Relationship of the presence of a household improved latrine with diarrhea and under-five child mortality in Indonesia

Richard D. Semba, Klaus Kraemer, Kai Sun, Saskia De Pee, Nasima Akhter, Regina Moench-Pfanner, Jee Hyun Rah, Ashley A. Campbell, Jane Badham, Martin W. Bloem

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Abstract

We characterized the relationship of the presence of an improved latrine with diarrhea and under-five child mortality in Indonesia. The proportion of rural and urban families, respectively, without an improved latrine was 52.1% and 16.2%, with a child with a history of diarrhea in the last 7 days was 8.2% and 9.7%, and with a history of under-five child mortality was 11.1% and 8.5%. Among rural and urban families, respectively, lack of an improved latrine was associated with a child history of diarrhea in the last 7 days (odds ratio [OR] = 1.23, 95% confidence interval [CI] = 1.18-1.29, P < 0.0001; OR = 1.20, 95% CI = 1.13-1.27, P < 0.0001) and under-five child mortality (OR = 1.29, 95% CI = 1.25-1.31, P < 0.0001; OR = 1.22, 95% CI = 1.12-1.32, P < 0.0001) in separate multivariable logistic regression models adjusting for covariates. The lack of a household improved latrine is associated with diarrhea and under-five child mortality in Indonesia.

Original languageEnglish (US)
Pages (from-to)443-450
Number of pages8
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume84
Issue number3
DOIs
StatePublished - Mar 1 2011

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ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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