ArticlePloS one2020
Zinc utilization and associated factors among under-five children with diarrhea in East Africa: A generalized linear mixed modeling.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 18 citations in OpenAlex.
- Strengthening access to zinc and oral rehydration solution for childhood diarrheal treatment in Africa.Global health research and policy · 2025Article
- The Role of Zinc in Developed Countries in Pediatric Patients: A 360-Degree View.Biomolecules · 2024Review
- Zinc utilisation, trends, and predictors among under-five children with diarrhoea in Ethiopia: A pooled analysis.PloS one · 2024Article
- Article
- Appropriate feeding practice and associated factors among under-five children with diarrheal disease in sub-Saharan Africa: a multi-country analysis.Tropical medicine and health · 2023Article
- Predictors of Under-Five Caregivers' Utilization of Co-Packaged Zinc and Oral Rehydration Salts for Childhood Diarrhea in East Wollega Zone, Western Ethiopia.Patient preference and adherence · 2023Article
- Childhood diarrhoea in southwestern Nigeria: Predictors of low osmolarity ORS and zinc use among mothers.Journal of Taibah University Medical Sciences · 2022Article
- Childhood Diarrhea Prevalence and Uptake of Oral Rehydration Solution and Zinc Treatment in Nigeria.Children (Basel, Switzerland) · 2022Article
- Knowledge of ORS packet or pre-packaged liquids and its determinants for the management of diarrhea among women of reproductive age: multilevel analysis of 32 sub-Saharan African countries demographic and health survey.Tropical medicine and health · 2022Article
- Does Therapeutic Zinc Level of Supplementation for Diminutions of Acute Diarrheal Morbidity Varied in Public and Private Health Institutions in Ethiopia, Data from EDHS 2016?International journal of pediatrics · 2022Article
- Article
- Medication selection for the treatment of acute infective diarrhea in Thai pharmacies: a qualitative study.Translational and clinical pharmacology · 2021Article
- Antibiotic Prescription Patterns in Children Under 5 Years of Age With Acute Diarrhea in Quito-Ecuador.Journal of primary care & community healthArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDiarrhea is the leading cause of illness and death among under-five children in low and middle income countries. Through the provision of zinc supplements has been shown to reduce the severity and duration of diarrhea, as well as the risk of mortality, the use of zinc for the treatment of diarrhea is still very low in low-income countries. Therefore, this study was conducted to determine the prevalence and associated factors of zinc utilization among under-five children with diarrhea in East Africa.
methodsA secondary data analysis of the recent Demographic and Health Surveys (DHS) of East African countries were used to determine the prevalence and associated factors of zinc utilization among under-five children with diarrhea in East Africa. A total weighted samples of 16,875 under-five children with diarrhea were included in the study. A generalized linear mixed model (using Poisson regression with robust error variance) was used. Prevalence Ratios (PR) with their 95% confidence interval (CI) were calculated for those variables included in the final model.
resultsThe overall prevalence of zinc utilization among under-five children with diarrhea in this study was 21.54% (95% CI = 20.92-22.16). Of East African countries, Uganda had the highest prevalence of zinc utilization (40.51%) whereas Comoros had the lowest (0.44%). Maternal primary education (Adjusted Prevalence Ratio(aPR) = 1.29, 95% CI: 1.16-1.44), secondary education (aPR = 1.36, 95% CI = 1.19-1.55) and higher education (aPR = 1.91, 95% CI = 1.52-2.40), high community women education (aPR = 1.12, 95% CI = 1.02-1.24), high wealth index (aPR = 1.12, 95% CI = 1.01-1.24), high community media exposure (aPR = 1.17, 95% CI = 1.06-1.29) were associated with a higher prevalence of zinc utilization.
conclusionThe prevalence of zinc utilization among under-five children was found to be low in East Africa. Maternal education, wealth index, community women education, and community media exposure were significantly associated with zinc utilization. Increased mass media exposure, maternal education and wealth index is recommended to improve zinc utilization among under-five children with diarrhea.
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