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Hospitalization risk factors for children's lower respiratory tract infection: A population-based, cross-sectional

Amarjargal Dagvadorj1,2, Erika Ota2, Sadequa Shahrook2

  • 1Department of Health Informatics, Kyoto University, Yoshida Konoe-cho, Syakyo-ku, Kyoto, 606-8501, Japan.

Scientific Reports
|April 20, 2016
PubMed

Insights

Preventing childhood hospital admissions for lower respiratory tract infections (LRTI) in Mongolia requires reducing home smoke exposure and improving breastfeeding rates. Addressing these factors can significantly decrease LRTI hospitalizations in children.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • Lower respiratory tract infections (LRTI) are a leading cause of childhood hospitalization globally.
  • Mongolia faces a significant burden of LRTI-related hospital admissions among children, necessitating identification of key risk factors.
  • Understanding these risk factors is crucial for developing targeted public health interventions.

Purpose of the Study:

  • To identify and assess potential risk factors associated with hospital admissions due to LRTI in Mongolian children.
  • To provide evidence-based recommendations for preventing LRTI-related hospitalizations in this vulnerable population.

Main Methods:

  • A population-based cross-sectional study was conducted in rural Mongolia in 2013.
  • Data were collected from 1,013 mother-child pairs.
  • Statistical analysis was performed to determine associations between various factors and LRTI hospital admissions.

Main Results:

  • 38.9% of children were admitted to the hospital with LRTIs.
  • Significant risk factors identified include home smoking, low birthweight, male gender, and suboptimal healthcare-seeking behavior.
  • A dose-response relationship was observed between the number of cigarettes smoked by family members and increased hospital admissions.
  • Exclusive breastfeeding was found to be protective.

Conclusions:

  • Reducing exposure to second-hand smoke within the home is critical for preventing LRTI hospital admissions.
  • Promoting exclusive breastfeeding and improving birthweight are key strategies to decrease LRTI incidence.
  • Educational initiatives targeting healthcare-seeking behaviors for women are necessary to improve child health outcomes.

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