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Individual and climate factors associated with acute respiratory infection in Colombian children

Overview of attention for article published in Cadernos de Saúde Pública, October 2017
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Individual and climate factors associated with acute respiratory infection in Colombian children
Published in
Cadernos de Saúde Pública, October 2017
DOI 10.1590/0102-311x00028216
Pubmed ID

Luz Mery Cárdenas-Cárdenas, Carlos Andrés Castañeda-Orjuela, Pablo Chaparro-Narváez, Fernando De la Hoz-Restrepo


The objective of this study was to examine the association between acute respiratory infection recall (ARI-recall) and individual and environmental factors such as climate, precipitation, and altitude above sea level in Colombian children. A secondary analysis of 11,483 Colombian children, whose mothers were interviewed in the 2010 National Demographic and Health Survey, was carried out. The outcome variable was the mother's or caregiver's ARI-recall. The independent variables were expressed at individual, cluster, and municipal levels. At the individual level, we considered health and individual characteristics of the children; at cluster level, we incorporated the altitude above sea level; and at the municipal level, we included precipitation and annual average climate. The association between ARI-recall and independent variables was assessed using a multilevel logistic regression model. ARI-recall was significantly associated with age (OR = 0.61; 95%CI: 0.48-0.79), belonging to an indigenous group (OR = 1.51; 95%CI: 1.16-1.96), and a medium or very poor wealth index (OR = 2.03; 95%CI: 1.25-3.30 and OR = 1.75; 95%CI: 1.08-2.84, respectively). We found interaction between acute child malnutrition and average annual precipitation. Children with acute malnutrition and from municipalities with high annual precipitation had significantly 3.6-fold increased risk of ARI-recall (OR = 3.6; 95%CI: 1.3-10.1). Individual conditions and precipitation are risk factors for ARI-recall in Colombian children. These results could be useful to understand ARI occurrence in children living in tropical countries with similar characteristics.

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Geographical breakdown

Country Count As %
Unknown 23 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 3 13%
Student > Master 2 9%
Student > Bachelor 2 9%
Researcher 2 9%
Other 2 9%
Other 0 0%
Unknown 12 52%
Readers by discipline Count As %
Nursing and Health Professions 5 22%
Medicine and Dentistry 4 17%
Social Sciences 1 4%
Unknown 13 57%