Acute respiratory infection in children from developing nations: a multi-level study
Background:Worldwide, acute respiratory infections (ARI) are the leading cause of death of children under 5 years of age. Aim:To assess the accomplishment of the Millennium Development Goal on under-5 mortality particularly related to ARI in developing countries, and to explore the associations betw...
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ir-10336-227382022-05-02T12:37:14Z Acute respiratory infection in children from developing nations: a multi-level study Pinzon-Rondon, Angela Maria Aguilera-Otalvaro, Paula Zárate-Ardila, Carol Hoyos-Martínez, Alfonso Adult Article Birth weight Breast feeding Child Child health Childhood mortality Controlled study Developing country Disease association Employment status Female Gross national product Health care cost Health care disparity Health care survey Health hazard Household Human Immunization Major clinical study Male Maternal age Maternal welfare Pregnancy Prevalence Respiratory tract infection Sex difference Acute disease Clinical trial Cross-sectional study Infant Multicenter study Newborn Preschool child Respiratory tract infections Risk factor Socioeconomics Statistics and numerical data Acute disease Cross-sectional studies Developing countries Female Health expenditures Healthcare disparities Humans Infant Male Pregnancy Prevalence Respiratory tract infections Risk factors Socioeconomic factors Acute respiratory disease Child health Developing countries Social conditions preschool newborn Child Infant Background:Worldwide, acute respiratory infections (ARI) are the leading cause of death of children under 5 years of age. Aim:To assess the accomplishment of the Millennium Development Goal on under-5 mortality particularly related to ARI in developing countries, and to explore the associations between country characteristics and ARI in children under 5 taking into account child, mother and household attributes. Methods:The study included a representative sample of 354,633 children under 5 years from 40 developing nations. A multilevel analysis of data from the Demographic and Health Surveys and the World Bank was conducted. Results:The prevalence of ARI was 13%. Country inequalities were associated with the disease – GINI index (95% CI 1.01–1.04). The country’s per capita gross domestic product (GDP) (95% CI 1.00–1.01) and health expenditure (95% CI 1.01–1.01) affected the relationship between immunization and ARI, while inequalities influenced the relationship between household wealth (95% CI 0.99–0.99) and the disease. Other factors positively associated with ARI were male gender, low birthweight, working mothers and a high-risk indoor environment. Factors associated with ARI reduction were older children, immunization, breastfeeding for more than 6 months, older maternal age, maternal education and planned pregnancy. Conclusions:In developing countries, public health campaigns to target ARI should consider the country’s macro characteristics. At country level, inequalities but not health expenditure or GDP were associated with the disease and were independent of child, family and household characteristics. The effect of immunization on reducing ARI is greater in countries with a higher GDP and health expenditure. The effect of household wealth on ARI is less in countries with fewer inequalities. Reduction of inequalities is an important measure to decrease ARI in developing countries. © 2016 Taylor and Francis. 2016-01 2020-05-25T23:57:45Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 20469055 20469047 https://repository.urosario.edu.co/handle/10336/22738 https://doi.org/10.1179/2046905515Y.0000000021 eng info:eu-repo/semantics/closedAccess application/pdf Taylor and Francis Ltd. instname:Universidad del Rosario |
institution |
EdocUR - Universidad del Rosario |
collection |
DSpace |
language |
Inglés (English) |
topic |
Adult Article Birth weight Breast feeding Child Child health Childhood mortality Controlled study Developing country Disease association Employment status Female Gross national product Health care cost Health care disparity Health care survey Health hazard Household Human Immunization Major clinical study Male Maternal age Maternal welfare Pregnancy Prevalence Respiratory tract infection Sex difference Acute disease Clinical trial Cross-sectional study Infant Multicenter study Newborn Preschool child Respiratory tract infections Risk factor Socioeconomics Statistics and numerical data Acute disease Cross-sectional studies Developing countries Female Health expenditures Healthcare disparities Humans Infant Male Pregnancy Prevalence Respiratory tract infections Risk factors Socioeconomic factors Acute respiratory disease Child health Developing countries Social conditions preschool newborn Child Infant |
