埃塞俄比亚使用生物质燃料家庭中5岁以下儿童的急性呼吸道感染:系统回顾和荟萃分析

IF 2.3
Multidisciplinary Respiratory Medicine Pub Date : 2020-12-23 eCollection Date: 2020-01-28 DOI:10.4081/mrm.2020.710
Zewudu Andualem, Zelalem Nigussie Azene, Awrajaw Dessie, Henok Dagne, Baye Dagnew
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引用次数: 7

摘要

急性呼吸道感染是全球严重的公共卫生问题,但在撒哈拉以南非洲尤为突出。在埃塞俄比亚,就家庭生物质燃料的使用与五岁以下儿童急性呼吸道感染之间的联系进行了不同的初步研究。然而,没有关于家庭生物质燃料使用与五岁以下儿童急性呼吸道感染之间关系的全国性研究。因此,本系统综述和荟萃分析的目的是估计埃塞俄比亚五岁以下儿童急性呼吸道感染的总患病率及其预测因子。系统评价按照系统评价和荟萃分析的首选报告项目(PRISMA)指南进行报告。我们系统地检索了数据库:PubMed/Medline、Cochrane图书馆、Google Scholar、Web of Science和Scopus,以获取在埃塞俄比亚进行的关于5岁以下儿童急性呼吸道感染的潜在相关文章。采用Stata/SE 14.00统计软件进行分析,并采用表格和森林图给出95%置信区间(CI)的汇总患病率。为了评估研究间的异质性,采用I平方(I2)检验。发表偏倚采用Begg’s和Egger’s回归检验。采用随机效应荟萃分析模型估计5岁以下儿童急性呼吸道感染的总患病率和预测因素。本荟萃分析共纳入7项研究,8,529名研究参与者。5岁以下儿童急性呼吸道感染的总患病率为17.75% (95% CI: 16.95, 18.55)。做饭时抱着孩子(OR: 2.84, 95% CI: 1.48, 5.47)和使用不清洁的能源做饭(OR: 0.38, 95% CI: 0.21, 0.70)被确定为5岁以下儿童急性呼吸道感染的预测因素。在目前的研究中,5岁以下儿童急性呼吸道感染的总患病率相对较高。在做饭时抱着儿童和使用不干净的能源做饭与五岁以下儿童急性呼吸道感染显著相关。因此,所颁布的政策和条例应解决阻碍发展清洁和有效能源的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Acute respiratory infections among under-five children from households using biomass fuel in Ethiopia: systematic review and meta-analysis.

Acute respiratory infections among under-five children from households using biomass fuel in Ethiopia: systematic review and meta-analysis.

Acute respiratory infections among under-five children from households using biomass fuel in Ethiopia: systematic review and meta-analysis.

Acute respiratory infections among under-five children from households using biomass fuel in Ethiopia: systematic review and meta-analysis.

Acute respiratory infections are a serious public health concern across the globe, they are, however, prominently present in Sub-Saharan Africa. In Ethiopia, different primary studies were conducted in regard to the link between household biomass fuel use and acute respiratory infections among under-five children. However, there is no national study on the association between household biomass fuel use and acute respiratory is infections among under-five children. Thus, the aim of this systematic review and meta-analysis to estimate the pooled prevalence of acute respiratory infections and their predictors among under-five children in Ethiopia. The systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. We systematically searched the databases: PubMed/Medline, Cochrane library, Google Scholar, Web of Science, and Scopus were searched to access potentially relevant articles conducted in Ethiopia about acute respiratory infections among under five children. Stata/SE 14.00 statistical software was used for analysis and the pooled prevalence with 95% confidence interval (CI) were presented using tables and forest plots. To assess the heterogeneity among studies, I square (I2) tests were used. Publication bias was checked by Begg's and Egger's regression test. The random effects meta-analysis model was employed to estimate the pooled prevalence and predictors of under-five acute respiratory infections A total of 7 studies with 8, 529 study participants were included in this meta-analysis. The pooled prevalence of acute respiratory infection among under five children was 17.75% (95% CI: 16.95, 18.55). Child holding during cooking (OR: 2.84, 95% CI: 1.48, 5.47) and using unclean sources of energy for cooking (OR: 0.38, 95% CI: 0.21, 0.70) were identified predictors of under-five children acute respiratory infection. In the current study, the pooled prevalence of acute respiratory infection among under-five children was relatively high. Child holding during cooking and using unclean sources of energy for cooking were significantly associated with under-five acute respiratory infections. Therefore, the policies and regulations enacted should address the barriers that impede the development of clean and efficient energy sources.

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来源期刊
Multidisciplinary Respiratory Medicine
Multidisciplinary Respiratory Medicine Medicine-Pulmonary and Respiratory Medicine
自引率
0.00%
发文量
23
期刊介绍: Multidisciplinary Respiratory Medicine is the official journal of the Italian Respiratory Society - Società Italiana di Pneumologia (IRS/SIP). The journal publishes on all aspects of respiratory medicine and related fields, with a particular focus on interdisciplinary and translational research. The interdisciplinary nature of the journal provides a unique opportunity for researchers, clinicians and healthcare professionals across specialties to collaborate and exchange information. The journal provides a high visibility platform for the publication and dissemination of top quality original scientific articles, reviews and important position papers documenting clinical and experimental advances.
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