ArticleBMC public health2018
Prevalence of and factors associated with diarrhoeal diseases among children under five in Malaysia: a cross-sectional study 2016.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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24 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
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- Prevalence of paediatric diarrhoea in Arba minch government health institutions, Southern Ethiopia and associated factors.Scientific reports · 2025Article
- Acute gastroenteritis outbreak linked toIJID regions · 2025Article
- Multilevel analysis of prevalence and determinants of diarrhea among under-five children in Somalia: insights from the Somalia demographic and health survey 2020.BMC public health · 2025Article
- Prevalence of diarrhea and its associated factors among children under five years in Awi Zone, Northwest Ethiopia.BMC pediatrics · 2024Article
- Article
- Diarrheal disease and associated factors among children aged 6 to 59 months in Oda Bultum District, Eastern Ethiopia: a community-based cross-sectional study.BMC infectious diseases · 2024Article
- Bacterial Foodborne Illness in Malaysia:The Malaysian journal of medical sciences : MJMS · 2023Review
- Prevalence of Diarrhea, Intestinal Parasites, and Associated Factors Among Under-Five Children in Dabat District, Northwest Ethiopia: Multicenter Cross-sectional Study.Environmental health insights · 2023Article
- Burden and pattern of acute diarrhea in Thai children under 5 years of age: a 5-year descriptive analysis based on Thailand National Health Coverage (NHC) data.BMC public health · 2022Article
- Decomposition of factors associated with housing material inequality in under-five deaths in low and middle-income countries.Archives of public health = Archives belges de sante publique · 2022Article
- Assessment of diagnosis and treatment practices of diarrhoea in children under five in Maputo-Mozambique.International journal of Africa nursing sciences · 2022Article
- Water, Sanitation, and Hygiene Service Ladders and Childhood Diarrhea in Haramaya Demographic and Health Surveillance Site, Eastern Ethiopia.Environmental health insights · 2022Article
- Factors associated with childhood diarrheal in Ethiopia; a multilevel analysis.Archives of public health = Archives belges de sante publique · 2021Article
- Association between sanitary toilet coverage rate and intestinal infectious disease in Jiangsu Province, China.Scientific reports · 2021Article
- Mind the gap: what explains the rural-nonrural inequality in diarrhoea among under-five children in low and medium-income countries? A decomposition analysis.BMC public health · 2021Article
- Association between Sociodemographic Factors and Diarrhea in Children Under 5 Years in Rwanda.The Korean journal of parasitology · 2021Article
- Effects of Hand-Washing Facilities with Water and Soap on Diarrhea Incidence among Children under Five Years in Lao People's Democratic Republic: A Cross-Sectional Study.International journal of environmental research and public health · 2021Article
- Individual- and Community-Level Risk Factors Associated with Childhood Diarrhea in Ethiopia: A Multilevel Analysis of 2016 Ethiopia Demographic and Health Survey.International journal of pediatrics · 2021Article
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Abstract
backgroundGlobally, diarrhoea is one of the major causes of morbidity and mortality among children under than 5 years of age. There is a scarcity of published data on acute gastroenteritis (AGE) prevalence in Malaysia among children. This study aims to determine factors associated with diarrhoea in children aged less than 5 years in Malaysia.
methodData from the National Health and Morbidity Survey 2016 conducted by Ministry of Health was analysed. This nationwide survey involved 15,188 children below five years old. The survey was carried out using a two-stage stratified sampling design to ensure national representativeness. The Questionnaire from UNICEF's Multiple Indicator Cluster Survey (MCIS) was adapted to suit local requirements. Analysis was done using SPSS Version 23. Descriptive followed by multiple logistic regression were done to identify relevant factors.
resultThe prevalence of diarrhoea among children under five in Malaysia was 4.4% (95% CI: 3.8,5.2). Analysis using logistic regression indicated that only ethnicity and usage of untreated water were significantly associated with diarrhoea among children after controlling for relevant factors. By ethnicity, children in the 'Other Bumiputera' group had 2.5 times the odds of having diarrhoea compared to children of Malay ethnicity. Children of Indian ethnicity were also at higher risk, at almost double the odds, as well as other ethnic groups (1.5 times). Children who used untreated water supply were two times more likely to develop diarrhoea.
conclusionThere is a higher risk of diarrhoea among children of 'Other Bumiputera' ethnicity, Indian ethnicities, and other ethnic groups and those who consume untreated water. Strategies to reduce diarrhoea among children should be targeted towards these at-risk populations. In addition, the Government must strive to ensure universal access to treated clean water in Malaysia and the Ministry of Health must focus on raising awareness on how to prevent diarrhoea.
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