Faculty of Nursing, Universitas Airlangga, Indonesia.
Faculty of Nursing, Universitas Airlangga, Indonesia.
J Pediatr Nurs. 2021 Sep-Oct;60:e54-e59. doi: 10.1016/j.pedn.2021.03.010. Epub 2021 Mar 18.
Acute respiratory infection (ARI) among children under five years has been identified as a risk factor for child morbidity, leading to child mortality in Indonesia. Many factors may cause ARI; however, determinants associated with ARI remain unclear in Indonesia.
This study sought to analyze the determinants of ARI among children aged under five years in Indonesia.
This study was cross-sectional and utilized secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 15,993 children under five years old were selected as respondents. Chi-squared test and binary logistic regression were used to examine the determinants of ARI among children under five years in Indonesia.
Children aged 1 year [Odds Ratio (OR) = 1.43, 95% CI = 1.04-1.97], children aged 2 years [OR = 1.54, 95% CI = 1.12-2.11], mother's occupation [OR = 1.24, 95% CI = 1.01-2.154], poorest wealth index [OR = 1.91, 95% CI = 1.26-2.89], poor [OR = 1.50, 95% CI = 1.01-2.21], region of residence: Western Indonesia [OR = 1.96, 95% CI = 1.28-2.00], Middle of Indonesia [OR = 2.19, 95% CI = 1.44-3.33] were significantly associated with ARI among children under five years in Indonesia.
This study revealed that the determinants of ARI among children under five years in Indonesia remain related to the socio-demographic aspect. This research highlighted that the family's and the living area's wealth index remains essential in improving children's health outcomes.
Our findings support increasing awareness of the low-income family through adequate information and health promotion. Advancing the feasibility, accessibility, and affordability of health information and health services across all Indonesian regions should be strengthened.
五岁以下儿童急性呼吸道感染（ARI）已被确定为导致印度尼西亚儿童发病和死亡的一个危险因素。许多因素都可能导致 ARI，但在印度尼西亚，与 ARI 相关的决定因素仍不清楚。
本研究旨在分析印度尼西亚五岁以下儿童患 ARI 的决定因素。
本研究为横断面研究，利用 2017 年印度尼西亚人口与健康调查（IDHS）的二级数据。共选择了 15993 名五岁以下儿童作为受访者。采用卡方检验和二项逻辑回归分析来检验印度尼西亚五岁以下儿童患 ARI 的决定因素。
一岁儿童（优势比[OR] = 1.43，95%置信区间[CI] = 1.04-1.97）、两岁儿童（OR = 1.54，95% CI = 1.12-2.11）、母亲职业（OR = 1.24，95% CI = 1.01-2.154）、最贫困的财富指数（OR = 1.91，95% CI = 1.26-2.89）、贫困（OR = 1.50，95% CI = 1.01-2.21）、居住地区：西印度尼西亚（OR = 1.96，95% CI = 1.28-2.00）、中印度尼西亚（OR = 2.19，95% CI = 1.44-3.33）与印度尼西亚五岁以下儿童患 ARI 显著相关。
本研究表明，印度尼西亚五岁以下儿童患 ARI 的决定因素仍然与社会人口统计学方面有关。本研究强调，家庭和居住地区的财富指数在改善儿童健康结果方面仍然至关重要。
我们的研究结果支持通过提供充分的信息和促进健康意识来提高低收入家庭的认识。应该加强印度尼西亚所有地区的健康信息和服务的可行性、可及性和可负担性。
