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Prevalence of diarrheal illness and healthcare-seeking behavior by age-group and sex among the population of Gaza strip: a community-based cross-sectional study

In the Gaza strip, diarrhea is one of main reasons for children visiting primary healthcare centers. Hence, we investigate predictors of the diarrheal illness and health care-seeking behavior among different age groups. This community-based cross-sectional survey was conducted from August 2017 to Ju...

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Published in:BMC public health 2019-06, Vol.19 (1), p.704-10, Article 704
Main Authors: Abuzerr, Samer, Nasseri, Simin, Yunesian, Masud, Hadi, Mahdi, Mahvi, Amir Hossein, Nabizadeh, Ramin, Mustafa, Ayman Abu
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description In the Gaza strip, diarrhea is one of main reasons for children visiting primary healthcare centers. Hence, we investigate predictors of the diarrheal illness and health care-seeking behavior among different age groups. This community-based cross-sectional survey was conducted from August 2017 to June 2018 among 1857 households. A pretested structured questionnaire included information about socio-demographic, sanitation, hygiene, source of water, diarrheal illness, and seeking healthcare in households was administered to head of household. To achieve representativeness for the five Gaza's governorates, a cluster random sampling was applied. Of the 1857 household's heads, 421 (22.7%) reported an episode of diarrhea during the 48 h preceding the interview resulting an overall prevalence rate of 3.8 per 100 individuals. The prevalence of diarrhea was statistical significant greater in males (5.4/100) compared to females (1.3/100) in all age groups (p 
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Hence, we investigate predictors of the diarrheal illness and health care-seeking behavior among different age groups. This community-based cross-sectional survey was conducted from August 2017 to June 2018 among 1857 households. A pretested structured questionnaire included information about socio-demographic, sanitation, hygiene, source of water, diarrheal illness, and seeking healthcare in households was administered to head of household. To achieve representativeness for the five Gaza's governorates, a cluster random sampling was applied. Of the 1857 household's heads, 421 (22.7%) reported an episode of diarrhea during the 48 h preceding the interview resulting an overall prevalence rate of 3.8 per 100 individuals. The prevalence of diarrhea was statistical significant greater in males (5.4/100) compared to females (1.3/100) in all age groups (p &lt;  0.05). Socio-demographic, economic, water, sanitation, and hygiene factors were predictors of the diarrheal illness and seeking of non-professional healthcare for diarrhea illness treatment among. A transition behavior from professional to non-professional and vice versa in seeking healthcare in each diarrheal episode was found. We recommend improving the status of water, sanitation, and hygiene in the Gaza strip's households to reduce diarrhea among the population of Gaza strip. 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subjects Age
Behavior
Children
Childrens health
Communities
Community
Cross-sectional studies
Data collection
Demographic aspects
Demographics
Diarrhea
Diarrheal illness
Epidemiology
Females
Gaza strip
Health aspects
Health care
Health care facilities
Health care policy
Health care reform
Health services
Healthcare seeking
Help seeking behavior
Hospitals
Households
Hygiene
Illnesses
Land settlement
Males
Medical personnel
Medical research
Population (statistical)
Population density
Primary health care
Public health
Questionnaires
Random sampling
Risk factors
Rural areas
Sampling
Sanitation
Sexual behavior
Sociodemographics
Socioeconomic factors
Statistical analysis
Statistical sampling
Statistics
Surveys
Water
Water source
title Prevalence of diarrheal illness and healthcare-seeking behavior by age-group and sex among the population of Gaza strip: a community-based cross-sectional study
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