Prevalence of pneumonia and malnutrition among children in Jigawa state, Nigeria: a community-based clinical screening study.
Epidemiology
Journal
BMJ paediatrics open
ISSN: 2399-9772
Titre abrégé: BMJ Paediatr Open
Pays: England
ID NLM: 101715309
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
09
08
2022
accepted:
27
09
2022
entrez:
16
1
2023
pubmed:
17
1
2023
medline:
19
1
2023
Statut:
ppublish
Résumé
To estimate the point prevalence of pneumonia and malnutrition and explore associations with household socioeconomic factors. Community-based cross-sectional study conducted in January-June 2021 among a random sample of households across all villages in the study area. Kiyawa Local Government Area, Jigawa state, Nigeria. Children aged 0-59 months who were permanent residents in Kiyawa and present at home at the time of the survey. Pneumonia (non-severe and severe) defined using WHO criteria (2014 revision) in children aged 0-59 months. Malnutrition (moderate and severe) defined using mid-upper arm circumference in children aged 6-59 months. 9171 children were assessed, with a mean age of 24.8 months (SD=15.8); 48.7% were girls. Overall pneumonia (severe or non-severe) point prevalence was 1.3% (n=121/9171); 0.6% (n=55/9171) had severe pneumonia. Using an alternate definition that did not rely on caregiver-reported cough/difficult breathing revealed higher pneumonia prevalence (n=258, 2.8%, 0.6% severe, 2.2% non-severe). Access to any toilet facility was associated with lower odds of pneumonia (aOR: 0.56; 95% CI: 0.31 to 1.01). The prevalence of malnutrition (moderate or severe) was 15.6% (n=1239/7954) with 4.1% (n=329/7954) were severely malnourished. Being older (aOR: 0.22; 95% CI: 0.17 to 0.27), male (aOR: 0.77; 95% CI: 0.66 to 0.91) and having head of compound a business owner or professional (vs subsistence farmer, aOR 0.71; 95% CI: 0.56 to 0.90) were associated with lower odds of malnutrition. In this large, representative community-based survey, there was a considerable pneumonia and malnutrition morbidity burden. We noted challenges in the diagnosis of Integrated Management of Childhood Illness-defined pneumonia in this context.
Identifiants
pubmed: 36645778
pii: 10.1136/bmjpo-2022-001640
doi: 10.1136/bmjpo-2022-001640
pmc: PMC9577914
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Carina King
(C)
Tim Colbourn
(T)
Rochelle Ann Burgess
(RA)
Agnese Iuliano
(A)
Hamish R Graham
(HR)
Eric D McCollum
(ED)
Tahlil Ahmed
(T)
Samy Ahmar
(S)
Christine Cassar
(C)
Paula Valentine
(P)
Adamu Isah
(A)
Adams Osebi
(A)
Ibrahim Haruna
(I)
Abdullahi Magama
(A)
Ibrahim Seriki
(I)
Temitayo Folorunso Olowookere
(TF)
Matt McCalla
(M)
Adegoke G Falade
(AG)
Ayobami Adebayo Bakare
(AA)
Obioma Uchendu
(O)
Julius Salako
(J)
Funmilayo Shittu
(F)
Damola Bakare
(D)
Omotayo Olojede
(O)
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None.
Références
Bull World Health Organ. 2016 Dec 01;94(12):893-902
pubmed: 27994282
Afr Health Sci. 2013 Sep;13(3):607-12
pubmed: 24250297
J Glob Health. 2022 Apr 09;12:10001
pubmed: 35425592
J Glob Health. 2018 Dec;8(2):020806
pubmed: 30254744
Int J Environ Res Public Health. 2019 Oct 04;16(19):
pubmed: 31590340
Pediatr Pulmonol. 2020 Jun;55 Suppl 1:S104-S112
pubmed: 31985894
Lancet. 2011 Mar 19;377(9770):1011-8
pubmed: 21411136
PLoS One. 2015 Jan 30;10(1):e0116380
pubmed: 25635911
Nutr Health. 2022 Apr 4;:2601060221090699
pubmed: 35369816
Glob Health Action. 2014 Mar 14;7:23499
pubmed: 24647128
BMJ Open Respir Res. 2021 Nov;8(1):
pubmed: 34728475
Bull World Health Organ. 1973;48(2):183-94
pubmed: 4541684
Lancet Infect Dis. 2018 Nov;18(11):1191-1210
pubmed: 30243584
Int J Environ Res Public Health. 2020 Nov 26;17(23):
pubmed: 33256022
BMC Public Health. 2020 May 24;20(1):746
pubmed: 32448259
BMC Health Serv Res. 2020 Sep 7;20(1):842
pubmed: 32894107
J Public Health (Oxf). 2021 Dec 10;43(4):772-779
pubmed: 32671386
Pediatr Pulmonol. 2020 Jun;55 Suppl 1:S78-S90
pubmed: 31990146
PLoS One. 2017 May 31;12(5):e0178129
pubmed: 28562611
Lancet Glob Health. 2022 Mar;10(3):e348-e359
pubmed: 35180418
PLoS One. 2017 May 11;12(5):e0177338
pubmed: 28494007
J Trop Pediatr. 2020 Dec 1;66(6):589-597
pubmed: 32417915
Trials. 2022 Jan 31;23(1):95
pubmed: 35101109
Pediatr Pulmonol. 2020 Jun;55 Suppl 1:S10-S21
pubmed: 31985170
J Glob Health. 2018 Dec;8(2):020805
pubmed: 30254743
BMC Public Health. 2013 Apr 17;13:354
pubmed: 23590640
Lancet. 2020 Oct 17;396(10258):1204-1222
pubmed: 33069326
Nat Microbiol. 2019 Dec;4(12):2310-2318
pubmed: 31570869