title: Health care-seeking behavior during childhood diarrheal illness: results of health care utilization and attitudes surveys of caretakers in western Kenya, 2007-2010.
abstract: We interviewed caretakers of 1,043 children < 5 years old in a baseline cross-sectional survey (April to May 2007) and > 20,000 children on five separate subsequent occasions (May of 2009 to December 31, 2010) to assess healthcare seeking patterns for diarrhea. Diarrhea prevalence during the preceding 2 weeks ranged from 26% at baseline to 4-11% during 2009-2010. Caretakers were less likely to seek healthcare outside the home for infants (versus older children) with diarrhea (adjusted odds ratio [aOR] = 0.33, confidence interval [CI] = 0.12-0.87). Caretakers of children with reduced food intake (aOR = 3.42, CI = 1.37-8.53) and sunken eyes during their diarrheal episode were more likely to seek care outside home (aOR = 4.76, CI = 1.13-8.89). Caretakers with formal education were more likely to provide oral rehydration solution (aOR = 3.01, CI = 1.41-6.42) and visit a healthcare facility (aOR = 3.32, CI = 1.56-7.07). Studies calculating diarrheal incidence and healthcare seeking should account for seasonal trends. Improving caretakers' knowledge of home management could prevent severe diarrhea.
authors: Richard
authors: R
authors: Omore
authors: Ciara E
authors: CE
authors: O'Reilly
authors: John
authors: J
authors: Williamson
authors: Fenny
authors: F
authors: Moke
authors: Vincent
authors: V
authors: Were
authors: Tamer H
authors: TH
authors: Farag
authors: Anna Maria
authors: AM
authors: van Eijk
authors: Karen L
authors: KL
authors: Kotloff
authors: Myron M
authors: MM
authors: Levine
authors: David
authors: D
authors: Obor
authors: Frank
authors: F
authors: Odhiambo
authors: John
authors: J
authors: Vulule
authors: Kayla F
authors: KF
authors: Laserson
authors: Eric D
authors: ED
authors: Mintz
authors: Robert F
authors: RF
authors: Breiman
mesh_terms: D000328:Adult; D017028:Caregivers / Q000523:psychology*; D002675:Child, Preschool; D003968:Diarrhea, Infantile / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D005260:Female; D005440:Fluid Therapy; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007630:Kenya / Q000453:epidemiology; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D015995:Prevalence; D012720:Severity of Illness Index
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