BackgroundAtopic Dermatitis (AD) is now a day’s increasing in prevalence globally. A Prevalence of 5–25 % have been reported in different country. Even if its prevalence is known in most countries especially in developing countries there is scarcity with regard to prevalence and associated risk factors of AD among children in Ethiopia settings. The aim of this study was to determine the magnitude and associated factors of atopic dermatitis among children in Ayder referral hospital, Mekelle, Ethiopia.MethodsA facility-based cross-sectional study design was conducted among 477 children aged from 3 months to 14 years in Ayder referral hospital from July to September, 2014. A systematic random sampling technique was used to identify study subjects. Descriptive analysis was done to characterize the study population. Bivariate and multivariate logistic regression was used to identify factors associated with AD. The OR with 95 % CI was used to show the strength of the association and a P value < 0.05 was used to declare the cut of point in determining the level of significance.ResultsAmong the total respondents, 237 (50.4 %) were males and 233 (49.6 %) were females. The magnitude of the atopic dermatitis was found to be 9.6 % (95 % CI: 7.2, 12.5). In multivariate logistic regression model, those who had maternal asthma (AOR: 11.5, 95 % CI:3.3–40.5), maternal hay fever history (AOR: 23.5, 95 % CI: 4.6–118.9) and atopic dermatitis history (AOR: 6.0, 95 % CI:1.0–35.6), Paternal asthma (AOR: 14.4, 95 % CI:4.0–51.7), Paternal hay fever history (AOR: 13.8, 95 % CI: 2.4–78.9) and personal asthma (AOR: 10.5, 95 % CI:1.3–85.6), and hay fever history (AOR: 12.9, 95 % CI:2.7–63.4), age at 3 months to 1 year (OR: 6.8, 95 % CI: 1.1–46.0) and weaning at 4 to 6 months age (AOR: 3.9, 95 % CI:1.2–13.3) were a significant predictors of atopic dermatitis.ConclusionIn this study the magnitude of atopic dermatitis was high in relation to other studies conducted so far in the country. Maternal, paternal, personal asthma, hay fever histories, maternal atopic dermatitis history, age of child and age of weaning were independent predicators of atopic dermatitis. Hence, the finding alert a needs of strengthening the national skin diseases prevention and control services in particular in skin care of children related to atopic dermatitis and others. In avoiding early initiation of supplementary feeding specially with personal and families with atopic problem needs further attention of prevention activities.
Introduction; Cutaneous leishmaniasis is a neglected tropical disease strongly associated with poverty with an adverse health effects over the poorest populations of the world. The disease is endemic in 88 countries, 72 of them are developing countries including Ethiopia. It has been estimated that 12million people are infected and 350 million people are at risk with the annual incidence of new cases is estimated between 1.5-2million. Ethiopia has seen new outbreaks in areas previously not known to be endemic often with co-infection by the human immunodeficiency virus with rates reaching 5.6% of the cases and other associated risk factors. As best of my knowledge similar study was not conducted specifically in Mekelle even though other study conducted to the whole region, Tigray. Thus, this preliminary study concerns to determine the magnitude and associated factors of cutaneous leishmaniasis in Mekelle city.Objectives; To assess the prevalence and associated factors of cutaneous leishmaniasis on patients who visit dermatology out patient department in Ayder referral hospital, Mekelle, Tigray, Northern Ethiopia. Methods and subjects; Institutional based cross sectional study was conducted on 478 study population from Ayder referral hospital by using systematic random sampling technique. Data entry and analysis was conducted by using SPSS v-20. The association between different variables in relation to the outcome variable was measured by odds ratio with 95% confidence interval. All variables with P<0.05 in the bivariate analysis were included in the multivariate model, accepting P ≤0.05 as the inclusion level for the independent variables. Result; Prevalence of cutaneouse leishmaniasis in this study was nearly six percent (5.6%) with 99% response rate. Sex [AOR 2.1(95% CI); (0.15, 0.79)], income source being farmer [AOR 2.1(95% CI); (0.00.0.248)], location of the home near to both farm and gorge [AOR 10.1 (95% CI); (0.00, 0.574)] and presence of the hyrax [AOR 1.1(95% CI); (0.00, 0.60)] were statistically significant to the presence of cutaneouse leishmaniasis in Mekelle city. Conclusion The overall prevalence of cutaneouse leishmaniasis in the study area was relatively high (5.6%) having a statistical significant association with sex, income source (farmer), location of the residence near to farm land and gorge and the presence of hyrax. Thus, a continuous health education and awareness creation about the disease, factors and preventive methods of cutaneouse should be sought.
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