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Social, economic and environmental risk factors for acute lower respiratory infections among children under five years of age in Rwanda

Overview of attention for article published in Archives of Public Health, May 2016
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Title
Social, economic and environmental risk factors for acute lower respiratory infections among children under five years of age in Rwanda
Published in
Archives of Public Health, May 2016
DOI 10.1186/s13690-016-0132-1
Pubmed ID
Authors

Jean-Modeste Harerimana, Leatitia Nyirazinyoye, Dana R. Thomson, Joseph Ntaganira

Abstract

In low and middle-income countries, acute lower respiratory illness is responsible for roughly 1 in every 5 child deaths. Rwanda has made major health system improvements including its community health worker systems, and it is one of the few countries in Africa to meet the 2015 Millennium Development Goals, although prevalence of acute lower respiratory infections (4 %) is similar to other countries in sub-Saharan Africa. This study aims to assess social, economic, and environmental factors associated with acute lower respiratory infections among children under five to inform potential further improvements in the health system. This is a cross-sectional study using data collected from women interviewed in the 2010 DHS about 8,484 surviving children under five. Based on a literature review, we defined 19 health, social, economic, and environmental potential risk factors, tested bivariate associations with acute lower respiratory infections, and advanced variables significant at the 0.1 confidence level to logistic regression modelling. We used manual backward stepwise regression to arrive at a final model. All analyses were performed in Stata v13 and adjusted for complex sample design. The following factors were independently associated with acute lower respiratory infections: child's age, anemia level, and receipt of Vitamin A; household toilet type and residence, and season of interview. In multivariate regression, being in the bottom ten percent of households (OR: 1.27, 95 % CI: 0.85-1.87) or being interviewed during the rainy season (OR: 1.61, 95 % CI: 1.24-2.09) was positively associated with acute lower respiratory infections, while urban residence (OR: 0.58, 95 % CI: 0.38-0.88) and being age 24-59 months versus 0-11 months (OR: 0.53, 95 % CI: 0.40-0.69) was negatively associated with acute lower respiratory infections. Potential areas for intervention including community campaigns about acute lower respiratory infections symptoms and treatment, and continued poverty reduction through rural electrification and modern stove distribution which may reduce use of dirty cooking fuel, improve living conditions, and reduce barriers to health care.

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The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 233 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 233 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 52 22%
Student > Bachelor 40 17%
Researcher 19 8%
Student > Ph. D. Student 14 6%
Student > Doctoral Student 14 6%
Other 36 15%
Unknown 58 25%
Readers by discipline Count As %
Medicine and Dentistry 38 16%
Nursing and Health Professions 36 15%
Social Sciences 23 10%
Environmental Science 14 6%
Agricultural and Biological Sciences 11 5%
Other 42 18%
Unknown 69 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 May 2017.
All research outputs
#15,740,505
of 25,374,917 outputs
Outputs from Archives of Public Health
#648
of 1,144 outputs
Outputs of similar age
#195,045
of 348,586 outputs
Outputs of similar age from Archives of Public Health
#5
of 15 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,144 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.1. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 348,586 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 15 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 66% of its contemporaries.