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. 2024 Aug 16;16(16):2733. doi: 10.3390/nu16162733

Table 6.

Moderated mediation model of household enteric pathogen transmission pathways and HAZ at 60-day follow-up among 706 children 24–59 months of age in the control cohort in Kolkata, India.

Dependent Variable Independent Variable Path Coefficient 95% CI 1 One Tailed p-Value
HAZ (60 days) 2 Norovirus GII −0.04 (−0.07, −0.01) <0.01
Hands washed before nursing 0.08 (0.02, 0.14) <0.01
Water stored 0.23 (0.10, 0.36) <0.00
Child feces disposed 0.03 (−0.08, 0.08) 0.06
Water source in house −0.08 (−0.21, 0.05) 0.11
Hands washed before cooking −0.02 (−0.07, 0.03) 0.18
Caretaker received formal education 0.05 (0.01, 0.10) 0.01
Norovirus GII Handwashing after child defecation −0.46 (−0.93, −0.07) <0.00
Handwashing before nursing 0.60 (0.04, 1.16) 0.01
Use of soap 0.90 (−0.22, 0.56) 0.17
Water stored −0.34 (−0.21, 0.70) 0.23
Water stored Child feces disposed 0.03 (0.01, 0.06) 0.01
Water treated 0.09 (0.0, −0.17) 0.00
Indirect effects of household reservoirs and hygiene behaviors 3
Child feces disposal mediated by stored water 0.01 (0.01, 0.02) 0.02
Water treatment mediated by stored water 0.02 (0.01, 0.04) 0.01
Handwashing after child defecation mediated
by Norovirus GII
0.02 (0.01, 0.04) 0.02
Handwashing before nursing mediated
by Norovirus GII
−0.02 (−0.07, −0.01) <0.00

1 Bayesian credibility interval. 2 Child’s age, sex, breastfeeding status at baseline, baseline HAZ, and length of follow-up. included in pathway. 3 Indirect effects represent pathogen-specific transmission pathways leading to children’s exposure to enteric infections and growth impairment. Indirect effects calculated by multiplying coefficients for respective paths a × b in Figure 3B.