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Host Risk Factors for Typhoid Fever in Children (A Case Study of North Sumatera Province)

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Background: Children aged 2–14 years old were susceptible to typhoid fever. Children usually have activities with their peers outside their houses. These activities could influence their eating behavior and personal hygiene. This study aimed to explain host factors that are the risk factors for typhoid fever in children. Method: A case control design was applied in this study. Ninety children were included, 45 cases and 45 controls. The cases were typhoid fever patients with TF Tubex ≥5. Controls were non typhoid fever with TF Tubex ≤2. Samples were collected by a consecutive sampling technique. Multiple logistic regression was applied in the analysis. Results: Results of multivariate analysis showed that the host factors proven to be the risk factors for typhoid fever in children. There were poor hand washing practice before eating (OR = 4.295; 95% CI = 1,232–14,969), poor food processing (OR = 4.658; 95% CI = 1.507–14.397), poor in using food cover (OR = 4.337; 95% CI = 1.475–12.749) and having typhoid fever history in the family (OR = 5.768; 95% CI = 1.037–32.093). Probability of typhoid fever occurrence in children aged 2–14 years if all of those risk factors existed was 99.5%. Conclusion: The host factors had important roles in the transmission of typhoid fever in children. Local health officers had responsible to conduct health promotion in the community to prevent typhoid fever in children.
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Keywords: Children; Host Factors; Typhoid Fever

Document Type: Research Article

Affiliations: 1: Master of Epidemiology Study Program, School of Postgraduate Studies, Diponegoro University Semarang 2: Faculty of Public Health, Diponegoro University Semarang 3: Faculty of Medicine, Diponegoro University Semarang

Publication date: April 1, 2017

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