Correlates of acute lower respiratory tract infections in children under 5 years of age in India

R. Y. Bhat, N. Manjunath

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

BACKGROUND: In developing countries, acute lower respiratory tract infections (ALRTI) cause considerable morbidity, hospitalisation and mortality in children aged <5 years. METHODS: A prospective case-control study was conducted to identify potential socio-demographic, nutritional and environmental risk factors for ALRTI. The World Health Organization definition for ALRTI was used for cases. Healthy children attending child immunisation services were enrolled as controls. RESULTS: A total of 214 children, 107 cases and 107 controls, were enrolled. Among the cases, pneumonia, severe pneumonia and very severe disease constituted respectively 23.3%, 47.7% and 29%. Among cases and controls, the male-to-female ratio (1.3:1 vs. 0.9:1) and the proportion of infants (64.5% vs. 70.1%) were identical. Parents' literacy level was negatively associated with ALRTI. On multivariate logistic regression analysis, low socio-economic status (OR 4.89, 95%CI 1.93-12.36), upper respiratory infections in family members (OR 5.32, 95%CI 2.11-13.45), inappropriate weaning period (OR 3.01, 95%CI 1.12-8.07), malnutrition (OR 1.75, 95%CI 1.84-3.67), pallor (OR 7.18, 95%CI 2.08-24.82) and cooking fuel other than liquid petroleum gas (OR 3.58, 95%CI 1.23-10.45) were found to be significant risk factors (P < 0.05). CONCLUSIONS: The present study identified various risk factors for ALRTI, some of which are modifiable by effective community education and public health measures.

Original languageEnglish
Pages (from-to)418-422
Number of pages5
JournalInternational Journal of Tuberculosis and Lung Disease
Volume17
Issue number3
DOIs
Publication statusPublished - 01-03-2013

Fingerprint

Respiratory Tract Infections
India
Pneumonia
Pallor
Child Mortality
Petroleum
Cooking
Weaning
Malnutrition
Developing Countries
Case-Control Studies
Immunization
Hospitalization
Public Health
Gases
Parents
Logistic Models
Regression Analysis
Economics
Demography

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

@article{6660e89321f64634b2d9e8b78cdb68b2,
title = "Correlates of acute lower respiratory tract infections in children under 5 years of age in India",
abstract = "BACKGROUND: In developing countries, acute lower respiratory tract infections (ALRTI) cause considerable morbidity, hospitalisation and mortality in children aged <5 years. METHODS: A prospective case-control study was conducted to identify potential socio-demographic, nutritional and environmental risk factors for ALRTI. The World Health Organization definition for ALRTI was used for cases. Healthy children attending child immunisation services were enrolled as controls. RESULTS: A total of 214 children, 107 cases and 107 controls, were enrolled. Among the cases, pneumonia, severe pneumonia and very severe disease constituted respectively 23.3{\%}, 47.7{\%} and 29{\%}. Among cases and controls, the male-to-female ratio (1.3:1 vs. 0.9:1) and the proportion of infants (64.5{\%} vs. 70.1{\%}) were identical. Parents' literacy level was negatively associated with ALRTI. On multivariate logistic regression analysis, low socio-economic status (OR 4.89, 95{\%}CI 1.93-12.36), upper respiratory infections in family members (OR 5.32, 95{\%}CI 2.11-13.45), inappropriate weaning period (OR 3.01, 95{\%}CI 1.12-8.07), malnutrition (OR 1.75, 95{\%}CI 1.84-3.67), pallor (OR 7.18, 95{\%}CI 2.08-24.82) and cooking fuel other than liquid petroleum gas (OR 3.58, 95{\%}CI 1.23-10.45) were found to be significant risk factors (P < 0.05). CONCLUSIONS: The present study identified various risk factors for ALRTI, some of which are modifiable by effective community education and public health measures.",
author = "Bhat, {R. Y.} and N. Manjunath",
year = "2013",
month = "3",
day = "1",
doi = "10.5588/ijtld.12.0117",
language = "English",
volume = "17",
pages = "418--422",
journal = "International Journal of Tuberculosis and Lung Disease",
issn = "1027-3719",
publisher = "International Union against Tubercul. and Lung Dis.",
number = "3",

}

Correlates of acute lower respiratory tract infections in children under 5 years of age in India. / Bhat, R. Y.; Manjunath, N.

