Prevalence and risk factors of acute lower respiratory infection among children living in biomass fuel using households: a community-based cross-sectional study in Northwest Ethiopia
Childhood acute lower respiratory infection in the form of pneumonia is recognized as the single largest cause of childhood death globally accounting for 16% of the overall deaths. Some studies also reported a higher prevalence of childhood acute respiratory infection in Ethiopia, which ranges from...
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| description | Childhood acute lower respiratory infection in the form of pneumonia is recognized as the single largest cause of childhood death globally accounting for 16% of the overall deaths. Some studies also reported a higher prevalence of childhood acute respiratory infection in Ethiopia, which ranges from 16% up to 33.5%. Concerning the risk factors, there are limited community-based studies in Ethiopia in general, and in the current study region in particular. Therefore, the present study was conducted to investigate the prevalence of childhood acute respiratory infection and associated factors in Northwest Ethiopia.
As part of the wider stove trial project, a cross-sectional study was conducted in May 2018 among a total of 5830 children aged less than 4 years old in randomly selected clusters. Binary logistic regression was applied to identify factors linked with childhood acute lower respiratory infection and adjusted odds ratios were used as measures of effect with a 95% confidence interval.
A total of 5830 children were included in the study within 100 clusters. Out of which 51.7% were male and 48.3% female. The prevalence of childhood lower acute respiratory infection was 19.2% (95% CI: 18.2-20.2) and found to decrease among children living in homes with chimney, eaves space and improved cookstove than children living in households with no chimney, eaves space and improved cookstove with estimated AOR of 0.60 (95% CI: 0.51-0.70), 0.70 (95% CI: 0.60-0.84) and 0.43 (95% CI: 0.28-0.67) respectively. It was also associated with other cooking-related factors such as cow dung fuel use [AOR = 1.54 (95% CI: 1.02-2.33)], child spending time near stove during cooking [AOR = 1.41 (95% CI: 1.06-1.88), presence of extra indoor burning events [AOR = 2.19 (95% CI: 1.41-3.40)] and with frequent cooking of meals [AOR = 1.55 (95% CI: 1.13-2.13)].
High prevalence of childhood acute lower respiratory infection was demonstrated by this study and it was found to be associated with household ventilation, cooking technology, and behavioral factors. Therefore, we recommend a transition in household ventilation, cooking technologies as well as in child handling and in the peculiar local extra indoor burning practices. |
| doi_str_mv | 10.1186/s12889-020-08515-w |
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As part of the wider stove trial project, a cross-sectional study was conducted in May 2018 among a total of 5830 children aged less than 4 years old in randomly selected clusters. Binary logistic regression was applied to identify factors linked with childhood acute lower respiratory infection and adjusted odds ratios were used as measures of effect with a 95% confidence interval.
A total of 5830 children were included in the study within 100 clusters. Out of which 51.7% were male and 48.3% female. The prevalence of childhood lower acute respiratory infection was 19.2% (95% CI: 18.2-20.2) and found to decrease among children living in homes with chimney, eaves space and improved cookstove than children living in households with no chimney, eaves space and improved cookstove with estimated AOR of 0.60 (95% CI: 0.51-0.70), 0.70 (95% CI: 0.60-0.84) and 0.43 (95% CI: 0.28-0.67) respectively. It was also associated with other cooking-related factors such as cow dung fuel use [AOR = 1.54 (95% CI: 1.02-2.33)], child spending time near stove during cooking [AOR = 1.41 (95% CI: 1.06-1.88), presence of extra indoor burning events [AOR = 2.19 (95% CI: 1.41-3.40)] and with frequent cooking of meals [AOR = 1.55 (95% CI: 1.13-2.13)].
