Abstract
Abstract
Aim
The high incidence of acute respiratory infection (ARI)-related morbidity and mortality is a major public health concern in developing countries. This study aimed to quantify regional inequalities and the degree of association between childhood ARI and background factors.
Methods
This study utilised information of 238 945 children aged below five years extracted from the Fourth Indian National Family Health Survey conducted in 2015–16. Inter-state and regional inequality in the prevalence of ARI were quantified and presented using a map of India and forest plot. The association of background characteristics and ARI was quantified using bivariate and multivariable binary logistic regression models.
Results
Significant inequalities in the prevalence of childhood ARI were observed across the six regions of India. Considering the children from north-east region as a reference, those from north, central and east regions were 0.68, 1.02 and 0.57 times more likely to suffer from ARI. Comorbidity, sex, age and nutritional status of children were significantly associated with the prevalence of ARI.
Conclusions
ARI remains a significant public health concern among Indian children. The results of this study showed that significant regional disparities in the prevalence of ARI exist in India. This study adds value to the better understanding of inequality patterns and quantifies within- and intra-region inequalities in the prevalence of ARI in India.
Funder
University of Southern Queensland
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health,Epidemiology
Reference47 articles.
1. Acharya, D., Prasanna, K., Nair, S., & Rao, R. (2003). Acute respiratory infections in children: a community based longitudinal study in south India. Indian journal of public health, 47(1), 7–13
2. Asghar, S. A., Srivastava, M. R., Srivastava, J., Gupta, P., & Zaidi, Z. H. (2017). Prevalence of acute respiratory infections among children under five years of age attending rural health training centre of Era’s Lucknow Medical College and Hospital. Int J Community Med Public Health, 4(3752), h2017
3. Awasthi, S., Verma, T., Agarwal, M., & Pandey, C. M. (2018). To assess the effectiveness of various communication strategies for improving childhood pneumonia case management: study protocol of a community based behavioral open labeled trial in rural Lucknow, Uttar Pradesh, India. BMC pediatrics, 18(1), 279
4. Bhat, R., & Manjunath, N. (2013). Correlates of acute lower respiratory tract infections in children under 5 years of age in India. The international journal of tuberculosis and lung disease, 17(3), 418–422
5. Bivand, R., & Lewin-Koh, N. (2019). maptools: tools for handling spatial objects. R package version 0.9, 5
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