Skip Navigation



IJE Advance Access published online on January 19, 2005

International Journal of Epidemiology, doi:10.1093/ije/dyh413
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
34/2/454    most recent
dyh413v1
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 Scallan, E.
Right arrow Articles by Angulo, F. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Scallan, E.
Right arrow Articles by Angulo, F. J.
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

IJE © International Epidemiological Association 2005; all rights reserved.
Accepted November 18, 2004

Original paper

Prevalence of diarrhoea in the Community in Australia, Canada, Ireland, and the United States

Elaine Scallan 1*, Shannon E. Majowicz 2, Gillian Hall 3, Anyana Banerjee 4, Cara L. Bowman 2, Leslie Daly 5, Timothy Jones 6, Martyn D. Kirk 7, Margaret Fitzgerald 8, and Fredrick J. Angulo 4

1 Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road MSD63, Atlanta, GA 30333, USA; Food Safety Authority of Ireland, Abbey Court, Lower Abbey Street, Dublin 1, Ireland
2 Foodborne, Waterborne and Zoonotic Infections Division, Centre for Infectious Disease Prevention and Control, Health Canada, Guelph, Ontario, Canada
3 National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
4 Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road MSD63, Atlanta, GA 30333, USA
5 Department of Public Health Medicine and Epidemiology, University College Dublin, National University of Ireland, Dublin, Ireland
6 Tennessee Department of Health, Nashville, TN, USA
7 OzFoodNet, Food Safety & Surveillance Section, Department of Health and Aging, Canberra, Australia
8 Food Safety Authority of Ireland, Abbey Court, Lower Abbey Street, Dublin 1, Ireland; Department of Public Health, Eastern Regional Health Authority, Dublin, Ireland

* To whom correspondence should be addressed.
Elaine Scallan, E-mail: escallan{at}cdc.gov


   Abstract

Background Studies in several countries have estimated the prevalence of diarrhoea in the community. However, the use of different study designs and varying case definitions has made international comparisons difficult.

Methods Similar cross-sectional telephone surveys were conducted in Australia, Canada, Ireland (including Northern Ireland), and the United States over 12 month periods between 2000 and 2002. Each survey asked about diarrhoea in the four weeks before the interview. For this comparative analysis, uniform definitions were used.

Results Questionnaires were completed for 6087 respondents in Australia, 3496 in Canada, 9903 in Ireland, and 14 647 in the United States. In the four weeks prior to interview, at least one episode of diarrhoea was reported by 7.6% of respondents in Canada, 7.6% in the United States, 6.4% in Australia, and 3.4% in Ireland. The prevalence of diarrhoea was consistently higher in females. In all countries, the prevalence of diarrhoea was highest in children <5 years and lowest in persons ≥65 years of age. When diarrhoea and vomiting was considered, the prevalence was almost identical in the four studies (range: 2.0-2.6%). Despite different health care structures, a similar proportion of respondents sought medical care (approximately one in five). Antibiotic usage for the treatment of diarrhoea was reported by 8.3% of respondents in the United States, 5.6% in Ireland, 3.8% in Canada, and 3.6% in Australia.

Conclusions Diarrhoea is a common illness among persons in the community in Australia, Canada, Ireland, and the United States. With similar methodologies and a standard case definition, age and sex patterns and health care seeking behaviour were remarkably consistent between countries.

Keywords: Diarrhoea; prevalence; cross-sectional studies; telephone survey; comparative study.
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
J Public Health (Oxf)Home page
C. St-Pierre, P. Levallois, S. Gingras, P. Payment, and M. Gignac
Risk of diarrhea with adult residents of municipalities with significant livestock production activities
J. Public Health Med., June 1, 2009; 31(2): 278 - 285.
[Abstract] [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.