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A multilevel analysis of lifestyle variations in symptoms of acute respiratory infection among young children under five in Nigeria
Authors: Adesanya OA, and Chiao C.
Source: BMC Public Health, 16:880; doi: 10.1186/s12889-016-3565-0.
Topic(s): Child health
Children under five
Country: Africa
Published: AUG 2016
Abstract: BACKGROUND: Nigeria has the second highest estimated number of deaths due to acute respiratory infection (ARI) among children under five in the world. A common hypothesis is that the inequitable distribution of socioeconomic resources shapes individual lifestyles and health behaviors, which leads to poorer health, including symptoms of ARI. This study examined whether lifestyle factors are associated with ARI risk among Nigerian children aged less than 5 years, taking individual-level and contextual-level risk factors into consideration. METHODS: Data were obtained from the nationally representative 2013 Nigeria Demographic and Health Survey. A total of 28,596 surviving children aged 5 years or younger living in 896 communities were analyzed. We employed two-level multilevel logistic regressions to model the relationship between lifestyle factors and ARI symptoms. RESULTS: The multivariate results from multilevel regressions indicated that the odds of having ARI symptoms were increased by a number of lifestyle factors such as in-house biomass cooking (OR?=?2.30; p?