Journal of Epidemiology and Global Health

Volume 6, Issue 3, September 2016, Pages 131 - 140

Household wealth, residential status and the incidence of diarrhoea among children under-five years in Ghana

Authors
Akwasi Kumi-Kyeremeakkyereme@ucc.edu.gh, Joshua Amo-Adjei*, joshua.amo-adjei@ucc.edu.gh
College of Humanities and Legal Studies, Faculty of Social Sciences, Department of Population and Health, University of Cape Coast, Ghana
*Corresponding author. Tel.: +233 244092814.
Corresponding Author
Received 31 July 2014, Revised 1 May 2015, Accepted 10 May 2015, Available Online 10 June 2015.
DOI
10.1016/j.jegh.2015.05.001How to use a DOI?
Keywords
Wealth status; Residence; Diarrhoea; Children; Ghana
Abstract

This study examines the impact that the joint effect of household wealth quintile and urban–rural residence has on the incidence of diarrhoea among Ghanaian children. Data for this paper were drawn from the Ghana Multiple Indicator Cluster Survey (MICS) of 2006. Descriptive and logistic regression was applied to analyse data on 3466 children. Rural residents are less likely, albeit insignificant, to report diarrhoea compared with those in urban areas. Significant wealth gradients are manifested in childhood experiences of diarrhoea. However, an interaction of wealth with residence does not show significant disparities. Controlling for other important covariates of childhood, the odds of diarrhoea incidence were significantly higher among: the rural poorer (OR = 4.869; 95% CI = 0.792, 29.94), the rural middle (OR = 7.477; 95% CI = 1.300, 42.99), the rural richer (OR = 6.162; 95% CI = 0.932, 40.74) and the rural richest (OR = 6.152; 95% CI = 0.458, 82.54). Apart from residential status and wealth quintile, female children (OR = 0.441; 95% CI = 0.304, 0.640), older children (OR = 0.968; 95% CI = 0.943, 0.993), having a mother with secondary and higher education (OR = 0.313; 95% CI) had lesser odds of experiencing diarrhoea. The findings show that there is a need to apportion interventions intended to improve child health outcomes even beyond residential status and household wealth position.

Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
6 - 3
Pages
131 - 140
Publication Date
2015/06/10
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2015.05.001How to use a DOI?
Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Cite this article

TY  - JOUR
AU  - Akwasi Kumi-Kyereme
AU  - Joshua Amo-Adjei
PY  - 2015
DA  - 2015/06/10
TI  - Household wealth, residential status and the incidence of diarrhoea among children under-five years in Ghana
JO  - Journal of Epidemiology and Global Health
SP  - 131
EP  - 140
VL  - 6
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2015.05.001
DO  - 10.1016/j.jegh.2015.05.001
ID  - Kumi-Kyereme2015
ER  -