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Title: Social and gender determinants of risk of cryptosporidiosis, an emerging zoonosis, in Dagoretti, Nairobi, Kenya
Authors: Kimani, Violet N.
Mitoko, Grace
McDermott, Brigid
Grace, Delia
Ambia, Julie
Date: 5-Aug-2012
Publisher: Springer
Citation: Kimani, V.N., Mitoko, G., McDermott, B., Grace, D., Ambia, J., et al. (2012). Social and gender determinants of risk of cryptosporidiosis, an emerging zoonosis, in Dagoretti, Nairobi, Kenya. Tropical Animal Health and Production, SI.doi:10.1007/s11250-012-0203-4
Abstract: The aim of the study was to investigate the social and gender determinants of the risk of exposure to Cryptosporidium fromurban dairying in Dagoretti, Nairobi. Focus group discussions were held in six locations to obtain qualitative information on risk of exposure. A repeated cross-sectional descriptive study included participatory assessment and household questionnaires (300 randomly selected urban dairy farming households and 100 non-dairying neighbours). Onehundred dairy households randomly selected from the 300 dairy households participated in an additional economic survey along with 40 neighbouring non-dairy households. We found that exposure to Cryptosporidium was influenced by gender, age and role in the household. Farm workers and people aged 50 to 65 years had most contact with cattle, and women had greater contact with raw milk. However, children had relatively higher consumption of raw milk than other age groups. Adult women had more daily contact with cattle faeces than adult men, and older women had more contact than older men. Employees had greater contact with cattle than other groups and cattle faeces, and most (77 %) were male. Women took more care of sick people and were more at risk from exposure by this route. Poverty did not affect the level of exposure to cattle but did decrease consumption of milk. There was no significant difference between men and women as regards levels of knowledge on symptoms of cryptosporidiosis infections or other zoonotic diseases associated with dairy farming. Awareness of cryptosporidiosis and its transmission increased significantly with rising levels of education. Members of nondairy households and children under the age of 12 years had significantly higher odds of reporting diarrhoea: gender, season and contact with cattle or cattle dung were not significantly linked with diarrhoea. In conclusion, social and gender factors are important determinants of exposure to zoonotic disease in Nairobi.
Description: This paper is part of a special supplement on assessing and managing urban zoonoses and food-borne disease in two African cities (Nairobi, Kenya and Ibadan, Nigeria).
ISSN: 0049-4747
Project Number: 103075
Project Title: Health Risk Analysis of Cryptosporidiosis and other Hazards in Urban Smallholder Dairy Production (Kenya)
Access: IDRC Only
Copyright: Springer Science+Business Media B.V.
Access Restriction: Due to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d`auteur, le texte intégral de cet extrant de recherche n`est pas accessible dans la Bibliothèque numérique du CRDI, et il n`est pas possible d`en faire la demande à la Bibliothèque du CRDI.
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