevalence and clustering across different household groups. Safe water alone had a greater impact on reducing the prevalence in the absence of improved sanitation when compared with the presence of improved sanitation. It may be possible to reduce the prevalence of diarrhoea in households by targeting those households with more than one child in the under-five age group with the provision of safe water and improved sanitation.

Equity in access to water supply and sanitation in Ethiopia: an analysis of EDHS data (2000–2011)

2016 ◽  
Vol 6 (2) ◽  
pp. 320-330 ◽  
Author(s):  
Selamawit Seyoum ◽  
Jay P. Graham
Keyword(s):  
Surface Water ◽  
Water Supply ◽  
Primary Source ◽  
Open Defecation ◽  
Water Supplies ◽  
Urban Rural ◽  
Improved Sanitation ◽  
Access To Water ◽  
Equity In Access ◽  
Water Supply And Sanitation

Significant efforts to improve water supply and sanitation (WS&S) in Ethiopia have been made over the past decade, yet it is unclear how progress has affected different segments of the population. This study used data from Ethiopia's Demographic and Health Survey (2000, 2005, and 2011) to assess trends in: 1) access to improved water supplies; 2) use of improved sanitation; 3) use of untreated surface water as a primary source for drinking water; 4) open defecation; and 5) water transport times greater than 30 minutes. Trends were assessed by urban/rural residence, administrative region and education. The study found increases in access to improved water supplies and reductions in open defecation; however, no progress was observed in the use of improved sanitation. Rural households that reported drinking untreated surface water went from nearly one-third in 2000 to one-fifth in 2011. No improvements were found regarding the reported time spent collecting water. Inequities in WS&S remained high across the country, highlighting the need to focus on these differences and target resources towards sub-populations that lack this fundamental necessity.

Abstract 244: Racial Disparities In Cardiopulmonary Training Status in the United States

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Shaun K McGovern ◽  
Andrew Murray ◽  
Benjamin S Abella ◽  
Marion Leary ◽  
Audrey L Blewer
Keyword(s):  
Secondary Analysis ◽  
The United States ◽  
Training Status ◽  
Individual Level ◽  
Significant Difference ◽  
Chi Squared ◽  
Random Digit Dial ◽  
Nationally Representative ◽  
The Individual ◽  
Cpr Training

Background: Survival from out-of-hospital cardiac arrest varies by race, possibly due to poor penetration of CPR training in minority communities. Targeted trainings and campaigns to increase access to CPR education have sought to address these gaps, yet it is unknown if these initiatives have equalized training rates. Objectives: We sought to examine racial variation of CPR training status on the individual-level by assessing current CPR training and ever CPR trained status. We hypothesized that whites would be more likely to hold current CPR training and be ever trained in CPR compared to minorities. Methods: As a secondary analysis to a previous random digit dial survey of a nationally-representative adult sample, we defined CPR training status of individuals as currently trained (only ≤2 years) and ever trained. Chi-squared test and multivariate logistic regression were used to determine variation by race. Results: From 09/2015-11/2015, 9,022 individuals completed the national survey. Of those, 65% had been CPR trained at some point in time, while 18% reported being currently trained. Minorities were significantly less likely to ever be trained in CPR compared to whites (54.9% vs 70.8%, p<0.01). However, minorities and whites were equally as likely to be currently CPR trained (18.2% vs. 18.2%, p=0.99); no significant difference was found when adjusting for age, sex, and education (p=ns). Probability of training status by age displayed variation between groups (Figure 1). Conclusions: Significant disparities by race were observed in those ever trained in CPR, however no significant difference exists in attainment of current CPR training. Increased access to CPR education and targeted training campaigns may have closed the gap in current CPR training status disparities. Continued surveillance of CPR training rates is needed to monitor these findings over time.

scholarly journals Sociodemographic Differences in the Dietary Quality of Food-at-Home Acquisitions and Purchases among Participants in the U.S. Nationally Representative Food Acquisition and Purchase Survey (FoodAPS)

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2354 ◽  
Author(s):  
Maya K. Vadiveloo ◽  
Haley W. Parker ◽  
Filippa Juul ◽  
Niyati Parekh
Keyword(s):  
Diet Quality ◽  
Healthy Eating Index ◽  
Food Acquisition ◽  
Assistance Program ◽  
Household Level ◽  
Individual Level ◽  
Sociodemographic Differences ◽  
Race Ethnicity ◽  
Nationally Representative ◽  
At Home

