Acute lower respiratory illness in under-five children in Rio Grande, Rio Grande do Sul State, Brazil: prevalence and risk factors

Abstract

This study aimed to determine the prevalence of acute lower respiratory illness and to identify associated factors among children less than five years of age in the city of Rio Grande, southern Brazil. Using a cross-sectional survey, a standardized household questionnaire was applied to mothers or guardians. Information was collected on household conditions, socioeconomic status, and parental smoking. Prenatal care attendance, nutritional status, breastfeeding pattern, and use of health services for the children were also investigated. Data analysis was based on prevalence ratios and logistic regression, using a conceptual framework. Among 771 children studied, 23.9% presented acute lower respiratory illness. The main risk factors were previous episodes of acute lower respiratory infection or wheezing, crowding, maternal schooling less than five years, monthly family income less than US$ 200, four or more people per room, asthma in family members, and maternal smoking. Mothers 30 years or older were identified as a protective factor. These results can help define specific measures to reduce morbidity and mortality due to acute lower respiratory illness in this setting.

Estratégia Saúde da Família e internações hospitalares em menores de 5 anos no Piauí, Brasil

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Desigualdades regionais na prevalência de diagnóstico de asma em crianças: uma análise da Pesquisa Nacional por Amostra de Domicílios, 2003

“…A aglomeração nos espaços utilizados como dormitórios esteve positivamente associada à asma, indo ao encontro de outras pesquisas 51,52 . A aglomeração pode influenciar no aumento de doenças respiratórias, principalmente com infecções cruzadas entre os moradores 53 .…”

Diarrhoea and acute respiratory infections among under-five children in slums: Evidence from India

“…Although India has succeeded in reducing child mortality to a considerable extent [Gupta et al 2009], a considerable number of children are still dying of these two diseases because of piecemeal approach to service provision and those at greatest risk are not being identified and reached [WHO/UNICEF 2013]. Identifying those at greatest risk, hardest to reach and most neglected, and targeting them with effective interventions will help to close the gap, eventually Many studies in India and abroad have already studied prevalence and determinants of diarrhoea [Sarkar et al 2013;Khan et al 2013; Luke and McPike 2012; Gladstone 2010; Jadhav 2009;Sakdapolrak et al 2011; Melo et al 2008] and ARI [Islam 2013;Srivastava et al 2012; Wadgave and Godale 2011; Prajapati 2011;Prietsch 2008;Savitha 2007; Gupta et al 2007;Acharya 2003;Broor 2001;Biswas 1999]. However, the scope of most of the previous studies is geographically restricted.…”