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  • Title: Infant feeding practices, socio-economic conditions and diarrhoeal disease in a traditional area of urban Ilorin, Nigeria.
    Author: Oni GA.
    Journal: East Afr Med J; 1996 May; 73(5):283-8. PubMed ID: 8756027.
    Abstract:
    A cross-sectional study involving 771 children under the age of one year, was carried out in a traditional area of urban Ilorin, Nigeria, to determine how socio-economic conditions and feeding practices relate to diarrhoeal disease among infants. After adjustment has been made (through logistic regression) for covariates, five factors had significant association with diarrhoeal disease. These are the age of the child, parity, mother's education, availability of household kitchen and the feeding of semi-solid food to the infants. The lowest diarrhoeal rate occurred in infants aged 0-3 months while the highest rate occurred among infants seven to nine months old (Odds Ratio = 4.2). Children who were of the fifth or higher birth order had significantly higher risk of diarrhoea when compared with those who were of the first or second birth order (OR = 1.62; P < 0.05). Children of mothers with secondary education had significantly higher risk of diarrhoea compared with children of illiterates (OR = 1.9; P < 0.05). Households that had no kitchen had significantly higher risk of infantile diarrhoea than households with kitchen facilities (P < 0.01). Finally, infants receiving semi-solid food had higher risk of diarrhoea compared to those children not receiving semi-solid food (P < 0.05). Diarrhoeal disease awareness campaign to educate mothers on the dangers of childhood diarrhoea and how to prevent it, through proper hygiene, especially, food hygiene, is advocated. A cross-sectional study of all 771 infants younger than 1 year of age in households in an impoverished ward in Ilorin, Nigeria, investigated the interrelationships among infant feeding practices, socioeconomic conditions, and diarrheal disease during the 1988 dry season. Although almost all infants were being breast-fed, 83.1% of 0-3 month olds were also receiving bottle feeds and 73% of 10-12 month olds were receiving solid foods. Logistic regression analysis identified 5 variables that were significantly associated with diarrheal disease: child's age (p 0.01), parity (p 0.05), mother's education (p 0.05), household availability of a kitchen (p 0.01), and the feeding of semi-solid foods (p 0.05). The highest prevalence of diarrhea was found among infants 7-9 months of age and the lowest among those 0-3 months (odds ratio (OR), 4.2). Children of the fifth or higher birth orders had a higher risk of diarrhea than first- and second-born children (OR, 1.62). Infants of mothers with a secondary education had a significantly greater diarrhea prevalence than those of illiterate mothers (OR, 1.9). In households with a kitchen, the diarrhea prevalence was lower than in those without such a facility (OR, 0.6). Finally, diarrhea prevalence was significantly lower among children yet to receive semi-solid foods than in those already eating such foods (OR, 0.5). These findings indicate a need for a diarrhea awareness campaign to educate mothers on the need for proper hygiene.
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