Prevalence of acute respiratory infections among children in India: Regional inequalities and risk factors.

STATISTICS; DIARRHEA; CONFIDENCE intervals; RURAL conditions; MULTIVARIATE analysis; RESPIRATORY infections in children; RESPIRATORY infections; POPULATION geography; INTERVIEWING; REGRESSION analysis; RISK assessment; MATHEMATICAL variables; MAPS; COMPARATIVE studies; SOCIOECONOMIC factors; ANEMIA; STATISTICAL sampling; METROPOLITAN areas; CLUSTER analysis (Statistics); LOGISTIC regression analysis; STATISTICAL models; SOCIODEMOGRAPHIC factors; DATA analysis software; ODDS ratio; PROBABILITY theory; DISEASE risk factors

Aim: The high incidence of acute respiratory infection (ARI)-related morbidity and mortality is a major public health concern in developing countries. This study aimed to quantify regional inequalities and the degree of association between childhood ARI and background factors. Methods: This study utilised information of 238 945 children aged below five years extracted from the Fourth Indian National Family Health Survey conducted in 2015–16. Inter-state and regional inequality in the prevalence of ARI were quantified and presented using a map of India and forest plot. The association of background characteristics and ARI was quantified using bivariate and multivariable binary logistic regression models. Results: Significant inequalities in the prevalence of childhood ARI were observed across the six regions of India. Considering the children from north-east region as a reference, those from north, central and east regions were 0.68, 1.02 and 0.57 times more likely to suffer from ARI. Comorbidity, sex, age and nutritional status of children were significantly associated with the prevalence of ARI. Conclusions: ARI remains a significant public health concern among Indian children. The results of this study showed that significant regional disparities in the prevalence of ARI exist in India. This study adds value to the better understanding of inequality patterns and quantifies within- and intra-region inequalities in the prevalence of ARI in India. [ABSTRACT FROM AUTHOR]

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