埃塞俄比亚奥罗米亚州阿尔西区穆尼萨区2至59个月大儿童社区获得性肺炎患病率及其相关因素

Batu Lema, Kenbon Seyoum, D. Atlaw
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引用次数: 12

摘要

背景:肺炎是世界上五岁以下儿童死亡的主要原因之一。一半的肺炎死亡发生在撒哈拉以南非洲。根据世卫组织2016年的估计,肺炎占埃塞俄比亚五岁以下儿童死亡率的16.4%。目的:了解埃塞俄比亚奥罗米亚州阿尔西区穆尼萨区2 ~ 59月龄儿童社区获得性肺炎的患病率及其相关因素。方法:于2018年7月16日至10月30日在Munesa区进行基于社区的横断面研究。采用多阶段抽样方法,选取有5岁以下儿童的家庭344户。收集数据,输入Epi数据3.1版,导出到SPSS 21版进行分析。采用二元logistic回归分析检验预测因子与因变量之间的相关性。将双变量分析中p值<0.25的变量纳入多变量logistic回归模型以控制混杂因素。最后,p值<0.05的变量被表示为社区获得性肺炎的潜在决定因素。结果:社区获得性肺炎患病率为17.7%。本研究确定的潜在影响因素为男性AOR=2.777, 95%CI:(1.262, 6.109),做饭时母亲背着孩子的AOR=11.758, 95%CI:(4.596, 30.081),急性呼吸道感染史AOR=4.256, 95%CI:(1.562, 11.593),儿童居住在有3扇及以上窗户的家中AOR=0.044;95% ci:(0.003, 0.625)。结论:本区社区获得性肺炎的患病率为男性、做饭时背靠儿童、有急性呼吸道感染史、儿童居住在有3扇及以上窗户的房屋中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Community Acquired Pneumonia among Children 2 to 59 Months Old and its Associated Factors in Munesa District, Arsi Zone, Oromia Region, Ethiopia
Background: Pneumonia is one of leading cause of death among under five children in the world. Half of death from pneumonia occurs in sub-Saharan Africa. According to estimate of WHO in 2016 pneumonia accounts for 16.4% of under-five mortality in Ethiopia. Objective: To assess prevalence of community acquired pneumonia in children 2 to 59 months old and its associated factors in Munesa district, Arsi zone, Oromia Region, Ethiopia. Methods: Community based cross sectional study was conducted in Munesa district from July 16 to October 30, 2018. A total of 344 households with under-five children were selected by multistage sampling technique. Data were collected and entered in to Epi data version 3.1, then exported to SPSS version 21 for analysis. Binary logistic regression analysis was used to test associations between the predictor factors and the dependent variable. Variables with p-value<0.25 during bivariate analysis were included to multivariate logistic regression model to control confounder. Finally, variables with p-value<0.05 were expressed as potential determinants of community acquired pneumonia. Results: This study revealed that prevalence of community acquired pneumonia to be 17.7%. The potential factors identified in this study were being male AOR=2.777, 95%CI: (1.262, 6.109), caring of child on mothers back during food cooking AOR=11.758, 95% CI: (4.596, 30.081), history of acute respiratory tract infection AOR=4.256, 95% CI: (1.562, 11.593) and children who were living in the house that have three or more window AOR=0.044; 95% CI: (0.003, 0.625). Conclusion: It is identified prevalence of community acquired pneumonia and the potential factors were being male, caring of child on mothers back during food cooking, history of acute respiratory tract infection and children who were living in the house that have three or more window.
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