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

Lookup NU author(s): Dr Michaela Goodson, Professor Claire Walsh

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2023 Ali et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.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.


Publication metadata

Author(s): Ali AS, Gari SR, Goodson ML, Walsh CL, Dessie BK, Ambelu A

Publication type: Article

Publication status: Published

Journal: PLoS ONE

Year: 2023

Volume: 18

Issue: 11

Print publication date: 01/11/2023

Online publication date: 08/11/2023

Acceptance date: 27/06/2023

Date deposited: 27/11/2023

ISSN (electronic): 1932-6203

Publisher: Public Library of Science

URL: https://doi.org/10.1371/journal.pone.0288425

DOI: 10.1371/journal.pone.0288425

Data Access Statement: All relevant data are within the paper and its Supporting Information files.

PubMed id: 37939075


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Funding

Funder referenceFunder name
ES/S008179/1
UK Research and Innovation’s Global Challenges Research Fund (GCRF)
Water Security and Sustainable Development Hub

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