ArticlePloS one2015
Childhood Diarrhea Exhibits Spatiotemporal Variation in Northwest Ethiopia: A SaTScan Spatial Statistical Analysis.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Rainfall and Temperature Influences on Childhood Diarrhea and the Effect Modification Role of Water and Sanitation Conditions: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2024Pooled it
- Spatial distribution and associated factors of non-uptake of DTP3 vaccination among children aged 12-23 months in East Africa: geospatial analysis.BMC public health · 2026Article
- Mapping spatial hotspots and location specific associated factor of diarrhea-wasting multimorbidity among children aged 6-24 months in East Africa: a geographically weighted regression analysis.Scientific reports · 2026Article
- Seasonal and meteorological determinants of district level acute watery diarrhea incidence in Fiji, 2016-2023: a time-series analysis.BMC public health · 2026Article
- Assessing the risk of malaria re-transmission in Anhui Province, China: an integration of spatiotemporal scan statistics and ecological niche modeling.BMC infectious diseases · 2026Article
- Factors Influencing Sanitation Practices Among Women's in Finote Selam Town, Northwestern Ethiopia, 2024.Environmental health insights · 2026Article
- The use of SatScan software to map spatiotemporal trends and detect disease clusters: a systematic review.Communications medicine · 2025Article
- Spatiotemporal variation of under-5 children diarrhea incidence and associated meteorological factors in central Gondar zone, Northwest Ethiopia. A retrospective time series study.BMC infectious diseases · 2025Article
- Detection of spatial, temporal and spatiotemporal distribution of diarrhea incidence among under-five children in Central Gondar zone, Northwest Ethiopia: a time-series study (2019-2022).BMC pediatrics · 2024Article
- Spatio-temporal clustering analysis of COVID-19 cases in Johor.Infectious Disease Modelling · 2024Article
- Spatiotemporal analysis of diarrhea-related hospitalizations of children in Brazil's Midwest region from 2011 to 2020.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024Article
- The impact of anthropogenic climate change on pediatric viral diseases.Pediatric research · 2024Review
- Spatial, temporal, and spatiotemporal cluster detection of malaria incidence in Southwest Ethiopia.Frontiers in public health · 2024Article
- Spatio-temporal distributions and determinants of diarrhea among under-five children in Ethiopia.Frontiers in public health · 2024Article
- Geographic Variation in Late-Stage Cervical Cancer Diagnosis.JAMA network open · 2023Article
- Article
- Spatiotemporal Clusters and Trends of Pneumocystis Pneumonia in Korea.The Korean journal of parasitology · 2022Article
- Relationship between Clonorchis sinensis Infection and Cholangiocarcinoma in Korea.The Korean journal of parasitology · 2022Article
- Spatiotemporal Clusters and Trend of Trichomonas vaginalis Infection in Korea.The Korean journal of parasitology · 2022Article
- Spatio-Temporal Variation of Malaria Incidence and Risk Factors in West Gojjam Zone, Northwest Ethiopia.Environmental health insights · 2022Article
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Abstract
backgroundChildhood diarrhea continues to be a public health problem in developing countries, including Ethiopia. Detecting clusters and trends of childhood diarrhea is important to designing effective interventions. Therefore, this study aimed to investigate spatiotemporal clustering and seasonal variability of childhood diarrhea in northwest Ethiopia.
methodsRetrospective record review of childhood diarrhea was conducted using quarterly reported data to the district health office for the seven years period beginning July 1, 2007. Thirty three districts were included and geo-coded in this study. Spatial, temporal and space-time scan spatial statistics were employed to identify clusters of childhood diarrhea. Smoothing using a moving average was applied to visualize the trends and seasonal pattern of childhood diarrhea. Statistical analyses were performed using Excel® and SaTScan programs. The maps were plotted using ArcGIS 10.0.
resultsChildhood diarrhea in northwest Ethiopia exhibits statistical evidence of spatial, temporal, and spatiotemporal clustering, with seasonal patterns and decreasing temporal trends observed in the study area. A most likely purely spatial cluster was found in the East Gojjam administrative zone of Gozamin district (LLR = 7123.89, p <0.001). The most likely spatiotemporal cluster was detected in all districts of East Gojjam zone and a few districts of the West Gojjam zone (LLR = 24929.90, p<0.001), appearing from July 1, 2009 to June 30, 2011. One high risk period from July 1, 2008 to June 30, 2010 (LLR = 9655.86, p = 0.001) was observed in all districts. Peak childhood diarrhea cases showed a seasonal trend, occurring more frequently from January to March and April to June.
conclusionChildhood diarrhea did not occur at random. It has spatiotemporal variation and seasonal patterns with a decreasing temporal trend. Accounting for the spatiotemporal variation identified in the study areas is advised for the prevention and control of diarrhea.
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