Determinants of acute respiratory infection among under-five children in rural Ethiopia

Abstract Introduction In low- and middle-income nations, acute respiratory infection (ARI) is the primary cause of morbidity and mortality. According to some studies, Ethiopia has a higher prevalence of childhood acute respiratory infection, ranging from 16 to 33.5%. The goal of this study was to de...

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Autor principal:	Amanuel Mengistu Merera
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Acute respiratory infections Under-five children Logistic Regression EDHS Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/f1494970000b46738d272b4a7ee98b53
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spelling	oai:doaj.org-article:f1494970000b46738d272b4a7ee98b532021-12-05T12:26:17ZDeterminants of acute respiratory infection among under-five children in rural Ethiopia10.1186/s12879-021-06864-41471-2334https://doaj.org/article/f1494970000b46738d272b4a7ee98b532021-11-01T00:00:00Zhttps://doi.org/10.1186/s12879-021-06864-4https://doaj.org/toc/1471-2334Abstract Introduction In low- and middle-income nations, acute respiratory infection (ARI) is the primary cause of morbidity and mortality. According to some studies, Ethiopia has a higher prevalence of childhood acute respiratory infection, ranging from 16 to 33.5%. The goal of this study was to determine the risk factors for acute respiratory infection in children under the age of five in rural Ethiopia. Methods A cross-sectional study involving 7911 children under the age of five from rural Ethiopia was carried out from January 18 to June 27, 2016. A two stage cluster sampling technique was used recruit study subjects and SPSS version 20 was used to extract and analyze data. A binary logistic regression model was used to identify factors associated with a childhood acute respiratory infection. The multivariable logistic regression analysis includes variables with a p-value less than 0.2 during the bivariate logistic regression analysis. Adjusted odds ratios were used as measures of effect with a 95% confidence interval (CI) and variables with a p-value less than 0.05 were considered as significantly associated with an acute respiratory infection. Results The total ARI prevalence rate among 7911 under-five children from rural Ethiopia was 7.8%, according to the findings of the study. The highest prevalence of ARI was found in Oromia (12.8%), followed by Tigray (12.7%), with the lowest frequency found in Benishangul Gumuz (2.4%). A multivariable logistic regression model revealed that child from Poor household (AOR = 2.170, 95% CI: 1.631–2.887), mother’s no education (AOR = 2.050,95% CI: 1.017–4.133), mother’s Primary education (AOR = 2.387, 95% CI:1.176–4.845), child had not received vitamin A (AOR = 1.926, 95% CI:1.578–2.351), child had no diarrhea (AOR = 0.257, 95% CI: 0.210–0.314), mothers not working (AOR = 0.773, 95% CI:0.630–0.948), not stunted (AOR = 0.663, 95% CI: 0.552–0.796), and not improved water source (AOR = 1.715, 95% CI: 1.395–2.109). Similarly, among under-five children, the age of the child, the month of data collection, anemia status, and the province were all substantially linked to ARI. Conclusions Childhood ARI morbidity is a serious health challenge in rural Ethiopia, according to this study, with demographic, socioeconomic, nutritional, health, and environmental factors all having a role. As a result, regional governments, healthcare staff, and concerned groups should place a priority on reducing ARI, and attempts to solve the issue should take these variables into account.Amanuel Mengistu MereraBMCarticleAcute respiratory infectionsUnder-five childrenLogistic RegressionEDHSInfectious and parasitic diseasesRC109-216ENBMC Infectious Diseases, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute respiratory infections Under-five children Logistic Regression EDHS Infectious and parasitic diseases RC109-216
spellingShingle	Acute respiratory infections Under-five children Logistic Regression EDHS Infectious and parasitic diseases RC109-216 Amanuel Mengistu Merera Determinants of acute respiratory infection among under-five children in rural Ethiopia
description	Abstract Introduction In low- and middle-income nations, acute respiratory infection (ARI) is the primary cause of morbidity and mortality. According to some studies, Ethiopia has a higher prevalence of childhood acute respiratory infection, ranging from 16 to 33.5%. The goal of this study was to determine the risk factors for acute respiratory infection in children under the age of five in rural Ethiopia. Methods A cross-sectional study involving 7911 children under the age of five from rural Ethiopia was carried out from January 18 to June 27, 2016. A two stage cluster sampling technique was used recruit study subjects and SPSS version 20 was used to extract and analyze data. A binary logistic regression model was used to identify factors associated with a childhood acute respiratory infection. The multivariable logistic regression analysis includes variables with a p-value less than 0.2 during the bivariate logistic regression analysis. Adjusted odds ratios were used as measures of effect with a 95% confidence interval (CI) and variables with a p-value less than 0.05 were considered as significantly associated with an acute respiratory infection. Results The total ARI prevalence rate among 7911 under-five children from rural Ethiopia was 7.8%, according to the findings of the study. The highest prevalence of ARI was found in Oromia (12.8%), followed by Tigray (12.7%), with the lowest frequency found in Benishangul Gumuz (2.4%). A multivariable logistic regression model revealed that child from Poor household (AOR = 2.170, 95% CI: 1.631–2.887), mother’s no education (AOR = 2.050,95% CI: 1.017–4.133), mother’s Primary education (AOR = 2.387, 95% CI:1.176–4.845), child had not received vitamin A (AOR = 1.926, 95% CI:1.578–2.351), child had no diarrhea (AOR = 0.257, 95% CI: 0.210–0.314), mothers not working (AOR = 0.773, 95% CI:0.630–0.948), not stunted (AOR = 0.663, 95% CI: 0.552–0.796), and not improved water source (AOR = 1.715, 95% CI: 1.395–2.109). Similarly, among under-five children, the age of the child, the month of data collection, anemia status, and the province were all substantially linked to ARI. Conclusions Childhood ARI morbidity is a serious health challenge in rural Ethiopia, according to this study, with demographic, socioeconomic, nutritional, health, and environmental factors all having a role. As a result, regional governments, healthcare staff, and concerned groups should place a priority on reducing ARI, and attempts to solve the issue should take these variables into account.
format	article
author	Amanuel Mengistu Merera
author_facet	Amanuel Mengistu Merera
author_sort	Amanuel Mengistu Merera
title	Determinants of acute respiratory infection among under-five children in rural Ethiopia
title_short	Determinants of acute respiratory infection among under-five children in rural Ethiopia
title_full	Determinants of acute respiratory infection among under-five children in rural Ethiopia
title_fullStr	Determinants of acute respiratory infection among under-five children in rural Ethiopia
title_full_unstemmed	Determinants of acute respiratory infection among under-five children in rural Ethiopia
title_sort	determinants of acute respiratory infection among under-five children in rural ethiopia
publisher	BMC
publishDate	2021
url	https://doaj.org/article/f1494970000b46738d272b4a7ee98b53
work_keys_str_mv	AT amanuelmengistumerera determinantsofacuterespiratoryinfectionamongunderfivechildreninruralethiopia
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Determinants of acute respiratory infection among under-five children in rural Ethiopia

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