Individual- and community-level predictors of healthcare-seeking behaviour for acute respiratory tract infections among children under five in 29 low- and middle-income countries: a multilevel analysis.

Ketema, DB; Dadi, AF; Hassen, TA; Kibret, GD; Kassa, ZY; Amsalu, E; Alemu, AA; Shifa, JE; Alebel, A; Leshargie, CT; Bore, MG; Bizuayehu, HM; Ahmed, KY

Individual- and community-level predictors of healthcare-seeking behaviour for acute respiratory tract infections among children under five in 29 low- and middle-income countries: a multilevel analysis.

Ketema, DB Dadi, AF Hassen, TA Kibret, GD Kassa, ZY Amsalu, E Alemu, AA Shifa, JE Alebel, A Leshargie, CT Bore, MG Bizuayehu, HM Ahmed, KY

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Public Health, 2024, 237, pp. 71-76
Issue Date:: 2024-12

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Field	Value	Language
dc.contributor.author	Ketema, DB
dc.contributor.author	Dadi, AF
dc.contributor.author	Hassen, TA
dc.contributor.author	Kibret, GD
dc.contributor.author	Kassa, ZY
dc.contributor.author	Amsalu, E
dc.contributor.author	Alemu, AA
dc.contributor.author	Shifa, JE
dc.contributor.author	Alebel, A
dc.contributor.author	Leshargie, CT
dc.contributor.author	Bore, MG
dc.contributor.author	Bizuayehu, HM
dc.contributor.author	Ahmed, KY
dc.date.accessioned	2024-12-13T05:41:03Z
dc.date.available	2024-08-29
dc.date.available	2024-12-13T05:41:03Z
dc.date.issued	2024-12
dc.identifier.citation	Public Health, 2024, 237, pp. 71-76
dc.identifier.issn	0033-3506
dc.identifier.issn	1476-5616
dc.identifier.uri	http://hdl.handle.net/10453/182530
dc.description.abstract	OBJECTIVES: This study aimed to identify the individual- and community-level determinants of mothers' healthcare-seeking behaviour for children under the age of 5 years with acute respiratory infection (ARI) symptoms in low-and middle-income countries (LMICs). STUDY DESIGN: Nationally representative Demographic and Health Survey datasets from 29 LMICs were used. METHODS: The study included 16,893 children aged under 5 years with ARI symptoms in the 2 weeks prior to the survey. A multilevel logistic regression model was used to examine associations between individual- and community-level factors with health-seeking behaviour for ARIs. The adjusted odds ratio (AOR) along with 95% confidence intervals (CIs) were reported as a measure of association. RESULTS: The overall prevalence of healthcare-seeking behaviour for ARIs among children under 5 years in LMICs was 58.83% (95% CI: 58.08, 59.57). Findings showed that mothers with primary or higher education (AOR = 1.20; 95% CI: 1.08, 1.33), and those residing in rich households (AOR = 1.32; 95% CI: 1.18, 1.48), attending antenatal care (ANC) visits (AOR = 1.53; 95% CI: 1.31, 1.79) and delivering at a healthcare facility (AOR = 1.28; 95% CI: 1.16, 1.41) were more likely to seek healthcare for ARIs. A higher level of community maternal education (AOR = 1.44; 95% CI: 1.24, 1.68) was positively associated with seeking healthcare for ARIs, while a higher level of community poverty (AOR = 0.83; 95% CI: 0.72, 0.96) was negatively associated with healthcare seeking for ARIs. CONCLUSIONS: This study revealed that mothers' healthcare-seeking behaviour for ARIs was closely linked to modifiable risk factors, including maternal education, household wealth, use of maternal health services (e.g., ANC), as well as community poverty and literacy levels. Future interventions should consider these modifiable risk factors when developing strategies to improve child health outcomes in LMICs.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Public Health
dc.relation.isbasedon	10.1016/j.puhe.2024.08.028
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.subject.classification	4202 Epidemiology
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Humans
dc.subject.mesh	Respiratory Tract Infections
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Female
dc.subject.mesh	Infant
dc.subject.mesh	Male
dc.subject.mesh	Developing Countries
dc.subject.mesh	Multilevel Analysis
dc.subject.mesh	Adult
dc.subject.mesh	Mothers
dc.subject.mesh	Young Adult
dc.subject.mesh	Acute Disease
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Health Surveys
dc.subject.mesh	Humans
dc.subject.mesh	Respiratory Tract Infections
dc.subject.mesh	Acute Disease
dc.subject.mesh	Health Surveys
dc.subject.mesh	Mothers
dc.subject.mesh	Developing Countries
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Infant
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Multilevel Analysis
dc.subject.mesh	Young Adult
dc.subject.mesh	Humans
dc.subject.mesh	Respiratory Tract Infections
dc.subject.mesh	Patient Acceptance of Health Care
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Female
dc.subject.mesh	Infant
dc.subject.mesh	Male
dc.subject.mesh	Developing Countries
dc.subject.mesh	Multilevel Analysis
dc.subject.mesh	Adult
dc.subject.mesh	Mothers
dc.subject.mesh	Young Adult
dc.subject.mesh	Acute Disease
dc.subject.mesh	Socioeconomic Factors
dc.subject.mesh	Adolescent
dc.subject.mesh	Health Surveys
dc.title	Individual- and community-level predictors of healthcare-seeking behaviour for acute respiratory tract infections among children under five in 29 low- and middle-income countries: a multilevel analysis.
dc.type	Journal Article
utslib.citation.volume	237
utslib.location.activity	Netherlands
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-12-13T05:41:02Z
pubs.publication-status	Published
pubs.volume	237

Abstract:

OBJECTIVES: This study aimed to identify the individual- and community-level determinants of mothers' healthcare-seeking behaviour for children under the age of 5 years with acute respiratory infection (ARI) symptoms in low-and middle-income countries (LMICs). STUDY DESIGN: Nationally representative Demographic and Health Survey datasets from 29 LMICs were used. METHODS: The study included 16,893 children aged under 5 years with ARI symptoms in the 2 weeks prior to the survey. A multilevel logistic regression model was used to examine associations between individual- and community-level factors with health-seeking behaviour for ARIs. The adjusted odds ratio (AOR) along with 95% confidence intervals (CIs) were reported as a measure of association. RESULTS: The overall prevalence of healthcare-seeking behaviour for ARIs among children under 5 years in LMICs was 58.83% (95% CI: 58.08, 59.57). Findings showed that mothers with primary or higher education (AOR = 1.20; 95% CI: 1.08, 1.33), and those residing in rich households (AOR = 1.32; 95% CI: 1.18, 1.48), attending antenatal care (ANC) visits (AOR = 1.53; 95% CI: 1.31, 1.79) and delivering at a healthcare facility (AOR = 1.28; 95% CI: 1.16, 1.41) were more likely to seek healthcare for ARIs. A higher level of community maternal education (AOR = 1.44; 95% CI: 1.24, 1.68) was positively associated with seeking healthcare for ARIs, while a higher level of community poverty (AOR = 0.83; 95% CI: 0.72, 0.96) was negatively associated with healthcare seeking for ARIs. CONCLUSIONS: This study revealed that mothers' healthcare-seeking behaviour for ARIs was closely linked to modifiable risk factors, including maternal education, household wealth, use of maternal health services (e.g., ANC), as well as community poverty and literacy levels. Future interventions should consider these modifiable risk factors when developing strategies to improve child health outcomes in LMICs.

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http://hdl.handle.net/10453/182530