A global analysis of the regional variation in the symptoms of acute respiratory infection during childhood: Epidemics and their association with environmental vulnerability

Chiao, Chi; Deji-Abiodun, Oluwafunmilade

doi:10.1016/j.healthplace.2020.102400

Cited by 7 publications

(9 citation statements)

References 58 publications

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“…The Chi Chiao and Deji-Abiodun (2020) study about global analysis of the regional variation in the symptoms of ARIs during childhood conducted on 432,860 children across 48 low-income nations revealed that environmental vulnerability and the level of ambient air pollution were contributing factors of childhood ARIs disease [13]. Another study by Abdul A. et al (2019) conducted across 28 sub-Saharan African countries showed that parental employment, domestic facilities, and childhood vaccinations were associated with ARIs illness among children below five years old [14].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Risk Factors Associated with Acute Respiratory Infections among Under-Five Children in Uganda

Nshimiyimana¹,

Zhou²

2021

Preprint

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Background: Globally, 7.4 million young children are being killed from infectious and treatable diseases, and Saharan Africa accounts for 90% of deaths. In Uganda, Acute Respiratory Infections (ARIs) remain the leading cause of childhood morbidity and mortality among under-five children. The study aims to identify and analyze contributing potential risk factors of childhood ARIs disease among under-five children in Uganda.Methods: A case-control study was conducted using data for 13,493 sampled under-five children retrieved from a recent 2016 Uganda Demographic and Health Survey. We compared two supervised tree-like structure machine learning algorithms and two logistic regression methods in terms of classification performances in predicting ARIs disease outcomes and analysing various child and parental socio-demographic, behavioural, and environmental characteristics.Results: The study results revealed that the ARIs prevalence among under-five children accounted 40.3% cases. The Logistic regression findings showed that the risk of developing childhood ARIs disease declined with increase in child's age where the risk of having ARIs was higher in children in one year of birth (AOR=1.27; p < 0:001) and lower in children aged four years old (AOR=0.69; p < 0:001) compared to the infants. Other factors such as the age of mother where children born from teen mothers (15-19 years) were high likely (AOR=1.28; p < 0:001) to have ARIs illness compared to those whose mothers were in the middle age groups, and children whose mothers breastfed showed a lower risk of ARIs disease (AOR=0.83; p < 0:001) compared to those who not breastfed. In the dry season, children were more likely to develop ARIs disease (AOR=1.34; p < 0:001) compared to the wet season, and factors such as the region of residences like central region, mother employment, and domestic cooking energy like wood were also potential risk factors of ARIs disease among under-five children in Uganda. In addition, three methods such as Decision Tree (Accuracy = 61.2%; AUC=0.610), Elastic Net Logistic Regression (Accuracy=61.7%; AUC=0.627), and Binary Logistic Regression (Accuracy=62.1%; AUC=0.638) showed approximately similar performances in predicting and classifying ARIs disease outcomes. However, the Random Forest (Accuracy=88.7%; AUC=0.951) showed superior difference in performance comparatively.Conclusion: Government and healthcare stakeholders need to make effective programs to improve public health policy against childhood infectious diseases by targeting the proper provision of maternal and child health-related education to household heads and mothers to adopt and prioritize breastfeeding practices, childcare, and ensure proper dwelling places for families and young children particularly in crowded regions and geographic places where ARIs prevalence is high.

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Section: Introductionmentioning

confidence: 99%

Analysis of Risk Factors Associated with Acute Respiratory Infections among Under-Five Children in Uganda

Nshimiyimana¹,

Zhou²

2021

Preprint

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“…Most studies were quantitative and observational in design [ 48 , 50 – 54 , 56 , 57 , 59 , 61 – 64 , 68 , 70 – 82 ], two used quantitative methods and implementation science in design [ 67 , 83 ], six used qualitative study design [ 39 , 49 , 58 , 60 , 69 , 84 ], and one study was a mixed-method research [ 66 ]. Studies on vulnerability in child health have examined the linkages between children’s vulnerability, infant mortality [ 48 , 62 ], sudden infant death [ 56 ], acute respiratory infection symptoms [ 61 , 71 ], poor health outcomes [ 70 , 75 ], nutritional status [ 53 , 57 ], and premature birth outcomes [ 55 ]. Drachler and colleagues, in their study, developed and validated a social vulnerability index (SVI) [ 52 ].…”

Section: Methodsmentioning

confidence: 99%

“…Fifteen studies reported on scales used to measure vulnerability in child health (online S2 Table ) [ 39 , 53 , 55 , 57 , 61 , 62 , 67 – 70 , 76 , 77 , 83 – 85 ]. Childhood vulnerability indices were reported in nine studies [ 52 , 61 , 62 , 64 , 66 , 71 , 75 , 76 , 78 ]. Yuan et al used the Poverty and Adaptive Capacity Index (PACI) and Population Exposure Index (PEI).…”

Section: Methodsmentioning

confidence: 99%

Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review

et al. 2022

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Objectives To identify and synthesise prevailing definitions and indices of vulnerability in maternal, new-born and child health (MNCH) research and health programs in low- and middle-income countries. Design and setting Scoping review using Arksey and O’Malley’s framework and a Delphi survey for consensus building. Participants Mothers, new-borns, and children living in low- and middle-income countries were selected as participants. Outcomes Vulnerability as defined by the authors was deduced from the studies. Results A total of 61 studies were included in this scoping review. Of this, 22 were publications on vulnerability in the context of maternal health and 40 were on new-born and child health. Definitions used in included studies can be broadly categorised into three domains: biological, socioeconomic, and environmental. Eleven studies defined vulnerability in the context of maternal health, five reported on the scales used to measure vulnerability in maternal health and only one study used a validated scale. Of the 40 included studies on vulnerability in child health, 19 defined vulnerability in the context of new-born and/or child health, 15 reported on the scales used to measure vulnerability in child health and nine reported on childhood vulnerability indices. As it was difficult to synthesise the definitions, their keywords were extracted to generate new candidate definitions for vulnerability in MNCH. Conclusion Included studies paid greater attention to new-born/ child vulnerability than maternal vulnerability, with authors defining the terms differently. A definition which helps in improving the description of vulnerability in MNCH across various programs and researchers was arrived at. This will further help in streamlining research and interventions which can influence the design of high impact MNCH programs. Scoping review registration The protocol for this review was registered in the open science framework at the registered address (https://osf.io/jt6nr).

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“…Previous research recorded zone based on the basis of ambient air quality and community activities to determine its association with the incidence of ARI. [ 26 27 28 ] Java island is a heavily populated area, while the outer island is not. [ 29 ] Therefore, the region is classified as the island of Java and the outer islands.…”

Section: Methodsmentioning

confidence: 99%

Family health behavior: Preventive measures against acute respiratory infections in under-5 children

Puspitasari¹,

Rahardja²

2021

Int J Prev Med

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A global analysis of the regional variation in the symptoms of acute respiratory infection during childhood: Epidemics and their association with environmental vulnerability

Cited by 7 publications

References 58 publications

Analysis of Risk Factors Associated with Acute Respiratory Infections among Under-Five Children in Uganda

Analysis of Risk Factors Associated with Acute Respiratory Infections among Under-Five Children in Uganda

Vulnerability in maternal, new-born, and child health in low- and middle-income countries: Findings from a scoping review

Family health behavior: Preventive measures against acute respiratory infections in under-5 children

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