Insufficient research has explored whether sociodemographic differences in self-reported, individual-level diet quality are similarly reflected by grocery purchase quality. This cross-sectional analysis of n = 3961 U.S. households from the nationally representative Food Acquisition and Purchase Survey (FoodAPS) compared Healthy Eating Index (HEI)-2015 scores from 1 week of food-at-home acquisitions across self-reported demographic factors (race/ethnicity, Supplemental Nutrition Assistance Program (SNAP) participation, food security, and household-level obesity status). Multivariable-adjusted, survey-weighted regression models compared household HEI-2015 scores across sociodemographic groups. Respondents were primarily White and female, with a mean age of 50.6 years, 14.0% were food insecure, and 12.7% were SNAP-participating. Mean HEI-2015 scores were 54.7; scores differed across all sociodemographic exposures (p < 0.05). Interactions (p < 0.1) were detected between SNAP participation and (1) food insecurity and (2) household-level obesity, and race/ethnicity and (1) household-level obesity. HEI-2015 scores were higher among food secure, non-SNAP households than among food insecure, SNAP-participating households (53.9 ± 0.5 vs. 50.3 ± 0.7, p = 0.007); non-SNAP households without obesity had significantly higher HEI-2015 scores than other households. Household-level obesity was associated with lower HEI-2015 scores in White (50.8 ± 0.5 vs. 52.5 ± 0.7, p = 0.046) and Black (48.8 ± 1.5 vs. 53.1 ± 1.4, p = 0.018) but not Hispanic households (54.4 ± 1.0 vs. 52.2 ± 1.2, p = 0.21). Sociodemographic disparities in household HEI-2015 scores were consistent with previous research on individual-level diet quality.

scholarly journals Linking household level GIS-generated environmental exposure scores with individual level anonymised health data

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Amy Mizen ◽  
Sarah Rodgers ◽  
Richard Fry ◽  
Ronan Lyons
Keyword(s):  
Environmental Exposure ◽  
Health Data ◽  
Environmental Data ◽  
Population Register ◽  
Group 13 ◽  
Household Level ◽  
Individual Level ◽  
Exposure Data ◽  
Environment Exposure ◽  
Chi Squared

IntroductionThe dose-response relationship between exposure to food and BMI, has not been widely investigated. Furthermore, household-level, GIS-generated food environment exposure scores have not previously been linked with individual-level, anonymised BMI data. This study linked GIS-generated residential level environmental exposure scores with historical anonymised, health data held in the SAIL databank. Objectives and ApproachHousehold level GIS-generated exposure data for a region of about 1 million people were anonymised into SAIL using the ‘split-file’ method. All individuals living in the 633,884 homes at the time of data collection (2009-2010) were flagged using a population register. Separately, a cohort of 1147, 11-13 year old pupils were linked to their health data before joining to their environmental exposures. Two subgroups were established within the linked dataset: individuals living at 4.8km or less from the school they attended were assumed to walk to school (“walkers”) and pupils who lived further than 4.8km were flagged as “non-walkers”. ResultsA total of 916 pupils (80%) were successfully linked to the population register. The BMIs were collected in 2009-2010, but more recent data is likely to have a greater proportion of successful links (more recently, 97% of individuals and their health data have been linked to their home and exposures in SAIL). Erroneous BMIs were removed (n=33, 2.9%). Anonymised exposure data were linked with the remaining 883 (77%) individuals. The dataset contained 352 males (39.9%) and 531 females (60.1%); of these, 38% were from deprived areas and 62% lived in affluent areas. There were 431 (48.8%) pupils in the “walkers” group and 452 (51.2%) in the “non-walkers” group. In the “walkers” group, 13% were obese compared with 22% of “non-walkers” (chi-squared = 12.3, p <0.05). Conclusion/ImplicationsWe generated novel regional exposures to combine with historical anonymised health data. Household and individual level linkage of environmental data to health cohorts contributed to the literature to help develop beneficial societal policies. We recommend routine national collections of height and weight for children to allow longitudinal retrospective analyses.

scholarly journals The prominence of health in donor policy for water supply and sanitation: a review

2004 ◽  
Vol 2 (3) ◽  
pp. 157-169 ◽  
Author(s):  
Rebecca Clark ◽  
Stephen W. Gundry
Keyword(s):  
Water Supply ◽  
International Development ◽  
Poverty Reduction ◽  
Health Benefits ◽  
Poor People ◽  
The European Union ◽  
Potential Health ◽  
Sanitation And Hygiene ◽  
Improved Sanitation ◽  
Water Supply And Sanitation

