TAILIEUCHUNG - NARAYAN SASTRY AND SARAH BURGARD CHANGES IN DIARRHEAL DISEASE AND TRETMENT AMONG BRAZILIAN CHIDREN, 1986 TO 1996

That idea gets a firm nod from therapist Lisa Lieberman. “It’s important not to parentify kids,” she says. They may learn more responsibility, but they need permission to be kids, have friends and be normal in that respect. “They are not there to be in charge of everything. They need to have some of the carefree spirit of being a kid.” There is a fine line between developing an appropriate sense of responsibility — not pretending that things aren’t any different — and putting too much onto their shoulders. Learning Acceptance With patience, persistence and openness, families can experience a growing sense of acceptance and matter-of-fact handling of PD in their lives. “The disease is. | Research Report Narayan Sastry and Sarah Burgard Changes in Diarrheal Disease and Treatment among Brazilian Children 1986 to 1996 Report 08-645 June 2008 Population Studies Center University of Michigan Institute for Social Research Changes in Diarrheal Disease and Treatment among Brazilian Children 1986 to 1996 Narayan Sastry Sarah Burgard University of Michigan Population Studies Center Research Report 08-645 June 2008 Support from NIH grant HD 38556 is gratefully acknowledged. Address correspondent to Narayan Sastry Population Studies Center University of Michigan 426 Thompson Street Ann Arbor MI 48106. Tel email nsastry@. Diarrheal Disease and Treatment among Brazilian Children 2 Abstract We examined changes in diarrhea prevalence and treatment in Brazil between 1986 and 1996. Over this ten-year period there was a small decline in diarrhea prevalence but treatment with oral rehydration therapy ORT increased greatly. The decline in diarrhea prevalence was largely due to changes in the effects of several key covariates such as breastfeeding with only a modest role played by socioeconomic change infrastructure improvements and other behavioral factors. ORT treatment of diarrhea was essentially unrelated to child and family characteristics suggesting that the large increase was due to the success of public health efforts to promote its use widely. Our results suggest that the most effective policies for reducing diarrhea prevalence are likely to be further increases in education and the promotion of breastfeeding. Persistent disparities in diarrhea prevalence mean that policies to prevent the disease should be targeted at disadvantaged socioeconomic groups and the Northeast .

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