Spatio-temporal patterns of childhood pneumonia in Bhutan: a Bayesian analysis.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
14 10 2021
Historique:
received: 21 01 2021
accepted: 06 09 2021
entrez: 15 10 2021
pubmed: 16 10 2021
medline: 27 1 2022
Statut: epublish

Résumé

Pneumonia is one of the top 10 diseases by morbidity in Bhutan. This study aimed to investigate the spatial and temporal trends and risk factors of childhood pneumonia in Bhutan. A multivariable Zero-inflated Poisson regression model using a Bayesian Markov chain Monte Carlo simulation was undertaken to quantify associations of age, sex, altitude, rainfall, maximum temperature and relative humidity with monthly pneumonia incidence and to identify the underlying spatial structure of the data. Overall childhood pneumonia incidence was 143.57 and 10.01 per 1000 persons over 108 months of observation in children aged < 5 years and 5-14 years, respectively. Children < 5 years or male sex were more likely to develop pneumonia than those 5-14 years and females. Each 1 °C increase in maximum temperature was associated with a 1.3% (95% (credible interval [CrI] 1.27%, 1.4%) increase in pneumonia cases. Each 10% increase in relative humidity was associated with a 1.2% (95% CrI 1.1%, 1.4%) reduction in the incidence of pneumonia. Pneumonia decreased by 0.3% (CrI 0.26%, 0.34%) every month. There was no statistical spatial clustering after accounting for the covariates. Seasonality and spatial heterogeneity can partly be explained by the association of pneumonia risk to climatic factors including maximum temperature and relative humidity.

Identifiants

pubmed: 34650108
doi: 10.1038/s41598-021-99137-8
pii: 10.1038/s41598-021-99137-8
pmc: PMC8516968
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

20422

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2021. The Author(s).

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Auteurs

Kinley Wangdi (K)

Department of Global Health, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australia. kinley.wangdi@anu.edu.au.

Kinley Penjor (K)

Vector-Borne Diseases Control Programme, Department of Public Health, Ministry of Health, Thimphu, Bhutan.

Tsheten Tsheten (T)

Department of Global Health, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australia.
Royal Centre for Disease Control, Ministry of Health, Thimphu, Bhutan.

Chachu Tshering (C)

Child Health Program, Communicable Diseases Division, Department of Public Health, Ministry of Health, Thimphu, Bhutan.

Peter Gething (P)

Telethon Kids Institute, Nedlands, Australia.
Faculty of Health Sciences, Curtin University, Perth, Australia.

Darren J Gray (DJ)

Department of Global Health, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australia.

Archie C A Clements (ACA)

Telethon Kids Institute, Nedlands, Australia.
Faculty of Health Sciences, Curtin University, Perth, Australia.

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