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Table 2.

Prevalence ratios of diarrhoea (after vs before intervention) obtained by different regression models

Total population*
Areas with high baseline risk
PR 95% CI MP PR 95% CI MP
PR, unadjusted 0·79 0·75–0·82 .. 0·58 0·55–0·61 ..
Model A: PR adjusted for baseline sewerage coverage and potential confounders§ 0·78 0·74–0·81 .. 0·57 0·54–0.61 ..
Model B: PR adjusted for variables of model A and indoor toilet, open sewage nearby, and household excreta disposal 0·81 0·78–0·86 16·7% 0·57 0·55–0·62 0·0%
Model C: PR adjusted for variables of model A and water supply, refuse collection, paving of the road, and satisfactory drainage system 0·80 0·76–0·84 10·8% 0·59 0·56–0·63 4·4%
Model D: PR adjusted for variables of model A and hygiene behaviour 0·76 0·72–0·79 0·0% 0·57 0·54–0·61 0·2%
Model E: PR adjusted for variables of model A and coverage of Bahia Azul sewerage 1·01 0·89–1·15 100·0% 1·02 0·90–1·16 100·0%

PR=prevalence ratio. MP=mediating proportion. Results of the hierarchical effect decomposition are presented as crude and adjusted prevalence ratios.

*

24 areas, 1848 children, median baseline diarrhea 4·5 days per child-year.

>8 diarrhoea days per child-year; 12 areas, 878 children, median baseline diarrhoea 6·0 days per child-year.

MP: risk reduction explained by changes in the mediating variables included in the model (MP=[PRadj − PRunadj]/[(1-PRunadj]×100; PRunadj and PRadj are the crude and adjusted prevalence ratios, respectively).

§

Child's mean age during the follow-up, birthweight <2·5 kg, exclusive breastfeeding till <6 months old, and height-for-age <−1 Z score; mother's age at child's birth <20 years, marital status (not married) and education (no schooling or <4th grade, or 5th to 8th grade, vs higher education); housing type (shack) and floor (dirt floor), no independent kitchen.