Individual and contextual determinants of the duration of diarrhoeal episodes in preschool children: a longitudinal study in an urban setting
This study investigated individual and contextual factors associated with the duration of diarrhoeal episodes in 693 young children living in a large Brazilian city who were followed-up for at least 3 months. The outcome is analysed as a continuous variable, by means of a hierarchical conceptual mod...
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| Hauptverfasser: | , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2012
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| In: |
Epidemiology and infection
Year: 2012, Jahrgang: 140, Heft: 4, Pages: 689-696 |
| ISSN: | 1469-4409 |
| DOI: | 10.1017/S0950268811000690 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1017/S0950268811000690 Verlag, Volltext: https://www.cambridge.org/core/journals/epidemiology-and-infection/article/individual-and-contextual-determinants-of-the-duration-of-diarrhoeal-episodes-in-preschool-children-a-longitudinal-study-in-an-urban-setting/6ED8453203C0186F20BF1A4A7B9BDCC1 
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| Verfasserangaben: | C.A.S.T. Santos, A. Strina, L.D. Amorim, B. Genser, A.M.O. Assis, M.S. Prado and M.L. Barreto |
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| 245 | 1 | 0 | |a Individual and contextual determinants of the duration of diarrhoeal episodes in preschool children |b a longitudinal study in an urban setting |c C.A.S.T. Santos, A. Strina, L.D. Amorim, B. Genser, A.M.O. Assis, M.S. Prado and M.L. Barreto |
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| 520 | |a This study investigated individual and contextual factors associated with the duration of diarrhoeal episodes in 693 young children living in a large Brazilian city who were followed-up for at least 3 months. The outcome is analysed as a continuous variable, by means of a hierarchical conceptual model organizing the factors in meaningful blocks. A total of 2397 episodes were recorded (median duration 2 days, interquartile range 1-3 days). Low percentage of households connected to the sewerage system in the neighbourhood, low family purchasing power, high agglomeration, mother aged <19 years, low zinc content in child's diet, and episode severity were significantly associated with longer duration (0·26-0·69 days more). Purchasing power effect was largely mediated by environmental conditions, characteristics of the child, and hygienic behaviour. Environmental conditions acted as a possible effect modifier, enhancing the effect on duration of diarrhoea of the child not having being vaccinated against measles or breastfed for >6 months. | ||
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