DOI QR코드

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Associations Between Indoor Air Pollutants and Risk Factors for Acute Respiratory Infection Symptoms in Children Under 5: An Analysis of Data From the Indonesia Demographic Health Survey

  • 투고 : 2022.11.14
  • 심사 : 2023.04.06
  • 발행 : 2023.05.31

초록

Objectives: The study investigated the association between indoor air pollution (IAP) and risk factors for acute respiratory infection (ARI) symptoms in children under 5 years of age. Methods: A cross-sectional study was conducted using data derived from Indonesia Demographic and Health Survey in 2017. Binary logistic regression modeling was employed to examine each predictor variable associated with ARI among children under 5 years of age in Indonesia. Results: The study included a total of 4936 households with children. Among children under 5 years old, 7.2% reported ARI symptoms. The presence of ARI symptoms was significantly associated with the type of residence, wealth index, and father's smoking frequency, which were considered the sample's socio-demographic characteristics. In the final model, living in rural areas, having a high wealth index, the father's smoking frequency, and a low education level were all linked to ARI symptoms. Conclusions: The results revealed that households in rural areas had a substantially higher level of reported ARI symptoms among children under 5 years old. Furthermore, the father's smoking frequency and low education level were associated with ARI symptoms.

키워드

과제정보

We acknowledge Indonesia Demographic and Health Survey (IDHS) for granting us access to the data set used in this study.

