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Acute respiratory infection in children from developing nations: a multi-level study

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dc.creatorPinzón Rondón, Ángela María
dc.creatorAguilera-Otalvaro, Paulaspa
dc.creatorZárate-Ardila, Carolspa
dc.creatorHoyos-Martínez, Alfonsospa
dc.date.accessioned2020-05-25T23:57:45Z
dc.date.available2020-05-25T23:57:45Z
dc.date.created2016-01spa
dc.description.abstractBackground: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.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1179/2046905515Y.0000000021
dc.identifier.issn20469055
dc.identifier.issn20469047
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22738
dc.language.isoengspa
dc.publisherTaylor and Francis Ltd.spa
dc.relation.citationEndPage90
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage84
dc.relation.citationTitlePaediatrics and International Child Health
dc.relation.citationVolumeVol. 36
dc.relation.ispartofPaediatrics and International Child Health, ISSN:20469055, 20469047, Vol.36, No.2 (2016); pp. 84-90spa
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1179/2046905515Y.0000000021spa
dc.rights.accesRightsinfo:eu-repo/semantics/closedAccess
dc.rights.accesoBloqueado (Texto referencial)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdultspa
dc.subject.keywordpreschooleng
dc.subject.keywordBirth weightspa
dc.subject.keywordBreast feedingspa
dc.subject.keywordChildspa
dc.subject.keywordChild healthspa
dc.subject.keywordChildhood mortalityspa
dc.subject.keywordControlled studyspa
dc.subject.keywordDeveloping countryspa
dc.subject.keywordDisease associationspa
dc.subject.keywordEmployment statusspa
dc.subject.keywordFemalespa
dc.subject.keywordGross national productspa
dc.subject.keywordHealth care costspa
dc.subject.keywordHealth care disparityspa
dc.subject.keywordHealth care surveyspa
dc.subject.keywordHealth hazardspa
dc.subject.keywordHouseholdspa
dc.subject.keywordHumanspa
dc.subject.keywordImmunizationspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMaternal agespa
dc.subject.keywordMaternal welfarespa
dc.subject.keywordPregnancyspa
dc.subject.keywordPrevalencespa
dc.subject.keywordRespiratory tract infectionspa
dc.subject.keywordSex differencespa
dc.subject.keywordAcute diseasespa
dc.subject.keywordClinical trialspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordInfantspa
dc.subject.keywordMulticenter studyspa
dc.subject.keywordNewbornspa
dc.subject.keywordPreschool childspa
dc.subject.keywordRespiratory tract infectionsspa
dc.subject.keywordRisk factorspa
dc.subject.keywordSocioeconomicsspa
dc.subject.keywordStatistics and numerical dataspa
dc.subject.keywordAcute diseasespa
dc.subject.keywordChildeng
dc.subject.keywordCross-sectional studiesspa
dc.subject.keywordDeveloping countriesspa
dc.subject.keywordFemalespa
dc.subject.keywordHealth expendituresspa
dc.subject.keywordHealthcare disparitiesspa
dc.subject.keywordHumansspa
dc.subject.keywordInfantspa
dc.subject.keywordInfanteng
dc.subject.keywordMalespa
dc.subject.keywordPregnancyspa
dc.subject.keywordPrevalencespa
dc.subject.keywordRespiratory tract infectionsspa
dc.subject.keywordRisk factorsspa
dc.subject.keywordSocioeconomic factorsspa
dc.subject.keywordAcute respiratory diseasespa
dc.subject.keywordChild healthspa
dc.subject.keywordDeveloping countriesspa
dc.subject.keywordSocial conditionsspa
dc.titleAcute respiratory infection in children from developing nations: a multi-level studyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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