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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Autores Principales: Pinzon-Rondon, Angela Maria, Aguilera-Otalvaro, Paula, Zárate-Ardila, Carol, Hoyos-Martínez, Alfonso
Formato: Artículo (Article)
Lenguaje:Inglés (English)
Publicado: Taylor and Francis Ltd. 2016
Materias:
Acceso en línea:https://repository.urosario.edu.co/handle/10336/22738
https://doi.org/10.1179/2046905515Y.0000000021
id ir-10336-22738
recordtype dspace
spelling 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