Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh

Cross-sectional study Under-five
DOI: 10.1371/journal.pone.0210433 Publication Date: 2019-01-10T18:36:56Z
ABSTRACT
Background Acute respiratory infections (ARIs) are one of the leading causes child mortality worldwide and contribute significant health burden for developing nations such as Bangladesh. Seeking care prompt management is crucial to reduce disease severity prevent associated morbidity mortality. Objective This study investigated prevalence care-seeking behaviors among under-five children in Bangladesh identified factors with ARI subsequent behaviors. Method The present analyzed cross-sectional data from 2014 Demographic Health Survey. Bivariate analysis was performed estimate ARIs care-seeking. Logistic regression used determine influencing socio-economic demographic predictors. A p-value <0.05 considered level significance. Result Among 6,566 children, 5.42% had experienced symptoms, being sought 90% affected children. Prevalence significantly higher < 2 years old, males. Children poorer poorest quintiles households were 2.40 (95% CI = 1.12, 5.15) 2.36 1.06, 5.24) times more likely suffer compared wealthiest group. female (AOR 2.19, 95% 0.94, 5.12). likelihood seeking less belonging quintile richest 0.03, 0.01, 0.55). untrained providers 3.74 rural residents urban (RRR 3.74, 1.10, 12.77). Conclusion continue high lacking appropriate behavior. Various factors, age sex wealth index, education mother, household lifestyle In addition public-private actions increase service accessibility households, equitable efficient distribution interventions targeting low status lower level, recommended.
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