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Determinants of Acute Respiratory Infection Among Children Under-Five Years in Indonesia

Restu Windi1, Ferry Efendi1, Arina Qona'ah1

  • 1Faculty of Nursing, Universitas Airlangga, Indonesia.

Journal of Pediatric Nursing
|March 21, 2021
PubMed

Insights

Socio-demographic factors like age, mother's occupation, and wealth index significantly influence acute respiratory infection (ARI) in Indonesian children under five. Improving access to health information and services, especially for low-income families, is crucial.

Area of Science:

  • Pediatric Health
  • Epidemiology
  • Public Health

Background:

  • Acute respiratory infection (ARI) is a major contributor to child morbidity and mortality in Indonesia among children under five.
  • The specific determinants of ARI in this vulnerable population within Indonesia require further clarification.

Purpose of the Study:

  • To conduct a comprehensive analysis of the key determinants associated with ARI in children under five years of age in Indonesia.

Main Methods:

  • A cross-sectional study design was employed, utilizing secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS).
  • A sample of 15,993 children under five years old was analyzed.
  • Statistical analyses included Chi-squared tests and binary logistic regression to identify significant determinants.

Main Results:

  • Significant risk factors for ARI included children aged 1 and 2 years, mother's occupation, and belonging to the poorest or poor wealth index categories.
  • Geographical residence also played a role, with higher associations found in Western and Middle Indonesia compared to other regions.
  • Specific Odds Ratios (OR) and 95% Confidence Intervals (CI) were reported for each significant determinant.

Conclusions:

  • The study confirms that socio-demographic aspects are critical determinants of ARI in Indonesian children under five.
  • The family's and living area's wealth index are identified as essential factors influencing children's health outcomes regarding ARI.
  • Findings underscore the need for targeted health promotion and accessible healthcare services, particularly for low-income families across all regions of Indonesia.
Abstract

Keywords:
Acute respiratory infectionChildren under five years oldDeterminantsIndonesian demographic and health survey (IDHS)

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