Household profiles of neglected tropical disease symptoms among children

A latent class analysis of built-environment features of Tanzanian households using the Demographic and Health Survey

Bibliographic Data

ID19550842
AuthorsFrancisco Alejandro Montiel Ishino (0000-0002-2837-726X, National Institute on Minority Health and Health Disparities, corresponding author), Claire Rowan (0000-0002-4584-6937, Emory University), Charlotte Talham, Charlotte J Talham (0000-0003-0354-1024, National Institutes of Health), Kevin Villalobos (0000-0002-1872-4416, National Institutes of Health), Dikshit Poudel (0000-0002-3963-3441, National Institute of Health), Janani Rajbhandari-Thapa (0000-0002-0468-0387), Janani Rajbhandari‐Thapa (University of Georgia), Joel Seme Ambikile (0000-0003-2618-4410, Muhimbili University of Health and Allied Sciences), Faustine Williams (0000-0002-7960-2463, National Institute on Minority Health and Health Disparities)
Year2022
Volume12
Pages04067-04067
Publication date2022-09-03
Open AccessYes
TypeARTICLE
VenueJournal of Global Health (JOURNAL)
Journal identifiersISSN: 2047-2978 • E-ISSN: 2047-2986
PublisherInternational Global Health Society (PUBLISHER)
DOI10.7189/jogh.12.04067
PMID36057837
OpenAlexW4294670053
LanguageEN
Citations received1
References cited38

Background: While malaria and neglected tropical disease (NTD) morbidity and mortality rates among children <5 years old have decreased through public health efforts in the United Republic of Tanzania, associations between household environments and disease outcomes are relatively unknown. Methods: We conducted latent class analysis (LCA) on 2015-2016 Tanzania Demographic Health Survey data from mothers with children <5 years old (N = 10 233) to identify NTD household risk profiles. The outcome of child NTD was assessed by mothers' reports of recent diarrhoea, cough, treatment for enteric parasites, and fever symptoms. Household-built environment indicators included urban/rural designation, electricity access, water source, cooking fuel, flooring, wall, and roofing materials. External environmental covariates were considered to further differentiate profiles. Results: Five profiles were identified in the sample: rural finished walls households (40.2%) with the lowest NTD risk; rural rudimentary households (20.9%) with intermediate-low NTD risk; finished material households (22.5%) with intermediate NTD risk; urban households (14.4%) with intermediate-high NTD risk and high likelihood of enteric parasites; rural finished roof/walls households (2.1%) with the highest overall NTD risk. Conclusions: This study is among the first to use LCA to examine household environment characteristics to assess child NTD risk in Tanzania. This paper serves as a framework for community-level rapid NTD risk assessment for targeted health promotion interventions

Environmental health · Geography · Latent class model · Psychological intervention · Public health · Tanzania · Malaria Research and Control · Medicine · Parasites and Host Interactions · Parasitic Diseases Research and Treatment

Tools

Open DOIOpen Access