Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh

Marufa Sultana, Abdur Razzaque Sarker, Nurnabi Sheikh, Raisul Akram, Nausad Ali, Rashidul Alam Mahumud, Nur Haque Alam

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background Acute respiratory infections (ARIs) are one of the leading causes of child mortality worldwide and contribute significant health burden for developing nations such as Bangladesh. Seeking care and prompt management is crucial to reduce disease severity and to prevent associated morbidity and mortality. Objective This study investigated the prevalence and care-seeking behaviors among under-five children in Bangladesh and identified factors associated with ARI prevalence and subsequent care-seeking behaviors. Method The present study analyzed cross-sectional data from the 2014 Bangladesh Demographic Health Survey. Bivariate analysis was performed to estimate the prevalence of ARIs and associated care-seeking. Logistic regression analysis was used to determine the influencing socio-economic and demographic predictors. A p-value of <0.05 was considered as the level of significance. Result Among 6,566 under-five children, 5.42% had experienced ARI symptoms, care being sought for 90% of affected children. Prevalence was significantly higher among children < 2 years old, and among males. Children from poorer and the poorest quintiles of households were 2.40 (95% CI = 1.12, 5.15) and 2.36 (95% CI = 1.06, 5.24) times more likely to suffer from ARIs compared to the wealthiest group. Seeking care was significantly higher among female children (AOR = 2.19, 95% CI = 0.94, 5.12). The likelihood of seeking care was less for children belonging to the poorest quintile compared to the richest (AOR = 0.03, 95% CI = 0.01, 0.55). Seeking care from untrained providers was 3.74 more likely among rural residents compared to urban (RRR = 3.74, 95% CI = 1.10, 12.77). Conclusion ARIs continue to contribute high disease burden among under-five children in Bangladesh lacking of appropriate care-seeking behavior. Various factors, such as age and sex of the children, wealth index, the education of the mother, and household lifestyle factors were significantly associated with ARI prevalence and care-seeking behaviors. In addition to public-private actions to increase service accessibility for poorer households, equitable and efficient service distribution and interventions targeting households with low socio-economic status and lower education level, are recommended.

LanguageEnglish
Article numbere0210433
Number of pages18
JournalPLoS ONE
Volume14
Issue number1
DOIs
Publication statusPublished - 10 Jan 2019

Fingerprint

Patient Acceptance of Health Care
Bangladesh
Health care
childhood
Respiratory Tract Infections
respiratory tract diseases
health services
Education
Economics
Regression analysis
Logistics
Health
households
infection
Cross-Sectional Studies
Demography
demographic statistics
Child Mortality
burden of disease
educational status

Keywords

  • acute respiratory infections
  • Bangladesh
  • care-seeking behaviors
  • childhood

Cite this

Sultana, M., Sarker, A. R., Sheikh, N., Akram, R., Ali, N., Mahumud, R. A., & Alam, N. H. (2019). Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh. PLoS ONE, 14(1), [e0210433]. https://doi.org/10.1371/journal.pone.0210433
Sultana, Marufa ; Sarker, Abdur Razzaque ; Sheikh, Nurnabi ; Akram, Raisul ; Ali, Nausad ; Mahumud, Rashidul Alam ; Alam, Nur Haque. / Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh. In: PLoS ONE. 2019 ; Vol. 14, No. 1.
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Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh. / Sultana, Marufa; Sarker, Abdur Razzaque; Sheikh, Nurnabi; Akram, Raisul; Ali, Nausad; Mahumud, Rashidul Alam; Alam, Nur Haque.

