Prevalence and healthcare-seeking practices of children with acute respiratory infections in Pudong, Shanghai during 2018—2019

LIU Si-jia; ZHANG Li; WANG Yuan-ping; YE Chu-chu; HAO Li-peng; ZHU Wei-ping; CHEN Yu

doi:10.16462/j.cnki.zhjbkz.2020.08.005

Volume 24 Issue 8

Aug. 2020

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2020 > 24(8): 886-891

LIU Si-jia, ZHANG Li, WANG Yuan-ping, YE Chu-chu, HAO Li-peng, ZHU Wei-ping, CHEN Yu. Prevalence and healthcare-seeking practices of children with acute respiratory infections in Pudong, Shanghai during 2018—2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(8): 886-891. doi: 10.16462/j.cnki.zhjbkz.2020.08.005

Citation:

LIU Si-jia, ZHANG Li, WANG Yuan-ping, YE Chu-chu, HAO Li-peng, ZHU Wei-ping, CHEN Yu. Prevalence and healthcare-seeking practices of children with acute respiratory infections in Pudong, Shanghai during 2018—2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(8): 886-891. doi: 10.16462/j.cnki.zhjbkz.2020.08.005

Citation:

LIU Si-jia, ZHANG Li, WANG Yuan-ping, YE Chu-chu, HAO Li-peng, ZHU Wei-ping, CHEN Yu. Prevalence and healthcare-seeking practices of children with acute respiratory infections in Pudong, Shanghai during 2018—2019[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(8): 886-891. doi: 10.16462/j.cnki.zhjbkz.2020.08.005

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Prevalence and healthcare-seeking practices of children with acute respiratory infections in Pudong, Shanghai during 2018—2019

doi: 10.16462/j.cnki.zhjbkz.2020.08.005

1.
Department of Clinical Laboratory Diagnostics, School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou 325035, China
2.
Department of Acute Infectious Disease Prevention and Disinfection Management, Shanghai Pudong New District Center for Disease Control and Prevention，Pudong 200136, Shanghai, China

LIU Si-jia and ZHANG Li contributed equally to this article

Funds:

National Science and Technology Key Project 2018ZX10713001-008

Young Medical Talent Training Program of Health System of Pudong New Area, Shanghai PWRq2017-32

More Information

Corresponding author: CHEN Yu, E-mail:chenyu_zy@163.com
Received Date: 2020-01-13
Rev Recd Date: 2020-03-08
Publish Date: 2020-08-10

Abstract

Abstract

Objective To acquire the incidence of acute respiratory infections (ARI) and influenza like illness (ILI) among children in Pudong New Area, Shanghai, and to explore the characteristics of their healthcare-seeking practices and the influencing factors. Methods Cross-sectional study design and multi-stage random sampling method were used to conduct face-to-face questionnaire interviews with guardians of children aged 0-14 years old in Pudong New Area, Shanghai. ARI related conditions and healthcare-seeking practices during the winter and spring of 2018-2019 were investigated through those interviews. The influencing factors were analyzed by multivariate Logistic regression model. Results A total of 2 375 valid questionnaires were collected. The prevalences of ARI and ILI among children in Pudong New Area, Shanghai during the winter and spring of 2018-2019 were 36.1% (858/2 375) and 14.0% (332/2 375). The prevalence of ARI in children aged 2-4 years old (42.4%) was significantly higher than other age groups (OR=2.072, 95% CI: 1.482-2.896). Suffering from basic respiratory diseases (OR=2.740, 95% CI: 1.865-4.025) was the risk factor for ARI in children. Compared with children in kindergarten, the risk of ARI in diaspora children (OR=0.579, 95% CI: 0.426-0.785) and in school students (OR=0.547, 95% CI: 0.434-0.688) were lower. The rates of ARI related healthcare-seeking and hospitalization were 58.5% (502/858) and 1.7% (15/858), respectively. Healthcare-seeking rate of 2-4 years old children (OR=0.297, 95% CI: 0.170-0.521) and 5-14 years old children (OR=0.286, 95% CI: 0.149-0.549) were significantly lower than children under 1 year old. The main factors affecting the behavior of consultations were symptoms (fever, cough, sore throat, sputum, and fatigue)(all P < 0.05). 81.1% (407/502) of children had gone to the secondary medical institutions for healthcare. Conclusions The burden of disease caused by ARI among children in Shanghai cannot be ignored. Comprehensive monitoring based on communities and medical institutions should be continued to obtain a more accurate disease burden data, and vaccination against respiratory infectious diseases such as influenza and pneumonia and other preventive measures should be promoted.
- Children,
- Acute respiratory infections,
- Healthcare-seeking practices,
- Cross-sectional study

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References(22)

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