%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Dos Santos, Stéphanie
%A Rautu, I.
%A Diop, M.
%A Illou, M. M. A.
%A Ndonky, A.
%A Le Hesran, Jean-Yves
%A Lalou, Richard
%T The influence of environmental factors on childhood fever during the rainy season in an African city : a multilevel approach in Dakar, Senegal
%D 2015
%L fdi:010064222
%G ENG
%J Population and Environment
%@ 0199-0039
%K Child health ; Environmental factors ; Urban ; Senegal ; Multilevel analysis
%K SENEGAL ; DAKAR
%M ISI:000354496800003
%N 4
%P 429-451
%R 10.1007/s11111-014-0224-1
%U https://www.documentation.ird.fr/hor/fdi:010064222
%> https://www.documentation.ird.fr/intranet/publi/2015/06/010064222.pdf
%V 36
%W Horizon (IRD)
%X 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.
%$ 050 ; 102 ; 108