Improved water supply, sanitation and hygiene used in combination are effective at achieving better health for poor people in developing countries. However, donor policy has been dominated by interventions in water supply, at the expense of achieving the potential health benefits of improved sanitation and hygiene. Commitments recently made by the international community require greater emphasis on improved sanitation and hygiene and their impacts on health. This review assesses whether such a shift in emphasis is apparent in donor policy. It examines the prominence given to achieving better health in water supply and sanitation policies of three donors: the World Bank, the European Union and the Department for International Development of the British Government. It finds that health benefits are explicit and integral in recently updated policy documentation concerning water supply and sanitation. This has taken place in an environment focused on poverty reduction and demand-led, financially sustainable interventions. Mechanisms that have enabled donors to prioritise the health impacts in this environment are discussed, including adoption of an asset-based conceptualisation of poverty and a cross-sectoral approach.

scholarly journals Global burden of diarrheal disease attributable to the water supply and sanitation system in the State of Minas Gerais, Brazil: 2005

2015 ◽  
Vol 20 (4) ◽  
pp. 1027-1036 ◽  
Author(s):  
Andreia Ferreira de Oliveira ◽  
Iuri da Costa Leite ◽  
Joaquin Gonçalves Valente
Keyword(s):  
Water Supply ◽  
Diarrheal Disease ◽  
Minas Gerais ◽  
The State ◽  
Global Burden ◽  
Diarrheal Diseases ◽  
Under Five ◽  
The Impact ◽  
Water Supply And Sanitation

Advances have occurred in relation to the coverage of water supply and sanitation in Brazil, however inequalities are still observed in relation to the coverage of these services, reflecting the importance of diarrheal disease in the Brazilian epidemiological context. The aim of this study was to measure the impact of the water supply and sanitation system on diarrheal diseases among children aged under five. The global burden of diarrhea was calculated based on the attributable population fraction, using information on prevalence and relative risks from the 2000/2010 censuses and a study by Pruss et al. The north of the State of Minas Gerais, the Northeast and Jequitinhonha regions had the highest disability-adjusted life year (DALY) rates and ratios. The fraction of diarrhea attributable to the water supply and sanitation system was 83%, decreasing to 78.3% where sanitation had 100% coverage. An inverse relationship was found between DALY rates and attributable fractions and per capita GDP. Broadening the scope and coverage of services and improving the quality of water available in homes is an urgent requirement. These measures will bring economic and social benefits related to the reduction of diarrheal diseases and consequent improvement of the quality of life of children aged under five.

scholarly journals Determinants of the Stunting of Children Under Two Years Old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health Survey

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1106 ◽  
Author(s):  
Christiana R. Titaley ◽  
Iwan Ariawan ◽  
Dwi Hapsari ◽  
Anifatun Muasyaroh ◽  
Michael J. Dibley
Keyword(s):  
Antenatal Care ◽  
Health Survey ◽  
Wealth Index ◽  
Household Wealth ◽  
Children Under Five ◽  
Household Level ◽  
Individual Level ◽  
Under Five ◽  
Basic Health ◽  
Care Services

Indonesia is ranked fifth among countries with the highest burden of stunting in children under five. This study aims to examine the determinants of stunting in children aged 0–2 years in Indonesia using data derived from the 2013 Indonesia Basic Health Survey. Twenty potential predictors of stunting, categorized into household and housing characteristics; maternal and paternal characteristics; antenatal care services and child characteristics were analyzed. Multilevel analyses were performed to examine the role of cluster/district/provincial differences, as well as individual/household level characteristics and stunting status. Of 24,657 children analyzed, 33.7% (95%CI: 32.8%–34.7%) were stunted. The odds of stunting increased significantly among children living in households with three or more children under five-years-old (aOR = 1.33, 95%CI: 1.03–1.72), households with five to seven household members (aOR =1.11; 95%CI: 1.03–1.20), children whose mothers during pregnancy attended less than four antenatal care services (aOR = 1.22, 95%CI: 1.08–1.39), boys (aOR = 1.33, 95%CI: 1.22–1.45), children aged 12–23 months (aOR = 1.89; 95%CI: 1.54–2.32), and children who weighed <2500 g at birth (aOR = 2.55; 95%CI: 2.05–3.15). The odds also increased significantly with the reduction of household wealth index. Integrated interventions to address environment, an individual level associated with stunting in Indonesia, from the environment- to individual-level factors are important.

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