Prevalence and associated factors of acute gastroenteritis in children and adolescents aged from 6 to 17 years old: a cross-sectional study based on the National Health and Nutrition Examination Survey database 1999–2018

ObjectiveTo explore the prevalence of acute gastroenteritis (AGE) and associated factors in children and adolescents in the USA from 1999 to 2018 using nationally representative data.DesignA retrospective cross-sectional study.SettingThe National Health and Nutrition Examination Survey (NHANES) data...

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Bibliographic Details
Published in:BMJ open 2023-02, Vol.13 (2), p.e068319
Main Authors: Cai, Hailun, Shao, Yanyan, Yu, Weihao
Format: Article
Language:English
Subjects:
Adolescence
Adolescent
Age
Body Mass Index
Child
Cross-Sectional Studies
Disease
Education
Female
Females
Food
Gastroduodenal disease
Gastroenteritis
Gastroenteritis - epidemiology
GASTROENTEROLOGY
Gastroenterology and Hepatology
Gastrointestinal infections
Gender
Health care
Hispanic Americans
Hospitals
Humans
Male
Middle schools
Nutrition
Nutrition Surveys
Obesity
Overweight
Pediatrics
Population
Prevalence
Public health
Restaurants
Retrospective Studies
Review boards
Secondary schools
Teenagers
Trends
United States - epidemiology
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Summary:ObjectiveTo explore the prevalence of acute gastroenteritis (AGE) and associated factors in children and adolescents in the USA from 1999 to 2018 using nationally representative data.DesignA retrospective cross-sectional study.SettingThe National Health and Nutrition Examination Survey (NHANES) database.Participants25 361 children and adolescents aged 6–17 years old.Primary and secondary outcome measuresWhether the patient suffered from AGE.ResultsTotally 1882 suffered from AGE. The overall monthly prevalence of AGE in children and adolescents was 7.69%. From 1999 to 2018, the prevalence of AGE in the USA had been decreasing over time. The decreasing trend was observed in all subgroups, including age, gender, body mass index (BMI), education level, poverty index and eating food at the restaurant. There were two small upticks from 2003 to 2007 and 2013 to 2015. AGE was negatively associated with male compared with female (OR=0.86, 95% CI: 0.73 to 0.99, p=0.035), Mexican American (OR=0.82, 95% CI: 0.70 to 0.97, p=0.018) and non-Hispanic Black (OR=0.80, 95% CI: 0.69 to 0.93, p=0.003) compared with non-Hispanic White. AGE was positively associated with obesity compared with underweight and normal weight (OR=1.37, 95% CI: 1.15 to 1.62, p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-068319