High prevalence of childhood acute lower respiratory infection was demonstrated by this study and it was found to be associated with household ventilation, cooking technology, and behavioral factors. Therefore, we recommend a transition in household ventilation, cooking technologies as well as in child handling and in the peculiar local extra indoor burning practices.</description><identifier>ISSN: 1471-2458</identifier><identifier>EISSN: 1471-2458</identifier><identifier>DOI: 10.1186/s12889-020-08515-w</identifier><identifier>PMID: 32192454</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Accounting ; Baking stove ; Biomass ; Biomass energy ; Cattle manure ; Childhood ; Childhood ARI ; Children ; Children & youth ; Chimney ; Cooking ; Cooking fuel ; Cookstove ; Cross-sectional studies ; Death ; Dung ; Energy efficiency ; Environmental aspects ; Health aspects ; Households ; Indoor air quality ; Indoor burning ; Infection ; Infections ; Low income groups ; Lung diseases ; Medical research ; Mortality ; Nurses ; Ovens & stoves ; Pediatric research ; Pediatric respiratory diseases ; Pneumonia ; Population ; Prevalence studies (Epidemiology) ; Public health ; Respiratory tract diseases ; Respiratory tract infection ; Respiratory tract infections ; Risk analysis ; Risk factors ; Statistics ; Stoves ; Studies ; Technology ; Time ; Variables ; Ventilation</subject><ispartof>BMC public health, 2020-03, Vol.20 (1), p.363-13, Article 363</ispartof><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c629t-aaa898d71b919027b10accd9edf2698542402308be1000f166e6412455ff342d3</citedby><cites>FETCH-LOGICAL-c629t-aaa898d71b919027b10accd9edf2698542402308be1000f166e6412455ff342d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083007/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083007/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32192454$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adane, Mesafint Molla</creatorcontrib><creatorcontrib>Alene, Getu Degu</creatorcontrib><creatorcontrib>Mereta, Seid Tiku</creatorcontrib><creatorcontrib>Wanyonyi, Kristina L</creatorcontrib><title>Prevalence and risk factors of acute lower respiratory infection among children living in biomass fuel using households: a community-based cross-sectional study in Northwest Ethiopia</title><title>BMC public health</title><addtitle>BMC Public Health</addtitle><description>Childhood acute lower respiratory infection in the form of pneumonia is recognized as the single largest cause of childhood death globally accounting for 16% of the overall deaths. Some studies also reported a higher prevalence of childhood acute respiratory infection in Ethiopia, which ranges from 16% up to 33.5%. Concerning the risk factors, there are limited community-based studies in Ethiopia in general, and in the current study region in particular. Therefore, the present study was conducted to investigate the prevalence of childhood acute respiratory infection and associated factors in Northwest Ethiopia.
As part of the wider stove trial project, a cross-sectional study was conducted in May 2018 among a total of 5830 children aged less than 4 years old in randomly selected clusters. Binary logistic regression was applied to identify factors linked with childhood acute lower respiratory infection and adjusted odds ratios were used as measures of effect with a 95% confidence interval.
A total of 5830 children were included in the study within 100 clusters. Out of which 51.7% were male and 48.3% female. The prevalence of childhood lower acute respiratory infection was 19.2% (95% CI: 18.2-20.2) and found to decrease among children living in homes with chimney, eaves space and improved cookstove than children living in households with no chimney, eaves space and improved cookstove with estimated AOR of 0.60 (95% CI: 0.51-0.70), 0.70 (95% CI: 0.60-0.84) and 0.43 (95% CI: 0.28-0.67) respectively. It was also associated with other cooking-related factors such as cow dung fuel use [AOR = 1.54 (95% CI: 1.02-2.33)], child spending time near stove during cooking [AOR = 1.41 (95% CI: 1.06-1.88), presence of extra indoor burning events [AOR = 2.19 (95% CI: 1.41-3.40)] and with frequent cooking of meals [AOR = 1.55 (95% CI: 1.13-2.13)].
High prevalence of childhood acute lower respiratory infection was demonstrated by this study and it was found to be associated with household ventilation, cooking technology, and behavioral factors. Therefore, we recommend a transition in household ventilation, cooking technologies as well as in child handling and in the peculiar local extra indoor burning practices.</description><subject>Accounting</subject><subject>Baking stove</subject><subject>Biomass</subject><subject>Biomass energy</subject><subject>Cattle manure</subject><subject>Childhood</subject><subject>Childhood ARI</subject><subject>Children</subject><subject>Children & youth</subject><subject>Chimney</subject><subject>Cooking</subject><subject>Cooking fuel</subject><subject>Cookstove</subject><subject>Cross-sectional studies</subject><subject>Death</subject><subject>Dung</subject><subject>Energy efficiency</subject><subject>Environmental aspects</subject><subject>Health aspects</subject><subject>Households</subject><subject>Indoor air quality</subject><subject>Indoor burning</subject><subject>Infection</subject><subject>Infections</subject><subject>Low income groups</subject><subject>Lung 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infection among children