Acute respiratory infection in children from developing nations

a multi-level study

Ángela María Pinzón-Rondón, Paula Aguilera-Otalvaro, Carol Zárate-Ardila, Alfonso Hoyos-Martínez

Resultado de la investigación: Contribución a RevistaArtículo

Resumen

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.

Idioma originalEnglish (US)
Páginas (desde-hasta)84-90
Número de páginas7
PublicaciónPaediatrics and international child health
Volumen36
N.º2
Fecha en línea anticipadaene 29 2016
DOI
EstadoPublished - may 2016
Publicado de forma externa

Huella dactilar

Respiratory Tract Infections
Developing Countries
Gross Domestic Product
Health Expenditures
Immunization
Mothers
Multilevel Analysis
United Nations
Maternal Age
Family Planning Services
Breast Feeding
Health Promotion
Cause of Death
Public Health
Demography
Education
Mortality

Citar esto

Pinzón-Rondón, Ángela María ; Aguilera-Otalvaro, Paula ; Zárate-Ardila, Carol ; Hoyos-Martínez, Alfonso. / Acute respiratory infection in children from developing nations : a multi-level study. En: Paediatrics and international child health. 2016 ; Vol. 36, N.º 2. pp. 84-90.
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title = "Acute respiratory infection in children from developing nations: a multi-level study",
abstract = "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.",
author = "Pinz{\'o}n-Rond{\'o}n, {{\'A}ngela Mar{\'i}a} and Paula Aguilera-Otalvaro and Carol Z{\'a}rate-Ardila and Alfonso Hoyos-Mart{\'i}nez",
year = "2016",
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doi = "10.1080/20469047.2015.1109252",
language = "English (US)",
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pages = "84--90",
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Acute respiratory infection in children from developing nations : a multi-level study. / Pinzón-Rondón, Ángela María; Aguilera-Otalvaro, Paula; Zárate-Ardila, Carol; Hoyos-Martínez, Alfonso.

En: Paediatrics and international child health, Vol. 36, N.º 2, 05.2016, p. 84-90.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Acute respiratory infection in children from developing nations

T2 - a multi-level study

AU - Pinzón-Rondón, Ángela María

AU - Aguilera-Otalvaro, Paula

AU - Zárate-Ardila, Carol

AU - Hoyos-Martínez, Alfonso

PY - 2016/5

Y1 - 2016/5

N2 - 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.

AB - 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.

U2 - 10.1080/20469047.2015.1109252

DO - 10.1080/20469047.2015.1109252

M3 - Article

VL - 36

SP - 84

EP - 90

JO - Paediatrics and international child health

JF - Paediatrics and international child health

SN - 2046-9047

IS - 2

ER -