干旱区生态环境知识资源中心(Arid): Association between extreme rainfall and acute respiratory infection among children under-5 years in sub-Saharan Africa: an analysis of Demographic and Health Survey data, 2006-2020

Arid

DOI	10.1136/bmjopen-2023-071874
	Association between extreme rainfall and acute respiratory infection among children under-5 years in sub-Saharan Africa: an analysis of Demographic and Health Survey data, 2006-2020
	Uttajug, Athicha; Ueda, Kayo; Seposo, Xerxes; Francis, Joel Msafiri
通讯作者	Uttajug, A
来源期刊	BMJ OPEN
ISSN	2044-6055
出版年	2023
卷号	13 期号:4
英文摘要	Objective Despite an increase in the number of studies examining the association between extreme weather events and infectious diseases, evidence on respiratory infection remains scarce. This study examined the association between extreme rainfall and acute respiratory infection (ARI) in children aged <5 years in sub-Saharan Africa.SettingStudy data were taken from recent (2006-2020) Demographic and Health Survey data sets from 33 countries in sub-Saharan Africa.Participants280 157 children aged below 5 years were included.Outcome measuresThe proportions of ARI according to individual, household and geographical characteristics were compared using the chi(2) test. The association between extreme rainfall (>= 90th percentile) and ARI was examined using multivariate logistic regression for 10 of 33 countries with an adequate sample size of ARI and extreme rainfall events. The model was adjusted for temperature, comorbidity and sociodemographic factors as covariates. Stratification analyses by climate zone were also performed.ResultsThe prevalence of ARI in children aged <5 years ranged from 1.0% to 9.1% across sub-Saharan Africa. By country, no significant association was observed between extreme rainfall and ARI, except in Nigeria (OR: 2.14, 95% CI 1.06 to 4.31). Larger effect estimates were observed in the tropical zone (OR: 1.13, 95%CI 0.69 to 1.84) than in the arid zone (OR: 0.72, 95%CI 0.17 to 2.95), although the difference was not statistically significant.ConclusionWe found no association between extreme rainfall and ARI in sub-Saharan Africa. Effect estimates tended to be larger in the tropical zone where intense rainfall events regularly occur. Comprehensive studies to investigate subsequent extreme climate events, such as flooding, are warranted in the future.
英文关键词	epidemiology public health respiratory infections
类型	Article
语种	英语
开放获取类型	gold, Green Published
收录类别	SCI-E
WOS记录号	WOS:001057956000159
WOS关键词	GASTROINTESTINAL ILLNESS ; CLIMATE-CHANGE ; PRECIPITATION ; WATER
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/395599
推荐引用方式 GB/T 7714	Uttajug, Athicha,Ueda, Kayo,Seposo, Xerxes,et al. Association between extreme rainfall and acute respiratory infection among children under-5 years in sub-Saharan Africa: an analysis of Demographic and Health Survey data, 2006-2020[J],2023,13(4).
APA	Uttajug, Athicha,Ueda, Kayo,Seposo, Xerxes,&Francis, Joel Msafiri.(2023).Association between extreme rainfall and acute respiratory infection among children under-5 years in sub-Saharan Africa: an analysis of Demographic and Health Survey data, 2006-2020.BMJ OPEN,13(4).
MLA	Uttajug, Athicha,et al."Association between extreme rainfall and acute respiratory infection among children under-5 years in sub-Saharan Africa: an analysis of Demographic and Health Survey data, 2006-2020".BMJ OPEN 13.4(2023).