In: International Journal of Tuberculosis and Lung Disease, Vol. 17, No. 3, 01.03.2013, p. 418-422.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Correlates of acute lower respiratory tract infections in children under 5 years of age in India

AU - Bhat, R. Y.

AU - Manjunath, N.

PY - 2013/3/1

Y1 - 2013/3/1

N2 - BACKGROUND: In developing countries, acute lower respiratory tract infections (ALRTI) cause considerable morbidity, hospitalisation and mortality in children aged <5 years. METHODS: A prospective case-control study was conducted to identify potential socio-demographic, nutritional and environmental risk factors for ALRTI. The World Health Organization definition for ALRTI was used for cases. Healthy children attending child immunisation services were enrolled as controls. RESULTS: A total of 214 children, 107 cases and 107 controls, were enrolled. Among the cases, pneumonia, severe pneumonia and very severe disease constituted respectively 23.3%, 47.7% and 29%. Among cases and controls, the male-to-female ratio (1.3:1 vs. 0.9:1) and the proportion of infants (64.5% vs. 70.1%) were identical. Parents' literacy level was negatively associated with ALRTI. On multivariate logistic regression analysis, low socio-economic status (OR 4.89, 95%CI 1.93-12.36), upper respiratory infections in family members (OR 5.32, 95%CI 2.11-13.45), inappropriate weaning period (OR 3.01, 95%CI 1.12-8.07), malnutrition (OR 1.75, 95%CI 1.84-3.67), pallor (OR 7.18, 95%CI 2.08-24.82) and cooking fuel other than liquid petroleum gas (OR 3.58, 95%CI 1.23-10.45) were found to be significant risk factors (P < 0.05). CONCLUSIONS: The present study identified various risk factors for ALRTI, some of which are modifiable by effective community education and public health measures.

AB - BACKGROUND: In developing countries, acute lower respiratory tract infections (ALRTI) cause considerable morbidity, hospitalisation and mortality in children aged <5 years. METHODS: A prospective case-control study was conducted to identify potential socio-demographic, nutritional and environmental risk factors for ALRTI. The World Health Organization definition for ALRTI was used for cases. Healthy children attending child immunisation services were enrolled as controls. RESULTS: A total of 214 children, 107 cases and 107 controls, were enrolled. Among the cases, pneumonia, severe pneumonia and very severe disease constituted respectively 23.3%, 47.7% and 29%. Among cases and controls, the male-to-female ratio (1.3:1 vs. 0.9:1) and the proportion of infants (64.5% vs. 70.1%) were identical. Parents' literacy level was negatively associated with ALRTI. On multivariate logistic regression analysis, low socio-economic status (OR 4.89, 95%CI 1.93-12.36), upper respiratory infections in family members (OR 5.32, 95%CI 2.11-13.45), inappropriate weaning period (OR 3.01, 95%CI 1.12-8.07), malnutrition (OR 1.75, 95%CI 1.84-3.67), pallor (OR 7.18, 95%CI 2.08-24.82) and cooking fuel other than liquid petroleum gas (OR 3.58, 95%CI 1.23-10.45) were found to be significant risk factors (P < 0.05). CONCLUSIONS: The present study identified various risk factors for ALRTI, some of which are modifiable by effective community education and public health measures.

UR - http://www.scopus.com/inward/record.url?scp=84874081982&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84874081982&partnerID=8YFLogxK

U2 - 10.5588/ijtld.12.0117

DO - 10.5588/ijtld.12.0117

M3 - Article

VL - 17

SP - 418

EP - 422

JO - International Journal of Tuberculosis and Lung Disease

JF - International Journal of Tuberculosis and Lung Disease

SN - 1027-3719

IS - 3

ER -