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Geostatistical patterns of comorbidity of diarrhea, acute respiratory infection, and stunting among under-five children in Nigeria

ABSTRACT Among children under five in Nigeria, in the year 2018, the prevalence of diarrhea was 13%, that of acute respiratory infections 3%, and that of stunting 37%. A shared-component model highlights geographic variations in the comorbidities of these diseases. The data are from the 2018 Nigeria Demographic and Health Survey. The majority of states in northern Nigeria presented clusters of higher risk for comorbidities of any pair of the three diseases. Compared with mothers with primary education or less, mothers with secondary education were 1.4 times less likely to have two or three of these diseases at the same time, and women with tertiary education 2.0 times less. Compared to childless women of the same age, mothers were 1.6 times less when aged 20–29, 1.9 times less when aged 30–39, and 2.0 times less when aged 40–49. Access to a protected water source reduced the risk by a factor of 1.3. Girls under age five were 1.2 times less likely than boys of that age to have two or three of these diseases at the same time. This factor was the same for breastfed children compared to those who were not breastfed.