spellingShingle |
Adult Article Birth weight Breast feeding Child Child health Childhood mortality Controlled study Developing country Disease association Employment status Female Gross national product Health care cost Health care disparity Health care survey Health hazard Household Human Immunization Major clinical study Male Maternal age Maternal welfare Pregnancy Prevalence Respiratory tract infection Sex difference Acute disease Clinical trial Cross-sectional study Infant Multicenter study Newborn Preschool child Respiratory tract infections Risk factor Socioeconomics Statistics and numerical data Acute disease Cross-sectional studies Developing countries Female Health expenditures Healthcare disparities Humans Infant Male Pregnancy Prevalence Respiratory tract infections Risk factors Socioeconomic factors Acute respiratory disease Child health Developing countries Social conditions preschool newborn Child Infant Pinzon-Rondon, Angela Maria Aguilera-Otalvaro, Paula Zárate-Ardila, Carol Hoyos-Martínez, Alfonso Acute respiratory infection in children from developing nations: a multi-level study |
description |
Background:Worldwide, acute respiratory infections (ARI) are the leading cause of death of children under 5 years of age. Aim:To assess the accomplishment of the Millennium Development Goal on under-5 mortality particularly related to ARI in developing countries, and to explore the associations between country characteristics and ARI in children under 5 taking into account child, mother and household attributes. Methods:The study included a representative sample of 354,633 children under 5 years from 40 developing nations. A multilevel analysis of data from the Demographic and Health Surveys and the World Bank was conducted. Results:The prevalence of ARI was 13%. Country inequalities were associated with the disease – GINI index (95% CI 1.01–1.04). The country’s per capita gross domestic product (GDP) (95% CI 1.00–1.01) and health expenditure (95% CI 1.01–1.01) affected the relationship between immunization and ARI, while inequalities influenced the relationship between household wealth (95% CI 0.99–0.99) and the disease. Other factors positively associated with ARI were male gender, low birthweight, working mothers and a high-risk indoor environment. Factors associated with ARI reduction were older children, immunization, breastfeeding for more than 6 months, older maternal age, maternal education and planned pregnancy. Conclusions:In developing countries, public health campaigns to target ARI should consider the country’s macro characteristics. At country level, inequalities but not health expenditure or GDP were associated with the disease and were independent of child, family and household characteristics. The effect of immunization on reducing ARI is greater in countries with a higher GDP and health expenditure. The effect of household wealth on ARI is less in countries with fewer inequalities. Reduction of inequalities is an important measure to decrease ARI in developing countries. © 2016 Taylor and Francis. |
format |
Artículo (Article) |
author |
Pinzon-Rondon, Angela Maria Aguilera-Otalvaro, Paula Zárate-Ardila, Carol Hoyos-Martínez, Alfonso |
author_facet |
Pinzon-Rondon, Angela Maria Aguilera-Otalvaro, Paula Zárate-Ardila, Carol Hoyos-Martínez, Alfonso |
author_sort |
Pinzon-Rondon, Angela Maria |
title |
Acute respiratory infection in children from developing nations: a multi-level study |
title_short |
Acute respiratory infection in children from developing nations: a multi-level study |
title_full |
Acute respiratory infection in children from developing nations: a multi-level study |
title_fullStr |
Acute respiratory infection in children from developing nations: a multi-level study |
title_full_unstemmed |
Acute respiratory infection in children from developing nations: a multi-level study |
title_sort |
acute respiratory infection in children from developing nations: a multi-level study |
publisher |
Taylor and Francis Ltd. |
publishDate |
2016 |
url |
https://repository.urosario.edu.co/handle/10336/22738 https://doi.org/10.1179/2046905515Y.0000000021 |
_version_ |
1740173008163569664 |
score |
12,131701 |