참고문헌

  1. World Health Organization. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care; 2014 [cited 2022 Nov 1]. Available from: https://www.who.int/publications/i/item/infection-prevention-and-control-of-epidemic-and-pandemic-prone-acute-respiratory-infections-in-health-care.
  2. Indonesian Ministry of Health Health Research and Development Agency. Basic Health Research 2018. Jakarta: Indonesian Ministry of Health; 2018 (Indonesian).
  3. Chicaiza-Ayala W, Henriquez-Trujillo AR, Ortiz-Prado E, Douce RW, Coral-Almeida M. The burden of acute respiratory infections in Ecuador 2011-2015. PLoS One 2018;13(5):e0196650.
  4. World Bank. Tracking SDG 7: the energy progress report 2022;2022 [cited 2022 Nov 10]. Available from: https://www.worldbank.org/en/topic/energy/publication/tracking-sdg-7-the-energy-progress-report-2022.
  5. World Health Organization. WHO guidelines for indoor air quality: household fuel combustion; 2014 [cited 2022 Nov 14]. Available from: https://www.who.int/publications/i/item/9789241548885.
  6. Adesanya OA, Chiao C. A multilevel analysis of lifestyle variations in symptoms of acute respiratory infection among young children under five in Nigeria. BMC Public Health 2016;16(1):880.
  7. Langbein J. Firewood, smoke and respiratory diseases in developing countries-the neglected role of outdoor cooking. PLoS One 2017;12(6):e0178631.
  8. Geberetsadik A, Worku A, Berhane Y. Factors associated with acute respiratory infection in children under the age of 5 years: evidence from the 2011 Ethiopia Demographic and Health Survey. Pediatric Health Med Ther 2015;6:9-13.
  9. Pinzon-Rondon AM, Aguilera-Otalvaro P, Zarate-Ardila C, HoyosMartinez A. Acute respiratory infection in children from developing nations: a multi-level study. Paediatr Int Child Health 2016;36(2):84-90. https://doi.org/10.1179/2046905515Y.0000000021
  10. Adesanya OA, Darboe A, Mendez Rojas B, Abiodun DE, Beogo I. Factors contributing to regional inequalities in acute respiratory infections symptoms among under-five children in Nigeria: a decomposition analysis. Int J Equity Health 2017;16(1):140.
  11. Buchner H, Rehfuess EA. Cooking and season as risk factors for acute lower respiratory infections in African children: a cross-sectional multi-country analysis. PLoS One 2015;10(6):e0128933.
  12. Astale T, Chenault M. Help-seeking behavior for children with acute respiratory infection in Ethiopia: results from 2011 Ethiopia Demographic and Health Survey. PLoS One 2015;10(11):e0142553.
  13. Harerimana JM, Nyirazinyoye L, Thomson DR, Ntaganira J. Social, economic and environmental risk factors for acute lower respiratory infections among children under five years of age in Rwanda. Arch Public Health 2016;74:19.
  14. Jabessa S. Multilevel analysis of acute respiratory infection symptoms among under five children in Ethiopia. J Biom Biostat 2015;6(4):251.
  15. Sk R, Rasooly MH, Barua S. Do fuel type and place of cooking matter for acute respiratory infection among Afghan children? Evidence from the Afghanistan DHS 2015. J Biosoc Sci 2020;52(1):140-153. https://doi.org/10.1017/S002193201900035X
  16. Wardani Y, Huang YL, Chuang YC. Factors associated with infant deaths in Indonesia: an analysis of the 2012 and 2017 Indonesia Demographic and Health Surveys. J Trop Pediatr 2022;68(5):fmac065.
  17. Phiri YV, Nyam G, Wardani Y, Phiri D, Chuang KY, Chao HJ, et al. Association between history of abortion and current use of contraceptives among Mongolian women. BMC Womens Health 2022;22(1):279.
  18. Adesanya OA, Chiao C. Environmental risks associated with symptoms of acute respiratory infection among preschool children in North-Western and South-Southern Nigeria communities. Int J Environ Res Public Health 2017;14(11):1396.
  19. Akinyemi JO, Morakinyo OM. Household environment and symptoms of childhood acute respiratory tract infections in Nigeria, 2003-2013: a decade of progress and stagnation. BMC Infect Dis 2018;18(1):296.
  20. Alemayehu M, Alemu K, Sharma HR, Gizaw Z, Shibru A. Household fuel use and acute respiratory infections in children under five years of age in Gondar city of Ethiopia. J Environ Earth Sci 2014;4(7):77-85.
  21. Rana J, Uddin J, Peltier R, Oulhote Y. Associations between indoor air pollution and acute respiratory infections among under-five children in Afghanistan: do SES and sex matter? Int J Environ Res Public Health 2019;16(16):2910.
  22. Hassen S, Getachew M, Eneyew B, Keleb A, Ademas A, Berihun G, et al. Determinants of acute respiratory infection (ARI) among under-five children in rural areas of Legambo District, South Wollo Zone, Ethiopia: a matched case-control study. Int J Infect Dis 2020;96:688-695. https://doi.org/10.1016/j.ijid.2020.05.012
  23. O'Neill MS, McMichael AJ, Schwartz J, Wartenberg D. Poverty, environment, and health: the role of environmental epidemiology and environmental epidemiologists. Epidemiology 2007;18(6):664-668. https://doi.org/10.1097/EDE.0b013e3181570ab9
  24. Evans GW, Kantrowitz E. Socioeconomic status and health: the potential role of environmental risk exposure. Annu Rev Public Health 2002;23:303-331. https://doi.org/10.1146/annurev.publhealth.23.112001.112349
  25. Evans GW, Marcynyszyn LA. Environmental justice, cumulative environmental risk, and health among low- and middle-income children in upstate New York. Am J Public Health 2004;94(11):1942-1944. https://doi.org/10.2105/AJPH.94.11.1942
  26. Ghimire P, Gachhadar R, Piya N, Shrestha K, Shrestha K. Prevalence and factors associated with acute respiratory infection among under-five children in selected tertiary hospitals of Kathmandu Valley. PLoS One 2022;17(4):e0265933.
  27. Polanska K, Hanke W, Ronchetti R, van den Hazel P, Zuurbier M, Koppe JG, et al. Environmental tobacco smoke exposure and children's health. Acta Paediatr Suppl 2006;95(453):86-92. https://doi.org/10.1080/08035320600886562
  28. Martiniuk AL, Lee CM, Lam TH, Huxley R, Suh I, Jamrozik K, et al. The fraction of ischaemic heart disease and stroke attributable to smoking in the WHO Western Pacific and South-East Asian regions. Tob Control 2006;15(3):181-188. https://doi.org/10.1136/tc.2005.013284
  29. Hofhuis W, de Jongste JC, Merkus PJ. Adverse health effects of prenatal and postnatal tobacco smoke exposure on children. Arch Dis Child 2003;88(12):1086-1090. https://doi.org/10.1136/adc.88.12.1086
  30. DiFranza JR, Aligne CA, Weitzman M. Prenatal and postnatal environmental tobacco smoke exposure and children's health. Pediatrics 2004;113(4 Suppl):1007-1015. https://doi.org/10.1542/peds.113.S3.1007
  31. Thapa P, Pandey AR, Dhungana RR, Bista B, Thapa B, Mishra SR. Risk of ARI among non-exclusively breastfed under-five passive smoker children: a hospital-based cross-sectional study of Nepal. Front Public Health 2016;4:23.
  32. Dahal GP, Johnson FA, Padmadas SS. Maternal smoking and acute respiratory infection symptoms among young children in Nepal: multilevel analysis. J Biosoc Sci 2009;41(6):747-761. https://doi.org/10.1017/S0021932009990113
  33. Zuhriyah L. Illustration of family member smoking habit in acute respiratory infection (ARI) in toddler at Bungah health center Gresik district. Proceeding 3rd International Nursing Conference; 2017 Nov 4-5; East Java. 2017, p. 162-174.
  34. Tazinya AA, Halle-Ekane GE, Mbuagbaw LT, Abanda M, Atashili J, Obama MT. Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon. BMC Pulm Med 2018;18(1):7.
  35. Choube A, Kumar B, Mahmood SE, Srivastava A. Potential risk factors contributing to acute respiratory infections in under five age group children. Int J Med Sci Public Health 2014;3:1385-1388. https://doi.org/10.5455/ijmsph.2014.200820141
  36. Maharjan PL, Sharma Y. Prevalence and determinants of acute respiratory infection among children under age five in Gorkha Municipality, Gorkha. Glob J Pharmaceu Sci 2017;2(3):555588.
  37. Barrow A, Ayobami A, Azubuike PC, Cham D. Prevalence and determinants of acute respiratory infections among children under five years in rural settings of the Gambia: evidence from a national survey. Glob J Epidemiol Infect Dis 2022;2(1):23-32. https://doi.org/10.31586/gjeid.2022.247
  38. Choube A, Kumar B, Mahmood SE, Srivastava A. Potential risk factors contributing to acute respiratory infections in under five age group children. Int J Med Sci Public Health 2014;3(11):1385-1388. https://doi.org/10.5455/ijmsph.2014.200820141
  39. Windi R, Efendi F, Qona'ah A, Adnani QE, Ramadhan K, Almutairi WM. Determinants of acute respiratory infection among children under-five years in Indonesia. J Pediatr Nurs 2021;60:e54-e59. https://doi.org/10.1016/j.pedn.2021.03.010
  40. Fathmawati F, Rauf S, Indraswari BW. Factors related with the incidence of acute respiratory infections in toddlers in Sleman, Yogyakarta, Indonesia: evidence from the Sleman Health and Demographic Surveillance System. PLoS One 2021;16(9):e0257881.