{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:05:04Z","timestamp":1747188304648,"version":"3.40.5"},"reference-count":39,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T00:00:00Z","timestamp":1720742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to identify and characterise the determinants influencing the occurrence of diarrheal diseases in children aged 6\u201324\u2009months undergoing complementary feeding within a low\u2010income urban community in Kenya.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study followed a cross\u2010sectional design and recruited caregivers of children aged 6\u201324\u2009months from 302 households. The dependent variable was the 2\u2010week diarrhoea prevalence among children, with independent variables including sociodemographic characteristics, child immunisation and feeding status, and water and sanitation facilities. Data analysis was performed using SPSS. Descriptive statistics and logistic regression analyses were used to assess associations between independent variables and the occurrence of diarrheal diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority of caregivers were female (<jats:italic>n<\/jats:italic>\u2009=\u2009282, 93.4%), aged 25\u201334\u2009years (<jats:italic>n<\/jats:italic>\u2009=\u2009156, 51.7%), had attained secondary school education (<jats:italic>n<\/jats:italic>\u2009=\u2009154, 51%), were unemployed (<jats:italic>n<\/jats:italic>\u2009=\u2009162, 53.6%), and earned Ksh 10,000 (USD 100) or less. 296 (98%) indexed children were fully vaccinated against rotavirus. Most households used improved drinking water sources (<jats:italic>n<\/jats:italic>\u2009=\u2009272, 90.1%). Most caregivers did not regularly wash their hands with soap and water (<jats:italic>n<\/jats:italic>\u2009=\u2009225, 74.5%). The 2\u2010week diarrhoea prevalence among children was 34.1% (103\/302), with 69.9% (72\/103) of these cases seeking care at a healthcare facility. Logistic regression analysis revealed that children of caregivers earning Ksh 20,000 and below (aOR\u2009=\u20092.9[1.3\u20136.5], <jats:italic>p<\/jats:italic>\u2009=\u20090.01), and those from households using unimproved sanitation facilities (aOR\u2009=\u20091.9 [CI 1\u20133.4], <jats:italic>p<\/jats:italic>\u2009=\u20090.042), had significantly higher odds of having diarrhoea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study found a high prevalence of diarrhoea in Kenyan children aged 6\u201324\u2009months, with caregiver income and household sanitation facilities significantly impacting the occurrence of the disease. The study suggests integrated approaches, including education, income generation, hygiene, and improved nutrition, to address the burden of diarrheal disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.14035","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T07:59:49Z","timestamp":1720771189000},"page":"813-819","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of diarrheal disease in children undergoing complementary feeding in a low\u2010income urban setting in Kenya"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6189-6299","authenticated-orcid":false,"given":"Frida Adhiambo","family":"Okeyo","sequence":"first","affiliation":[{"name":"School of Public Health Maseno University  Kisumu 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