In: PLoS ONE, Vol. 14, No. 1, e0210433, 10.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh

AU - Sultana, Marufa

AU - Sarker, Abdur Razzaque

AU - Sheikh, Nurnabi

AU - Akram, Raisul

AU - Ali, Nausad

AU - Mahumud, Rashidul Alam

AU - Alam, Nur Haque

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N2 - Background Acute respiratory infections (ARIs) are one of the leading causes of child mortality worldwide and contribute significant health burden for developing nations such as Bangladesh. Seeking care and prompt management is crucial to reduce disease severity and to prevent associated morbidity and mortality. Objective This study investigated the prevalence and care-seeking behaviors among under-five children in Bangladesh and identified factors associated with ARI prevalence and subsequent care-seeking behaviors. Method The present study analyzed cross-sectional data from the 2014 Bangladesh Demographic Health Survey. Bivariate analysis was performed to estimate the prevalence of ARIs and associated care-seeking. Logistic regression analysis was used to determine the influencing socio-economic and demographic predictors. A p-value of <0.05 was considered as the level of significance. Result Among 6,566 under-five children, 5.42% had experienced ARI symptoms, care being sought for 90% of affected children. Prevalence was significantly higher among children < 2 years old, and among males. Children from poorer and the poorest quintiles of households were 2.40 (95% CI = 1.12, 5.15) and 2.36 (95% CI = 1.06, 5.24) times more likely to suffer from ARIs compared to the wealthiest group. Seeking care was significantly higher among female children (AOR = 2.19, 95% CI = 0.94, 5.12). The likelihood of seeking care was less for children belonging to the poorest quintile compared to the richest (AOR = 0.03, 95% CI = 0.01, 0.55). Seeking care from untrained providers was 3.74 more likely among rural residents compared to urban (RRR = 3.74, 95% CI = 1.10, 12.77). Conclusion ARIs continue to contribute high disease burden among under-five children in Bangladesh lacking of appropriate care-seeking behavior. Various factors, such as age and sex of the children, wealth index, the education of the mother, and household lifestyle factors were significantly associated with ARI prevalence and care-seeking behaviors. In addition to public-private actions to increase service accessibility for poorer households, equitable and efficient service distribution and interventions targeting households with low socio-economic status and lower education level, are recommended.

AB - Background Acute respiratory infections (ARIs) are one of the leading causes of child mortality worldwide and contribute significant health burden for developing nations such as Bangladesh. Seeking care and prompt management is crucial to reduce disease severity and to prevent associated morbidity and mortality. Objective This study investigated the prevalence and care-seeking behaviors among under-five children in Bangladesh and identified factors associated with ARI prevalence and subsequent care-seeking behaviors. Method The present study analyzed cross-sectional data from the 2014 Bangladesh Demographic Health Survey. Bivariate analysis was performed to estimate the prevalence of ARIs and associated care-seeking. Logistic regression analysis was used to determine the influencing socio-economic and demographic predictors. A p-value of <0.05 was considered as the level of significance. Result Among 6,566 under-five children, 5.42% had experienced ARI symptoms, care being sought for 90% of affected children. Prevalence was significantly higher among children < 2 years old, and among males. Children from poorer and the poorest quintiles of households were 2.40 (95% CI = 1.12, 5.15) and 2.36 (95% CI = 1.06, 5.24) times more likely to suffer from ARIs compared to the wealthiest group. Seeking care was significantly higher among female children (AOR = 2.19, 95% CI = 0.94, 5.12). The likelihood of seeking care was less for children belonging to the poorest quintile compared to the richest (AOR = 0.03, 95% CI = 0.01, 0.55). Seeking care from untrained providers was 3.74 more likely among rural residents compared to urban (RRR = 3.74, 95% CI = 1.10, 12.77). Conclusion ARIs continue to contribute high disease burden among under-five children in Bangladesh lacking of appropriate care-seeking behavior. Various factors, such as age and sex of the children, wealth index, the education of the mother, and household lifestyle factors were significantly associated with ARI prevalence and care-seeking behaviors. In addition to public-private actions to increase service accessibility for poorer households, equitable and efficient service distribution and interventions targeting households with low socio-economic status and lower education level, are recommended.

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KW - Bangladesh

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