ArticlePloS one2019
Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.
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Who cites it
73 citing papers in PubMed, 118 citations in OpenAlex.
- Trial
- Factors associated with community acquired severe pneumonia among under five children in Dhaka, Bangladesh: A case control analysis.PloS one · 2022Trial
- Prevalence, antimicrobial resistance, and risk factors of pneumococcal disease among preschool children in Bushenyi District, Uganda.BMC infectious diseases · 2026Article
- Determinants of diarrhea and acute respiratory infection among under-five children in urban-rural Somalia: a nationally representative cross-sectional study.BMC infectious diseases · 2026Article
- Multilevel modeling and mediation analysis of acute respiratory infections among under five children in Bangladesh: evidence from multiple indicator cluster survey.BMC public health · 2026Article
- Women's empowerment and nutritional status of children: new evidence for Bangladesh.Public health nutrition · 2026Article
- Water Facility Type and Acute Respiratory Infections in Under-Five Children: Insights From a Hospital-Based Case-Control Study.Health science reports · 2026Article
- Prevalence and determinants of fever, diarrhea, and acute respiratory infection among children aged 5-59 months in Somaliland, 2020: insights from a nationwide survey.Frontiers in pediatrics · 2026Article
- Article
- Effects of environment and globalization on the double and triple burdens of infection symptoms among under-five children across low-middle income countries using machine learning algorithms.Infectious diseases of poverty · 2025Article
- Sentinel surveillance of acute respiratory infection (ARI) in children under five years old from 2015 to 2022 at a high-complexity health care institution in Cali, Colombia.Journal of global health · 2025Article
- Prevalence and associated risk factors of acute respiratory tract infections among under-five children in a tertiary hospital in Nigeria.BMC pediatrics · 2025Article
- Prevalence of ARI, fever, and diarrhea among under-five children and the influencing factors in southwestern coastal region of Bangladesh.BMC public health · 2025Article
- The comorbidities of diarrhea and acute respiratory tract infection and risk factors among under-five children in 45 low- and middle-income countries.Scientific reports · 2025Article
- Determinants of inequalities in health care seeking behavior for childhood illness in Bangladesh: a trend analysis.BMC public health · 2025Article
- Determinants of care-seeking for ARI/Pneumonia-like symptoms among under-2 children in urban slums in and around Dhaka City, Bangladesh.Scientific reports · 2025Article
- Childhood diarrhoeal disease in South Asian countries: a population-based analysis.BMJ public health · 2025Article
- Factors affecting out-of-pocket expenditures for chronic and acute illnesses in Bangladesh.PloS one · 2025Article
- Article
- Factors of acute respiratory infection among under-five children across sub-Saharan African countries using machine learning approaches.Scientific reports · 2024Article
13 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute respiratory infections (ARIs) are one of the leading causes of child mortality worldwide and contribute significant health burden for developing nations such as Bangladesh. Seeking care and prompt management is crucial to reduce disease severity and to prevent associated morbidity and mortality.
objectiveThis study investigated the prevalence and care-seeking behaviors among under-five children in Bangladesh and identified factors associated with ARI prevalence and subsequent care-seeking behaviors.
methodThe present study analyzed cross-sectional data from the 2014 Bangladesh Demographic Health Survey. Bivariate analysis was performed to estimate the prevalence of ARIs and associated care-seeking. Logistic regression analysis was used to determine the influencing socio-economic and demographic predictors. A p-value of <0.05 was considered as the level of significance.
resultAmong 6,566 under-five children, 5.42% had experienced ARI symptoms, care being sought for 90% of affected children. Prevalence was significantly higher among children < 2 years old, and among males. Children from poorer and the poorest quintiles of households were 2.40 (95% CI = 1.12, 5.15) and 2.36 (95% CI = 1.06, 5.24) times more likely to suffer from ARIs compared to the wealthiest group. Seeking care was significantly higher among female children (AOR = 2.19, 95% CI = 0.94, 5.12). The likelihood of seeking care was less for children belonging to the poorest quintile compared to the richest (AOR = 0.03, 95% CI = 0.01, 0.55). Seeking care from untrained providers was 3.74 more likely among rural residents compared to urban (RRR = 3.74, 95% CI = 1.10, 12.77).
conclusionARIs continue to contribute high disease burden among under-five children in Bangladesh lacking of appropriate care-seeking behavior. Various factors, such as age and sex of the children, wealth index, the education of the mother, and household lifestyle factors were significantly associated with ARI prevalence and care-seeking behaviors. In addition to public-private actions to increase service accessibility for poorer households, equitable and efficient service distribution and interventions targeting households with low socio-economic status and lower education level, are recommended.
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