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Published on: August 30, 2014
Risk factors for acute respiratory infection in children younger than five years in Bangladesh
M I K Imran1, M U A Inshafi1, R Sheikh1
1Department of Statistics, Shahjalal University of Science & Technology, Sylhet, 3114, Bangladesh.
Insights
Young children, boys, and stunted children face a higher risk of acute respiratory infections (ARIs) in Bangladesh. Addressing malnutrition and stunting is key to reducing child ARI morbidity and mortality.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Acute respiratory infections (ARIs) are a leading cause of child illness and death in developing nations.
- Limited data exists on ARIs among children in Bangladesh, a critical knowledge gap.
Purpose of the Study:
- To identify risk factors associated with ARIs in children under five years old in Bangladesh.
- To inform public health strategies aimed at reducing child morbidity and mortality from ARIs.
Main Methods:
- A cross-sectional study utilizing data from the 2014 Bangladesh Demographic and Health Survey.
- Analysis included 7032 children under five, with ARIs defined as cough and rapid chest breathing in the prior two weeks.
- Binary logistic regression was employed to determine significant risk factors for ARIs.
Main Results:
- The prevalence of ARI was 5.3% in the study population.
- Infants (0-11 months), toddlers (12-23 months), and children aged 24-35 months had significantly higher risks of ARI.
- Children from lower and middle economic status families, and boys, exhibited increased ARI risk. Stunting was also a significant risk factor.
Conclusions:
- Younger age, male gender, and stunting are identified as key risk factors for ARIs in Bangladeshi children.
- Interventions focusing on maternal education regarding child nutrition and reducing stunting are recommended to decrease ARI-related child morbidity and mortality.
Objectives:
Acute respiratory infections (ARIs) are one of the major causes of child morbidity and mortality in the developing world. There is a lack of information regarding ARIs in children in Bangladesh. The study aims to determine the potential risk factors that are associated with ARIs among children younger than 5 years in Bangladesh.
Study Design:
A cross-sectional study design was used.
Methods:
Data were retrieved from the 2014 Bangladesh Demographic and Health Survey, which provides data for monitoring indicators in population, health and nutrition. In total, 7032 children (weighted) younger than 5 years were eligible for our analysis. Children with a cough and chest-related short, rapid breathing in the 2 weeks before the survey were considered having an ARI. A binary logistic regression model was used to determine the significant risk factors.
Results:
The prevalence of ARI was 5.3% (95% confidence interval [CI]: 4.7-6.0) in the sample population. Infants aged 0-11 months (odds ratio [OR] = 2.87, 95% CI: 1.92-4.28), toddlers aged 12-23 months (OR = 2.03, 95% CI: 1.21-3.38) and children aged 24-35 months (OR = 1.67, 95% CI: 1.11-2.50) had a greater risk of ARI than older children. Children of lower economic (OR = 2.03, 95% CI: 1.27-3.27) and middle economic (OR = 1.67, 95% CI: 1.06-2.64) families were also at a higher risk of ARI. Girls (OR = 0.75, 95% CI: 0.56-0.99) had a lower risk of ARI compared with boys. In addition, stunting or slow growth rate in children (OR = 1.42, 95% CI: 1.02-1.97) was significantly associated with ARI.
Conclusion:
Young children, boys and stunted children are at greater risk of ARI. Educating mothers on the nutritional needs of children and subsequently reducing stunting due to malnutrition would help in the effort to reduce child morbidity and mortality caused by ARI.
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