Hospitalization risk factors for children's lower respiratory tract infection: A population-based, cross-sectional study in Mongolia.
Hospitalization risk factors for children's lower respiratory tract infection: A population-based, cross-sectional study in Mongolia.
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DOI：
10.1038/srep24615
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发表时间：
2016-04-19
影响因子：
4.6
通讯作者：
Nakayama T
中科院分区：
文献类型：
--
作者：
Dagvadorj A;Ota E;Shahrook S;Baljinnyam Olkhanud P;Takehara K;Hikita N;Bavuusuren B;Mori R;Nakayama T
本研究旨在评估蒙古族儿童下呼吸道感染（LRTI）相关住院的潜在危险因素。2013年在蒙古农村进行了一项基于人口的横断面研究，纳入了1 013对母子。在参与研究的儿童中，38.9%因LRTI住院。家庭吸烟、低出生体重、男孩、纯母乳喂养和寻求保健的行为与LRTI相关的住院率有很大关系。家庭成员吸烟的数量显示出剂量反应关系，并增加住院率。防止成年吸烟者接触二手烟的战略，特别是在家中，对于防止蒙古儿童因LRTI住院至关重要。提高纯母乳喂养率和增加出生体重有很大的潜力，以减少儿童获得LRTI的可能性。对于不太可能因子女的症状寻求护理的妇女，也需要采取教育举措。
This study aimed to assess the potential risk factors for lower respiratory tract infection (LRTI)-related hospital admissions in Mongolian children. A population-based cross-sectional study was conducted in rural Mongolia in 2013, and 1,013 mother–child pairs were included. Of the participating children, 38.9% were admitted to hospital with LRTIs. Home smoking, low birthweight, being a male child, exclusive breastfeeding and healthcare-seeking behaviour showed substantial association with LRTI-related hospital admissions. Number of cigarettes smoked by family members showed a dose-response relationship and increased hospital admissions. Strategies to prevent second-hand-smoke exposure from adult smokers, especially inside the home, are crucial to preventing LRTI-related hospital admissions for children in Mongolia. Improving rates of exclusive breastfeeding and increasing birthweight have great potential to decrease the likelihood of children acquiring a LRTI. Educational initiatives are also necessary for women who are less likely to seek out care for their children’s symptoms.