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Childhood diarrhea and observed hygiene behavior in Salvador, Brazil

Strina, A.; Cairncross, S.; Barreto, M. L.; Larrea, C.; Prado, M. S.
American Journal of Epidemiology, 2003; 157(11):1032-1038
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pub_id
12777367
pubmedid
12777367
ISI
183420800012
reference_type
Journal Article
author
Strina, A.; Cairncross, S.; Barreto, M. L.; Larrea, C.; Prado, M. S.
title
Childhood diarrhea and observed hygiene behavior in Salvador, Brazil
secondary_title
American Journal of Epidemiology
ISBNISSN
0002-9262
volume
157
number
11
pages
1032-1038
year
2003
abstract
Brief biweekly home visits, made as part of a cohort study of diarrhea in young children under age 5 years that was carried out in Salvador, Brazil, in 1998-1999, were used as a low-cost way to collect structured observation data on domestic hygiene behavior. Field-workers were trained to check a list of 23 forms of hygienic or unhygienic behavior by the child or the child's caretaker, if any behaviors were seen during the visit. Children were grouped according to whether mainly unhygienic behavior or mainly hygienic behavior had been recorded. This permitted study of the determinants of hygiene behavior and of its role in the transmission or prevention of diarrheal disease. Observations were recorded on roughly one visit in 20. Households with adequate excreta disposal were significantly more likely to be in the "mainly hygienic" group. The prevalence of diarrhea among children for whom mainly unhygienic behavior was recorded was 2.2 times that among children in the "mainly hygienic" group. The relative risk for prevalence was 2.2 (95% confidence interval: 1.7, 2.8). The relative risk fell to 1.9 (95% confidence interval: 1.5, 2.5) after data were controlled for confounding, but the difference was still highly significant.
keywords
behavior; child; diarrhea; house calls; hygiene; risk factors; sanitation; water supply burkina-faso; structured observations; water; questionnaires; multicountry; intervention; bangladesh; disease; waste ; Brazil; epidemiology; Child Care; Child, Preschool; Diarrhea; epidemiology; etiology; Diarrhea, Infantile; epidemiology; etiology; Health Behavior; Human; Hygiene; Incidence; Infant; Prevalence; Risk Factors; Sanitation; Support, Non-U.S. Gov't; Toilet Facilities; Water Supply;
secondary_author
place_published
publisher
number_of_volumes
tertiary_author
tertiary_title
edition
date
2003-06-01
type_of_work
subsidiary_author
alternate_title
Am. J. Epidemiol.
call_number
accession_number
12777367
custom_1
WOS OK
custom_2
Unknown
custom_3
custom_4
10.1093/aje/kwg075
custom_5
Free
custom_6
10
label
2016-10-19
notes
Article 688EP AMER J EPIDEMIOL Journal Article
url
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=12777367
author_address
Univ Fed Bahia, Inst Saude Colet, Rua Padre Feijo 29,4th Floor, BR-40110170 Salvador, BA, Brazil Univ Fed Bahia, Inst Saude Colet, BR-40110170 Salvador, BA, Brazil London Sch Hyg & Trop Med, London WC1, England Univ Barcelona, Dept Sociol Anthropol, Barcelona, Spain Univ Barcelona, Amer & African Hist, Barcelona, Spain Barreto ML Univ Fed Bahia, Inst Saude Colet, Rua Padre Feijo 29,4th Floor, BR-40110170 Salvador, BA, Brazil
library
12777367 22661725
date_accepted
date_online
created
2003-10-20 16:26:51
modified
2016-07-08 00:00:00
library

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<ArticleId IdType="medline">22661725</ArticleId>