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dc.contributor.authorLee, Hwa-Young
dc.contributor.authorNguyen, Van Huy
dc.contributor.authorChoi, Sugy
dc.date.accessioned2022-05-13T00:44:21Z
dc.date.available2022-05-13T00:44:21Z
dc.date.issued2016
dc.identifier.issn1654-9716
dc.identifier.doi10.3402/gha.v9.29304
dc.identifier.urihttp://hdl.handle.net/10072/414552
dc.description.abstractBackground: Despite significant achievements in health indicators during previous decades, Vietnam lags behind other developing countries in reducing common early childhood illnesses, such as diarrhea and respiratory infections. To date, there has been little research into factors that contribute to the prevalence and treatment of childhood morbidity in Vietnam. Objective: This study examines the determinants of diarrhea and 'illness with a cough' and treatments for each of the conditions among young children in Vietnam, and describes trends over time. Design: Data from the Vietnam Multiple Indicator Cluster Surveys in 2000, 2006, and 2011 were used. Multivariable logistic regressions were undertaken to investigate factors associated with these childhood illnesses and proper treatment patterns. Results: Between 2000 and 2011, the prevalence of diarrhea among children under the age of five declined from 11 to 7%, while having illness with a cough increased to 40% in 2011 after falling from 69 to 28% between 2000 and 2006. During the same period, the prevalence of oral rehydration therapy (ORT) for treating diarrhea increased from 13 to 46%, whereas the rate of seeking formal treatment for illnesses with a cough fell from 24 to 7%. Multivariable models indicated that children who were older than 2 years (odds ration [OR]: 0.44, 95% confidence interval [CI]: 0.37-0.53, p <0.001), male (OR: 1.21, 95% CI: 0.64-2.37, p <0.05), living in rural areas (OR: 1.28, 95% CI: 1.00-1.64, p <0.05), or of Kinh ethnicity (OR: 0.70, 95% CI: 0.56-0.87, p <0.01) were more likely to suffer from diarrhea. Ethnic differences and higher household wealth were factors significantly associated with having illness with a cough. In particular, the effect of level of wealth on illness with a cough varied in each wave. Mothers with higher levels of education had higher odds of seeking ORT compared with mothers with the lowest level of education. Seeking formal treatment for children who have illness with a cough was associated with being in a household in the richest wealth quintile (OR: 0.56, 95% CI: 0.34-0.91, p <0.05). Conclusions: This study demonstrates the importance of identifying different risk factors for these two illnesses and also factors associated with healthcare-seeking behaviors in order to reduce the burden of childhood morbidity in Vietnam. Policies aimed at tackling childhood morbidities should include comprehensive strategies that impact on socioeconomic and environmental factors.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherTaylor & Francis
dc.relation.ispartofpagefrom29304
dc.relation.ispartofissue1
dc.relation.ispartofjournalGlobal Health Action
dc.relation.ispartofvolume9
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchInfant and child health
dc.subject.fieldofresearchSociology of health
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode321302
dc.subject.fieldofresearchcode441011
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsPublic, Environmental & Occupational Health
dc.subject.keywordscough
dc.subject.keywordsdiarrhea
dc.titleDeterminants of early childhood morbidity and proper treatment responses in Vietnam: results from the Multiple Indicator Cluster Surveys, 2000–2011
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationLee, H-Y; Nguyen, VH; Choi, S, Determinants of early childhood morbidity and proper treatment responses in Vietnam: results from the Multiple Indicator Cluster Surveys, 2000-2011, Global Health Action, 2016, 9 (1), pp. 29304
dcterms.dateAccepted2015-12-30
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2022-05-12T22:42:50Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2016 Hwa-Young Lee et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
gro.hasfulltextFull Text
gro.griffith.authorNguyen, Huy


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