Skip Navigation

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by MAUNG U, K.
Right arrow Articles by BUTLER, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by MAUNG U, K.
Right arrow Articles by BUTLER, T.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1992 Oxford University Press

other

Risk Factors for the Development of Persistent Diarrhoea and Malnutrition in Burmese Children

KHIN MAUNG U*, MYO KHIN*, NYUNT NYUNT WAI*, NYI WIN HMAN**, THEIN THEIN MYINT{dagger} and THOMAS BUTLER{ddagger},

* Clinical Research Division, Department of Medical Research, Ministry of Health Yangon (Rangoon), Myanmar (Burma)
** Psychology Department, University of Rangoon Yangon (Rangoon), Myanmar (Burma)
{dagger} Child Health Department, Institute of Medicine, and North Okkalapa General Hospital North Okkalapa, Yangon (Rangoon), Myanmar (Burma)
{ddagger} Department of Internal Medicine, Texas Tech University Health Sciences Center Lubbock, Texas, USA

Reprint requests: Dr Thomas Butler, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA

U K M (Clinical Research Division, Department of Medical Research, Ministry of Health, Yangon (Rangoon), Myanmar (Burma)), Khin M, Wai N N, Hman N W, Myint T T and Butler T. Risk factors for the development of persistent diarrhoea and malnutrition in Burmese children. International Journal of Epidemiology 1992; 21: 1021–1029

To identify socioeconomic and behavioural risk factors for development of persistent diarrhoea and malnutrition in children, a case-control study was carried out in Burma. Cases were 67 children 1–59 months old hospitalized for diarrhoea lasting >14 days and complicated by severe malnutrition; for each case, a healthy control child was selected who was age- and sex-matched from the same neighbourhood. Homes of cases and controls were visited for interviews and for direct observation of household child-care practices. Risk factors were catalogued and calculations made for relative risk and etiologic fractions. Risk factors that were associated with persistent diarrhoea and malnutrition included low family income, low education of mothers, unhygienic latrines, flies in the house and on the child, dirty appearance of child and mother, mother not using soap and water when washing child's hands, defaecation of child on floor, breastfeeding on demand, child eating food from floor, not feeding recommended weaning foods, and lack of knowledge by mother about causes of diarrhoea and about foods that prevent malnutrition. These results indicated that persistent diarrhoea and malnutrition in Burma is caused by a complex of several interrelated socioeconomic factors, unsanitary behaviour pertaining to personal hygiene, the practice of demand breastfeeding and lack of certain weaning foods, and low education of mothers who showed less knowledge about causes of diarrhoea and prevention of malnutrition.

Received 1 April 1992


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 JAMAHome page
O. Kunii and K. Shibuya
Women's Beliefs About Breastfeeding and Transmission of AIDS in Rural Cote d'Ivoire
JAMA, August 25, 1999; 282(8): 733 - 733.
[Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.