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Country characteristics and acute diarrhea in children from developing nations: a multilevel study

Overview of attention for article published in BMC Public Health, August 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (86th percentile)
  • High Attention Score compared to outputs of the same age and source (80th percentile)

Mentioned by

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1 news outlet
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1 X user
facebook
1 Facebook page

Citations

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34 Dimensions

Readers on

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287 Mendeley
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Title
Country characteristics and acute diarrhea in children from developing nations: a multilevel study
Published in
BMC Public Health, August 2015
DOI 10.1186/s12889-015-2120-8
Pubmed ID
Authors

Ángela María Pinzón-Rondón, Carol Zárate-Ardila, Alfonso Hoyos-Martínez, Ángela María Ruiz-Sternberg, Alberto Vélez-van-Meerbeke

Abstract

Each year 2.5 billion cases of diarrheal disease are reported in children under five years, and over 1,000 die. Country characteristics could play a role on this situation. We explored associations between country characteristics and diarrheal disease in children under 5 years of age, adjusting by child, mother and household attributes in developing countries. This study included 348,706 children from 40 nations. We conducted a multilevel analysis of data from the Demographic and Health Surveys and the World Bank. The prevalence of acute diarrhea was 14 %. Country inequalities (OR = 1.335; 95 % CI 1.117-1.663) and country's low income (OR = 1.488; 95 % CI 1.024-2.163) were associated with diarrhea, and these country characteristics changed the associations of well-known determinants of diarrhea. Specifically, living in poor countries strengthens the association of poor household wealth and mother's lack of education with the disease. Other factors associated with diarrhea were female sex of the child (OR = 0.922; 95 % CI 0.900-0.944), age of the child (OR = 0.978; 95 % CI 0.978-0.979), immunization status (OR = 0.821; 95 % CI 0.799-0.843), normal birthweight (OR = 0.879; 95 % CI 0.834-0.926), maternal age (OR = 0.987; 95 % CI 0.985-0.989), lack of maternal education (OR = 1.416; 95 % CI 1.283-1.564), working status of the mother (OR = 1.136; 95 % CI 1.106-1.167), planned pregnancy (OR = 0.774; 95 % CI 0.753-0.795), a nuclear family structure (OR = 0.949; 95 % CI 0.923-0.975), and household wealth (OR = 0.948; 95 % CI 0.921-0.977). Inequalities and lack of resources at the country level in developing countries -but not health expenditure- were associated with acute diarrhea, independently of child, family and household features. The broad environment considerably modifies well-known social determinants of acute diarrhea and public health campaigns designed to target diarrhea should consider macro characteristics of the country.

X Demographics

X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 287 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Indonesia 1 <1%
United States 1 <1%
Unknown 285 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 55 19%
Student > Master 47 16%
Lecturer 27 9%
Researcher 22 8%
Student > Doctoral Student 17 6%
Other 48 17%
Unknown 71 25%
Readers by discipline Count As %
Medicine and Dentistry 111 39%
Nursing and Health Professions 57 20%
Biochemistry, Genetics and Molecular Biology 6 2%
Agricultural and Biological Sciences 6 2%
Immunology and Microbiology 6 2%
Other 25 9%
Unknown 76 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 12. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 June 2021.
All research outputs
#2,654,112
of 22,824,164 outputs
Outputs from BMC Public Health
#3,038
of 14,869 outputs
Outputs of similar age
#36,322
of 266,186 outputs
Outputs of similar age from BMC Public Health
#68
of 349 outputs
Altmetric has tracked 22,824,164 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 14,869 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one has done well, scoring higher than 79% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 266,186 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 86% of its contemporaries.
We're also able to compare this research output to 349 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 80% of its contemporaries.