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

被引：10

作者：

Dagvadorj, Amarjargal ^{[1
,2
]}

Ota, Erika ^{[2
]}

Shahrook, Sadequa ^{[2
]}

Olkhanud, Purevdorj Baljinnyam ^{[3
]}

Takehara, Kenji ^{[2
]}

Hikita, Naoko ^{[4
]}

Bavuusuren, Bayasgalantai ^{[5
]}

Mori, Rintaro ^{[2
]}

Nakayama, Takeo ^{[1
]}

机构：

[1] Kyoto Univ, Dept Hlth Informat, Syakyo Ku, Yoshida Konoe Cho, Kyoto 6068501, Japan

[2] Natl Ctr Child Hlth & Dev, Dept Hlth Policy, Setagaya Ku, 2-10-1 Okura, Tokyo 1578535, Japan

[3] Mongolian Natl Univ Med Sci, Dept Environm Hlth Sci, Zorig St, Ulaanbaatar 14210, Mongolia

[4] Univ Tokyo, Dept Midwifery & Womens Hlth, Bunkyo Ku, 7-3-1 Hongo, Tokyo 1130033, Japan

[5] Mongolian Natl Univ Med Sci, Dept Pediat, Zorig St, Ulaanbaatar 14210, Mongolia

来源：

SCIENTIFIC REPORTS | 2016年 / 6卷

关键词：

ENVIRONMENTAL TOBACCO-SMOKE; AIR-POLLUTION; EXPOSURE; PREDICTORS; INFANTS; INDEXES; DISEASE; HEALTH;

D O I：

10.1038/srep24615

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

This study aimed to assess the potential risk factors for lower respiratory tract infection (LRTI)-related hospital admissions in Mongolian children. A population-based cross-sectional study was conducted in rural Mongolia in 2013, and 1,013 mother-child pairs were included. Of the participating children, 38.9% were admitted to hospital with LRTIs. Home smoking, low birthweight, being a male child, exclusive breastfeeding and healthcare-seeking behaviour showed substantial association with LRTI-related hospital admissions. Number of cigarettes smoked by family members showed a dose-response relationship and increased hospital admissions. Strategies to prevent second-hand-smoke exposure from adult smokers, especially inside the home, are crucial to preventing LRTI-related hospital admissions for children in Mongolia. Improving rates of exclusive breastfeeding and increasing birthweight have great potential to decrease the likelihood of children acquiring a LRTI. Educational initiatives are also necessary for women who are less likely to seek out care for their children's symptoms.

引用

页数：7

共 40 条

[1] World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects [J].

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 310 (20) :2191-2194

[2]

[Anonymous], 2005, IMCI integrated management of childhood illness

[3]

Badamtsetseg D., 2010, MAN SHOULD NOT CRY

[4]

Bat-Erdene C., 2014, HLTH INDICATORS 2014

[5]

Bat-Erdene C., 2013, HLTH INDICATORS 2012

[6] Global Maternal, Newborn, and Child Health - So Near and Yet So Far [J].

Bhutta, Zulfiqar A. ;

Black, Robert E. .

NEW ENGLAND JOURNAL OF MEDICINE, 2013, 369 (23) :2226-2235

[7]

Dorjdagva G., 2010, MONGOLIAN MATERNAL C

[8] Community-acquired neonatal and infant sepsis in developing countries: efficacy of WHO's currently recommended antibiotics-systematic review and meta-analysis [J].

Downie, Lilian ;

Armiento, Raffaela ;

Subhi, Rami ;

Kelly, Julian ;

Clifford, Vanessa ;

Duke, Trevor .

ARCHIVES OF DISEASE IN CHILDHOOD, 2013, 98 (02) :146-154

[9] Viral lower respiratory tract infections and preterm infants' healthcare utilisation [J].

Drysdale, Simon B. ;

Alcazar-Paris, Mireia ;

Wilson, Theresa ;

Smith, Melvyn ;

Zuckerman, Mark ;

Peacock, Janet L. ;

Johnston, Sebastian L. ;

Greenough, Anne .

EUROPEAN JOURNAL OF PEDIATRICS, 2015, 174 (02) :209-215

[10] Prolonged and Exclusive Breastfeeding Reduces the Risk of Infectious Diseases in Infancy [J].

Duijts, Liesbeth ;

Jaddoe, Vincent W. V. ;

Hofman, Albert ;

Moll, Henriette A. .

PEDIATRICS, 2010, 126 (01) :E18-E25

← 1 2 3 4 →