living in biomass fuel using households: a community-based cross-sectional study in Northwest Ethiopia</title><author>Adane, Mesafint Molla ; Alene, Getu Degu ; Mereta, Seid Tiku ; Wanyonyi, Kristina L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c629t-aaa898d71b919027b10accd9edf2698542402308be1000f166e6412455ff342d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accounting</topic><topic>Baking stove</topic><topic>Biomass</topic><topic>Biomass energy</topic><topic>Cattle manure</topic><topic>Childhood</topic><topic>Childhood ARI</topic><topic>Children</topic><topic>Children & youth</topic><topic>Chimney</topic><topic>Cooking</topic><topic>Cooking fuel</topic><topic>Cookstove</topic><topic>Cross-sectional studies</topic><topic>Death</topic><topic>Dung</topic><topic>Energy efficiency</topic><topic>Environmental aspects</topic><topic>Health aspects</topic><topic>Households</topic><topic>Indoor air quality</topic><topic>Indoor burning</topic><topic>Infection</topic><topic>Infections</topic><topic>Low income groups</topic><topic>Lung diseases</topic><topic>Medical research</topic><topic>Mortality</topic><topic>Nurses</topic><topic>Ovens & stoves</topic><topic>Pediatric research</topic><topic>Pediatric respiratory diseases</topic><topic>Pneumonia</topic><topic>Population</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Public health</topic><topic>Respiratory tract diseases</topic><topic>Respiratory tract infection</topic><topic>Respiratory tract infections</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Statistics</topic><topic>Stoves</topic><topic>Studies</topic><topic>Technology</topic><topic>Time</topic><topic>Variables</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adane, Mesafint 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children living in biomass fuel using households: a community-based cross-sectional study in Northwest Ethiopia</atitle><jtitle>BMC public health</jtitle><addtitle>BMC Public Health</addtitle><date>2020-03-19</date><risdate>2020</risdate><volume>20</volume><issue>1</issue><spage>363</spage><epage>13</epage><pages>363-13</pages><artnum>363</artnum><issn>1471-2458</issn><eissn>1471-2458</eissn><abstract>Childhood acute lower respiratory infection in the form of pneumonia is recognized as the single largest cause of childhood death globally accounting for 16% of the overall deaths. Some studies also reported a higher prevalence of childhood acute respiratory infection in Ethiopia, which ranges from 16% up to 33.5%. Concerning the risk factors, there are limited community-based studies in Ethiopia in general, and in the current study region in particular. Therefore, the present study was conducted to investigate the prevalence of childhood acute respiratory infection and associated factors in Northwest Ethiopia.
As part of the wider stove trial project, a cross-sectional study was conducted in May 2018 among a total of 5830 children aged less than 4 years old in randomly selected clusters. Binary logistic regression was applied to identify factors linked with childhood acute lower respiratory infection and adjusted odds ratios were used as measures of effect with a 95% confidence interval.
A total of 5830 children were included in the study within 100 clusters. Out of which 51.7% were male and 48.3% female. The prevalence of childhood lower acute respiratory infection was 19.2% (95% CI: 18.2-20.2) and found to decrease among children living in homes with chimney, eaves space and improved cookstove than children living in households with no chimney, eaves space and improved cookstove with estimated AOR of 0.60 (95% CI: 0.51-0.70), 0.70 (95% CI: 0.60-0.84) and 0.43 (95% CI: 0.28-0.67) respectively. It was also associated with other cooking-related factors such as cow dung fuel use [AOR = 1.54 (95% CI: 1.02-2.33)], child spending time near stove during cooking [AOR = 1.41 (95% CI: 1.06-1.88), presence of extra indoor burning events [AOR = 2.19 (95% CI: 1.41-3.40)] and with frequent cooking of meals [AOR = 1.55 (95% CI: 1.13-2.13)].
High prevalence of childhood acute lower respiratory infection was demonstrated by this study and it was found to be associated with household ventilation, cooking technology, and behavioral factors. Therefore, we recommend a transition in household ventilation, cooking technologies as well as in child handling and in the peculiar local extra indoor burning practices.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>32192454</pmid><doi>10.1186/s12889-020-08515-w</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Accounting Baking stove Biomass Biomass energy Cattle manure Childhood Childhood ARI Children Children & youth Chimney Cooking Cooking fuel Cookstove Cross-sectional studies Death Dung Energy efficiency Environmental aspects Health aspects Households Indoor air quality Indoor burning Infection Infections Low income groups Lung diseases Medical research Mortality Nurses Ovens & stoves Pediatric research Pediatric respiratory diseases Pneumonia Population Prevalence studies (Epidemiology) Public health Respiratory tract diseases Respiratory tract infection Respiratory tract infections Risk analysis Risk factors Statistics Stoves Studies Technology Time Variables Ventilation |
| title | Prevalence and risk factors of acute lower respiratory infection among children living in biomass fuel using households: a community-based cross-sectional study in Northwest Ethiopia |
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