Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023
Abstract Background Respiratory tract infection (RTI) has been a predominant health problem worldwide, including Ethiopia. It is one of the major causes of under-five mortality in Ethiopia, accountable for 18% of total deaths. Nationwide studies on the incidence of respiratory infections and materna...
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BMC
2025-02-01
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| Series: | Italian Journal of Pediatrics |
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| Online Access: | https://doi.org/10.1186/s13052-025-01838-7 |
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| author | Fekade Demeke Bayou Mastewal Arefaynie Anissa Mohammed Abiyu Abadi Tareke Awoke Keleb Natnael Kebede Yawkal Tsega Bayu Hailemariam Mersha Abel Endawkie Shimels Derso Kebede Kaleab Mesfin Abera Eyob Tilahun Abeje Ermias Bekele Enyew Chala Daba Lakew Asmare |
| author_facet | Fekade Demeke Bayou Mastewal Arefaynie Anissa Mohammed Abiyu Abadi Tareke Awoke Keleb Natnael Kebede Yawkal Tsega Bayu Hailemariam Mersha Abel Endawkie Shimels Derso Kebede Kaleab Mesfin Abera Eyob Tilahun Abeje Ermias Bekele Enyew Chala Daba Lakew Asmare |
| author_sort | Fekade Demeke Bayou |
| collection | DOAJ |
| description | Abstract Background Respiratory tract infection (RTI) has been a predominant health problem worldwide, including Ethiopia. It is one of the major causes of under-five mortality in Ethiopia, accountable for 18% of total deaths. Nationwide studies on the incidence of respiratory infections and maternal risk factors are limited. Hence, this study was aimed to determine the incidence and predictors of respiratory infections among infants aged less than six months in Ethiopia, 2023. Methods This was a retrospective follow up study using data from Performance Monitoring for Action Ethiopia (PMA Ethiopia). A two-stage cluster sampling technique was used to select a total 2,246 eligible study participants from 206 enumeration areas. A Cox proportional hazards regression model was used to identify independent predictors of respiratory tract infection incidence. Hazard ratios with 95% confidence intervals and p value < 0.05 were used to declare statically significant associations between variables. Results The incidence rate of respiratory tract infections among birth cohorts was 22.99 per 1000 infant weeks of observation. Infants born from mothers who sustained convulsion during labor had nearly doubled [AHR = 1.65, 95%CI (1.20, 2.28)] hazard or risk of developing respiratory tract infections than their counterparts. Similarly, infants born from mothers having prolonged labor (more than 12 h) had one and half times [AHR = 1.48, 95%CI (1.13, 1.93)] increased risk of developing respiratory tract infections as compared to their counterparts. Conclusion The incidence of respiratory tract infections is a significant public health concern in Ethiopia. Infants born to mothers with prolonged labor and convulsions need closer monitoring for early signs of respiratory tract infections. |
| format | Article |
| id | doaj-art-02c6f8fe7d8a45c4bd44ea1d998153ec |
| institution | Kabale University |
| issn | 1824-7288 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Italian Journal of Pediatrics |
| spelling | doaj-art-02c6f8fe7d8a45c4bd44ea1d998153ec2025-02-09T12:48:00ZengBMCItalian Journal of Pediatrics1824-72882025-02-015111610.1186/s13052-025-01838-7Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023Fekade Demeke Bayou0Mastewal Arefaynie1Anissa Mohammed2Abiyu Abadi Tareke3Awoke Keleb4Natnael Kebede5Yawkal Tsega6Bayu Hailemariam Mersha7Abel Endawkie8Shimels Derso Kebede9Kaleab Mesfin Abera10Eyob Tilahun Abeje11Ermias Bekele Enyew12Chala Daba13Lakew Asmare14Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Wollo UniversityDepartment of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Wollo UniversityAmref Health in Africa, COVID-19 Vaccine/EPI Technical Assistant at West Gondar Zonal Health DepartmentDepartment of Environmental Health, College of Medicine and Health Sciences, Wollo UniversityDepartment of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo UniversityDepartment of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo UniversityFarah Wais Dule General HospitalDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Wollo UniversityDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo UniversityDepartment of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Wollo UniversityDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo UniversityDepartment of Environmental Health, College of Medicine and Health Sciences, Wollo UniversityDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of GondarAbstract Background Respiratory tract infection (RTI) has been a predominant health problem worldwide, including Ethiopia. It is one of the major causes of under-five mortality in Ethiopia, accountable for 18% of total deaths. Nationwide studies on the incidence of respiratory infections and maternal risk factors are limited. Hence, this study was aimed to determine the incidence and predictors of respiratory infections among infants aged less than six months in Ethiopia, 2023. Methods This was a retrospective follow up study using data from Performance Monitoring for Action Ethiopia (PMA Ethiopia). A two-stage cluster sampling technique was used to select a total 2,246 eligible study participants from 206 enumeration areas. A Cox proportional hazards regression model was used to identify independent predictors of respiratory tract infection incidence. Hazard ratios with 95% confidence intervals and p value < 0.05 were used to declare statically significant associations between variables. Results The incidence rate of respiratory tract infections among birth cohorts was 22.99 per 1000 infant weeks of observation. Infants born from mothers who sustained convulsion during labor had nearly doubled [AHR = 1.65, 95%CI (1.20, 2.28)] hazard or risk of developing respiratory tract infections than their counterparts. Similarly, infants born from mothers having prolonged labor (more than 12 h) had one and half times [AHR = 1.48, 95%CI (1.13, 1.93)] increased risk of developing respiratory tract infections as compared to their counterparts. Conclusion The incidence of respiratory tract infections is a significant public health concern in Ethiopia. Infants born to mothers with prolonged labor and convulsions need closer monitoring for early signs of respiratory tract infections.https://doi.org/10.1186/s13052-025-01838-7IncidenceRespiratory tract infectionsPredictorsEthiopia |
| spellingShingle | Fekade Demeke Bayou Mastewal Arefaynie Anissa Mohammed Abiyu Abadi Tareke Awoke Keleb Natnael Kebede Yawkal Tsega Bayu Hailemariam Mersha Abel Endawkie Shimels Derso Kebede Kaleab Mesfin Abera Eyob Tilahun Abeje Ermias Bekele Enyew Chala Daba Lakew Asmare Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023 Italian Journal of Pediatrics Incidence Respiratory tract infections Predictors Ethiopia |
| title | Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023 |
| title_full | Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023 |
| title_fullStr | Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023 |
| title_full_unstemmed | Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023 |
| title_short | Incidence and predictors of respiratory tract infections among birth cohorts in Ethiopia, 2023 |
| title_sort | incidence and predictors of respiratory tract infections among birth cohorts in ethiopia 2023 |
| topic | Incidence Respiratory tract infections Predictors Ethiopia |
| url | https://doi.org/10.1186/s13052-025-01838-7 |
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