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Journal article
Association Between Household Deprivation and Living in Informal Settlements and Incidence of Diarrhea in Children Under 5 in Eleven Latin American Cities
Journal of urban health, v 101(3), pp 629-637
23 Apr 2024
PMID: 38652338
Featured in Collection : Research Supported by Drexel Libraries' OA Programs
Abstract
Diarrhea is a leading cause of death in children globally, mostly due to inadequate sanitary conditions and overcrowding. Poor housing quality and lack of tenure security that characterize informal settlements are key underlying contributors to these risk factors for childhood diarrhea deaths. The objective of this study is to better understand the physical attributes of informal settlement households in Latin American cities that are associated with childhood diarrhea. We used data from a household survey (Encuesta CAF) conducted by the Corporación Andina de Fomento (CAF), using responses from sampled individuals in eleven cities. We created a household deprivation score based on household water and sewage infrastructure, overcrowding, flooring and wall material, and security of tenure. We fitted a multivariable logistic regression model to estimate odds ratios (OR) and 95% confidence intervals (95% CI) to test the association between the deprivation score and its individual components and childhood diarrhea during the prior 2 weeks. We included a total of 4732 households with children, out of which 12.2% had diarrhea in the 2-week period prior to completing the survey. After adjusting for respondent age, gender, and city, we found a higher risk of diarrhea associated with higher household deprivation scores. Specifically, we found that the odds of diarrhea for children living in a mild and severe deprived household were 1.04 (95% CI 0.84-1.28) and 3.19 times (95% CI 1.80-5.63) higher, respectively, in comparison to households with no deprivation. These results highlight the connections between childhood health and deprived living conditions common in informal settlements.
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Details
- Title
- Association Between Household Deprivation and Living in Informal Settlements and Incidence of Diarrhea in Children Under 5 in Eleven Latin American Cities
- Creators
- Usama Bilal (Corresponding Author) - Drexel University, Urban Health CollaborativeVictoria Alpaugh - Drexel UniversityAna Florencia Maria Ortigoza - Drexel University, Urban Health CollaborativeAriela Braverman Bronstein - Drexel University, Urban Health CollaborativeCarolina Pérez-Ferrer - Secretaría de Ciencia, Humanidades, Tecnología e InnovaciónNicolle Wagner-Gutierrez - Universidad de Los AndesNatalia Pacífico - Universidad Nacional de LanúsAlex C Ezeh - Drexel University, Community Health and PreventionWaleska Teixeira Caiaffa - Universidade Federal de Minas GeraisGina S Lovasi - Drexel University, Urban Health Collaborative
- Publication Details
- Journal of urban health, v 101(3), pp 629-637
- Publisher
- Springer Nature
- Number of pages
- 9
- Grants
- National Institutes of Health (United States, Bethesda) - NIHWellcome Trust (United Kingdom, London) - WT
- Grant note
- DP5 OD026429 / NIH HHS 205177/Z/16/Z / Wellcome Trust DP5OD26429 / NIH Office of the Director
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Community Health and Prevention
- Web of Science ID
- WOS:001207027800001
- Scopus ID
- 2-s2.0-85191030510
- Other Identifier
- 991021867510304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health