Article
Childhood comorbidities in Ethopia
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Authors
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Kasahun Takele
- Haramaya University, Addis ababa, Ethiopia
| Published: | February 26, 2021 |
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Outline
Text
Background: Addressing the issues of childhood comorbidity remains a crucial global public health issue due to its consequences in child wellbeing. This study aims to account for nonlinear, location effect and to evaluate geographical variation in childhood comorbidities at cluster level while controlling for important risk factors.
Methods: Using the 2016 Ethiopia DHS data, geoadditive multinomial logistic models were assessed by linear, nonlinear, spatial and random effects. The study also employed spatial analysis tool which is Getis-Ord to identify hotspot areas of child comorbidity at cluster level. Model with fixed, nonlinear and spatial effects identified as a best model to identify risk factors related to the coexistence of childhood diseases.
Results: The results indicated that statistically significant high hotspots of comorbidity were found in Tigray and Oromia whereas low hotspots were found in Harari and Somali regions. Children below 20 years old were at high risk of comorbidity in Ethiopia. In addition, our findings revealed that being male children, non-breastfed children, from households lack of toilet facility, children from households who use spring water, children born first, children from working mother, anemic children and children from uneducated mother are at high risk of multiple diseases.
Conclusion: Comorbidity in childhood is not random in the country, with high hotspots of comorbidity in the regions of Tigray and Oromia. The results show a critical upshot for combined morbidity control method for decreasing children diseases and death. The maps remain novel to design appropriate healthcare interventions at regional as well as cluster level. Regions with high hotspots of child comorbidity should be considered for health healthcare interventions.
The authors declare that they have no competing interests.
The authors declare that an ethics committee vote is not required.
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