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Table 2 Prevalence of diarrhea and appropriate treatment by independent variables and unadjusted odds ratios in Nyanza, Kenya

From: Community unit performance: factors associated with childhood diarrhea and appropriate treatment in Nyanza Province, Kenya

Individual variables for both analyses

Experienced diarrhea within the previous 2 weeks

Appropriate treatment

No

n (%)

Yes

n (%)

Unadjusted odds ratio

Inappropriate

n (%)

Appropriate

n (%)

Unadjusted odds ratio

Child’s gender

  Female

2102 (86.1)

339 (13.9)

Ref.

213 (64.0)

120 (36.0)

Ref.

  Male

2072 (82.4)

442 (17.6)

1.390***

268 (61.1)

171 (39.0)

1.058

Child’s age (years)

   < 1

767 (79.2)

202 (20.9)

Ref.

126 (62.4)

76 (37.6)

Ref.

  1

647 (75.0)

216 (25.0)

1.259*

124 (58.2)

89 (41.8)

1.132

  2

849 (83.5)

168 (16.5)

0.722**

109 (66.1)

56 (33.9)

0.768

  3

984 (90.0)

109 (10.0)

0.375***

64 (59.3)

44 (40.7)

1.131

  4

927 (91.5)

86 (8.5)

0.350***

58 (69.1)

26 (31.0)

0.601

Relationship to household head

  Biological child

3294 (84.2)

618 (15.8)

Ref.

386 (63.1)

226 (36.9)

Ref.

  Grandchild

745 (85.4)

127 (14.6)

0.840

74 (59.7)

50 (40.3)

1.158

  Other

135 (79.0)

36 (21.1)

1.376

21 (58.3)

15 (41.7)

1.123

Household head’s gender

  Female

1,039 (84.1)

197 (15.9)

Ref.

118 (61.8)

73 (38.2)

Ref.

  Male

3,135 (84.3)

584 (15.7)

1.030

363 (62.5)

218 (37.5)

1.019

Age group (years)

   < 30

1101 (80.4)

269 (19.6)

Ref.

172 (64.9)

93 (35.1)

Ref.

  30–34

788 (84.4)

146 (15.6)

0.767***

87 (59.6)

59 (40.4)

1.276

  35–39

700 (86.0)

114 (14.0)

0.642***

67 (59.8)

45 (40.2)

1.433

  40–49

750 (87.4)

108 (12.6)

0.612***

66 (62.9)

39 (37.1)

1.034

   ≥ 50

835 (85.3)

144 (14.7)

0.681***

89 (61.8)

55 (38.2)

1.147

Education level

  No education/Primary level

2829 (83.5)

561 (16.6)

Ref.

342 (62.0)

210 (38.0)

Ref.

  Secondary level or higher

1345 (85.9)

220 (14.1)

0.862

139 (63.2)

81 (36.8)

0.913

Household wealth index

  Poorer

985 (84.0)

188 (16.0)

Ref.

123 (67.2)

60 (32.8)

Ref.

  Poor

868 (83.7)

169 (16.3)

1.054

105 (62.5)

63 (37.5)

1.174

  Middle

855 (85.0)

151 (15.0)

0.960

85 (56.3)

66 (43.7)

1.644*

  Rich

802 (85.6)

135 (14.4)

0.906

80 (60.6)

52 (39.4)

1.377

  Richer

664 (82.8)

138 (17.2)

1.062

88 (63.8)

50 (36.2)

1.075

Number of household members

  5 or fewer than 5

2002 (83.2)

404 (16.8)

Ref.

253 (63.3)

147 (36.8)

Ref.

  More than 5

2172 (85.2)

377 (14.8)

0.824*

228 (61.3)

144 (38.7)

1.111

Number of children under five

  One

1340 (86.3)

213 (13.7)

Ref.

135 (64.6)

74 (35.4)

Ref.

  More than 1

2834 (83.3)

568 (16.7)

1.203*

346 (61.5)

217 (38.5)

1.190

Paying attention to the child

  Less attention

2316 (83.3)

464 (16.7)

Ref.

278 (60.4)

182 (39.6)

Ref.

  More attention

1858 (85.4)

317 (14.6)

0.844*

203 (65.1)

109 (34.9)

0.892

Playing with the child in the past three days

  No playing

858 (84.8)

154 (15.2)

Ref.

102 (68.5)

47 (31.5)

Ref.

  Playing at least once within the past 3 days

3316 (84.1)

627 (15.9)

1.028

379 (60.8)

244 (39.2)

1.233

Individual Variables for the first analysis on diarrhea cases

Water source for drinking

  Unimproved

2057 (84.1)

388 (15.9)

Ref.

   

  Improved

2117 (84.3)

393 (15.7)

0.974

   

Water treatment

  No treatment/Inadequate

1839 (83.0)

378 (17.1)

Ref.

   

  Adequate treatment

2335 (85.3)

403 (14.7)

0.820*

   

Hand-washing facility

  Not available

4045 (84.1)

764 (15.9)

Ref.

   

  Available

129 (88.4)

17 (11.6)

0.620

   

Possession of refrigerator

  No

4096 (84.1)

772 (15.9)

Ref.

   

  Yes

78 (89.7)

9 (10.3)

0.491

   

Individual Variables for the second analysis on appropriate treatment

Severity of diarrhea

  Without blood

   

437 (64.9)

236 (35.1)

Ref.

  With blood

   

44 (44.4)

55 (55.6)

2.538***

Possession of at least one media device

  No

   

47 (58.8)

33 (41.3)

Ref.

  Yes

   

434 (62.7)

258 (37.3)

0.809

Community Variables for the two analyses

Area

  Urban

402 (79.6)

103 (20.4)

Ref.

66 (65.4)

35 (34.7)

Ref.

  Rural

3772 (84.8)

678 (15.2)

0.753*

415 (61.9)

256 (38.2)

1.195

Performance of CHWs in the CU

  None/Poor (Number of CHWs and CUs)

2263 (85.8)

376 (14.3)

Ref.

248 (67.0)

122 (33.0)

Ref.

  Middle

1244 (83.9)

239 (16.1)

1.194

141 (59.5)

96 (40.5)

1.651**

  High

667 (80.1)

166 (19.9)

1.453**

92 (55.8)

73 (44.2)

1.841**

  1. * ≤ 0.05 ** ≤ 0.01 *** ≤ 0.001