Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional Study
Background. Acute respiratory infections in particular pneumonia constitutes the leading cause of morbidity and mortality among children under five years of age throughout the world. In Ethiopia, pneumonia continues to be the major childhood problem and killer, particularly in the study area. Howeve...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2020/3464907 |
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| author | Zewudu Andualem Tsegaye Adane Abiye Tigabu Walelign Worku Yallew Sintayehu Daba Wami Henok Dagne Jember Azanaw Gebisa Guyasa Zelalem Nigussie Azene Mastewal Endalew |
| author_facet | Zewudu Andualem Tsegaye Adane Abiye Tigabu Walelign Worku Yallew Sintayehu Daba Wami Henok Dagne Jember Azanaw Gebisa Guyasa Zelalem Nigussie Azene Mastewal Endalew |
| author_sort | Zewudu Andualem |
| collection | DOAJ |
| description | Background. Acute respiratory infections in particular pneumonia constitutes the leading cause of morbidity and mortality among children under five years of age throughout the world. In Ethiopia, pneumonia continues to be the major childhood problem and killer, particularly in the study area. However, evidence dealing with the problem is still unavailable. The current study is aimed at determining the magnitude and risk factors of childhood pneumonia in Gondar City. Methods. A community-based cross-sectional study was employed in five randomly selected clusters/subcities of Gondar City. A total of 792 child-mother/caregiver pairs in the selected subcities/clusters were included. A pretested and validated questionnaire was used by trained supervisors through house-to-house visits to collect the data. Binary logistic regression (bivariable and multivariable) was employed. An adjusted odds ratio with 95% confidence interval was used to declare statistically significant variables on the basis of p<0.05 in the multivariable logistic regression model. Results. The prevalence of pneumonia among under-five children in the current study was found to be 12% with 95% CI: 10% to 14.4%. The presence of unpaved road within 100 m of the house (AOR=2.27, 95% CI: 1.41-3.66), living within 100 m of heavy traffic (AOR=1.94, 95% CI: 1.19-3.16), the habit of not opening doors while cooking (AOR=1.62, 95% CI: 1.01-2.62), the presence of cockroach infestation (AOR=1.98, 95% CI: 1.25-3.14), and new carpet in the house (AOR=1.75, 95% CI: 1.01-3.03) were statistically significant variables associated with childhood pneumonia. Conclusions. This study indicated that the prevalence of childhood pneumonia is still high. As such, enhancing strategies that would address unpaved roads within 100 m of the house, living within 100 m of heavy traffic, the habit of not opening doors while cooking, cockroach infestation, and new carpet in the house to reduce the burden of childhood pneumonia needs to be advocated. |
| format | Article |
| id | doaj-art-f499a648b5ec41c29f877b3dc20c0d5d |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-f499a648b5ec41c29f877b3dc20c0d5d2025-02-03T06:07:37ZengWileyInternational Journal of Pediatrics1687-97401687-97592020-01-01202010.1155/2020/34649073464907Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional StudyZewudu Andualem0Tsegaye Adane1Abiye Tigabu2Walelign Worku Yallew3Sintayehu Daba Wami4Henok Dagne5Jember Azanaw6Gebisa Guyasa7Zelalem Nigussie Azene8Mastewal Endalew9Department of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Women and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Environmental and Occupational Health and Safety, Institute of Public Health College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaBackground. Acute respiratory infections in particular pneumonia constitutes the leading cause of morbidity and mortality among children under five years of age throughout the world. In Ethiopia, pneumonia continues to be the major childhood problem and killer, particularly in the study area. However, evidence dealing with the problem is still unavailable. The current study is aimed at determining the magnitude and risk factors of childhood pneumonia in Gondar City. Methods. A community-based cross-sectional study was employed in five randomly selected clusters/subcities of Gondar City. A total of 792 child-mother/caregiver pairs in the selected subcities/clusters were included. A pretested and validated questionnaire was used by trained supervisors through house-to-house visits to collect the data. Binary logistic regression (bivariable and multivariable) was employed. An adjusted odds ratio with 95% confidence interval was used to declare statistically significant variables on the basis of p<0.05 in the multivariable logistic regression model. Results. The prevalence of pneumonia among under-five children in the current study was found to be 12% with 95% CI: 10% to 14.4%. The presence of unpaved road within 100 m of the house (AOR=2.27, 95% CI: 1.41-3.66), living within 100 m of heavy traffic (AOR=1.94, 95% CI: 1.19-3.16), the habit of not opening doors while cooking (AOR=1.62, 95% CI: 1.01-2.62), the presence of cockroach infestation (AOR=1.98, 95% CI: 1.25-3.14), and new carpet in the house (AOR=1.75, 95% CI: 1.01-3.03) were statistically significant variables associated with childhood pneumonia. Conclusions. This study indicated that the prevalence of childhood pneumonia is still high. As such, enhancing strategies that would address unpaved roads within 100 m of the house, living within 100 m of heavy traffic, the habit of not opening doors while cooking, cockroach infestation, and new carpet in the house to reduce the burden of childhood pneumonia needs to be advocated.http://dx.doi.org/10.1155/2020/3464907 |
| spellingShingle | Zewudu Andualem Tsegaye Adane Abiye Tigabu Walelign Worku Yallew Sintayehu Daba Wami Henok Dagne Jember Azanaw Gebisa Guyasa Zelalem Nigussie Azene Mastewal Endalew Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional Study International Journal of Pediatrics |
| title | Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional Study |
| title_full | Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional Study |
| title_fullStr | Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional Study |
| title_full_unstemmed | Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional Study |
| title_short | Pneumonia among Under-Five Children in Northwest Ethiopia: Prevalence and Predictors—A Community-Based Cross-Sectional Study |
| title_sort | pneumonia among under five children in northwest ethiopia prevalence and predictors a community based cross sectional study |
| url | http://dx.doi.org/10.1155/2020/3464907 |
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