伊拉克瓦西特省医院五岁以下儿童肺炎的严重程度及其与社会人口学因素的关联。

The severity of pneumonia and its association with socio-demographic factors among children under five years old in Wasit governorate hospitals, Iraq.

作者信息

Al-Dalfi Mortadha H Kreeb, Al Ibraheem Shrouk Abdulrazak Hassan, Al-Rubaye Ali Kadhim Qasim

机构信息

Department of Community Health Techniques, College of Health and Medical Technology, Southern Technical University, Basrah.

Department of Medical Laboratory Technologies, College of Health and Medical Technology, Southern Technical University, Basrah.

出版信息

J Public Health Afr. 2023 Aug 7;14(8):2674. doi: 10.4081/jphia.2023.2674.

DOI:10.4081/jphia.2023.2674

PMID:37859708

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10583494/

Abstract

BACKGROUND

Pneumonia is the leading infectious cause of death among children under five globally.

OBJECTIVE

The study aims to determine socio-demographic factors associated with the severity of pneumonia among children under five in Wasit Governorate.

METHODS

A cross-sectional study and convenience sampling (non-probability) were conducted among 477 children admitted to Wasit governorate hospitals. This sample was distributed throughout five hospitals selected using convenience sampling techniques, including AL-Zahra Hospital, AL-Numaniyah General Hospital, AL-Karama Teaching Hospital, Martyr Fairouz General Hospital, and AL-Kut Gynecology Hospital. It was conducted from October 1, 2022, to May 1, 2023. Through questionnaires, data were collected and analyzed through descriptive and inferential statistics.

RESULTS

The results showed that the participants' distribution according to pneumonia severity was such that the majority of children (81%) included in the study suffered from pneumonia. 14% of children suffered from very severe pneumonia, and 5% suffered from severe pneumonia. The children at risk of developing pneumonia were within the age group of 1-11 months (55.6%), were male (60.6%), and resided in urban areas (63.7%). Both the mother and the father had completed their primary education (50.9% and 47.4%, respectively), and 99.4% and 97.5% of the mothers were married and housewives. More than half of the fathers, 59.5%, were self-employed, and 25.6% suffered from house overcrowding. In addition, 65% had low socioeconomic status. There was a significant relationship between pneumonia severity and the father's occupation and socioeconomic status.

CONCLUSIONS

This study concludes that pneumonia was the most common diagnosis at admission. Among the risk factors studied, low socioeconomic status and the father's occupation were significant risk factors for pneumonia in children.

摘要

背景

肺炎是全球五岁以下儿童主要的感染性死因。

目的

本研究旨在确定瓦西特省五岁以下儿童肺炎严重程度相关的社会人口学因素。

方法

对瓦西特省医院收治的477名儿童进行了横断面研究和便利抽样（非概率抽样）。该样本分布于采用便利抽样技术选取的五家医院，包括宰赫拉医院、努迈尼耶综合医院、卡拉马教学医院、烈士法鲁兹综合医院和库特妇产科医院。研究于2022年10月1日至2023年5月1日进行。通过问卷调查收集数据，并通过描述性和推断性统计进行分析。

结果

结果显示，根据肺炎严重程度划分的参与者分布情况为，纳入研究的大多数儿童（81%）患有肺炎。14%的儿童患有极重度肺炎，5%的儿童患有重度肺炎。有患肺炎风险的儿童年龄在1至11个月之间（55.6%），为男性（60.6%），居住在城市地区（63.7%）。父母双方均完成了小学教育（分别为50.9%和47.4%），99.4%的母亲已婚且为家庭主妇，97.5%的父亲为个体经营者，59.5%的父亲为个体经营者，25.6%的家庭存在住房拥挤问题。此外，65%的家庭社会经济地位较低。肺炎严重程度与父亲的职业和社会经济地位之间存在显著关系。