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The influence of environmental factors on childhood fever during the rainy season in an African city: a multilevel approach in Dakar, Senegal

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Dos Santos, Stéphanie Rautu, Iulia [UCL] Diop, Mody Abdou Illou, Mahaman Mourtala Ndonky, Alphousseyni Lalou, Richard

In African growing cities, vector-borne diseases (such as malaria and dengue) contribute to a large burden of childhood morbidity and mortality. During the peak of transmission, environmental factors can have an influence on those fevers, apart from the individual and household characteristics. A household survey conducted in 2008 in Dakar was completed by a community questionnaire on environmental threats that could be factored into multilevel analyses. Using a randomized sample of 7,300 children from 3,000 households dispatched within 50 neighborhoods, a three-level modeling process is presented. Rates of recent fever varied substantially from one neighborhood to another, ranging between 10 and 37 %. Findings indicate that the onset of fever is influenced by factors from all three hierarchical levels, with neighborhood factors playing a relatively lower role than the other two. Among the environmental factors, the effect of environmental sanitation is particularly interesting

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "Population and Environment" - Vol. 36, no.4, p. 429-451 (2014)
Peer reviewed yes
Publisher Springer Netherlands (Dordrecht)
issn 0199-0039
e-issn 1573-7810
Publication status Publié
Affiliation UCL - SSH/IACS - Institute of Analysis of Change in Contemporary and Historical Societies
Links
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Bibliographic reference Dos Santos, Stéphanie ; Rautu, Iulia ; Diop, Mody ; Abdou Illou, Mahaman Mourtala ; Ndonky, Alphousseyni ; et. al. The influence of environmental factors on childhood fever during the rainy season in an African city: a multilevel approach in Dakar, Senegal. In: Population and Environment, Vol. 36, no.4, p. 429-451 (2014)
Permanent URL http://hdl.handle.net/2078.1/173099