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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >A Community-Based Survey on Health-Care Utilization for Pneumonia in Children in Peri-Urban Slums of Karachi, Pakistan
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A Community-Based Survey on Health-Care Utilization for Pneumonia in Children in Peri-Urban Slums of Karachi, Pakistan

机译：巴基斯坦佩西城市贫民区肺炎肺炎的肺炎肺炎卫生用处调查

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摘要

Pneumonia, as defined by WHO, is a syndromic diagnosis characterized by presence of cough or difficult breathing. Presentation to health-care provider depends on timely identification of signs and symptoms by caretakers. We explored patterns of health-care utilization among caretakers of a randomly selected sample of 1,152 children aged 2-59 months, residing in low-income settlements of Karachi, Pakistan. Information on household demographics, occurrence of pneumonia-specific symptoms, care seeking, air quality, and knowledge regarding preventive measures for pneumonia was collected. Predictors of care seeking were estimated using weighted logistic regression. Prevalence of pneumonia with cough and rapid or difficulty in breathing was found to be 40.8% and 37.1% in infants (2-11 months) and children (12-59 months), respectively. Ninety-five percentage of caretakers sought care, 68.5% privately. Odds ratios (ORs) for independent predictors of care-seeking were as follows: younger age of child (infants compared with children), 3.60 (95% CI = 2.65-4.87); caretaker with primary education compared with none, 3.40 (2.46-4.70); vaccine awareness, 1.65 (1.45-1.87); and breastfeeding awareness, 1.32 (1.13-1.53). Presence of symptoms such as fever OR, 1.51 (1.30-1.76); tachypnea, 1.57 (1.35-1.83); chest indrawing, 2.56 (2.05-3.18); persistent vomiting, 1.69 (1.37-2.09); and recurrent illness, 2.57 (2.23-2.97) were also predictive. There is high health-care utilization for pneumonia with the skewed presentation toward private services. Strategies should be focused on making pneumonia care standardized, efficient and affordable, especially in the private sector.
机译：由世卫组织定义的肺炎是一种患有咳嗽或困难呼吸的综合征诊断。给医疗保健提供者的介绍取决于Caretakers及时识别症状和症状。我们探讨了在2-59个月的1,152岁儿童的随机选择样本的卡莱科斯卫生使用模式，居住在巴基斯坦卡拉奇的低收入定居点。收集了有关家庭人口统计学，肺炎特异性症状，护理，空气质量以及关于肺炎预防措施的知识的信息。使用加权逻辑回归估计护理预测因素。患有咳嗽和呼吸迅速或困难的肺炎患病率分别为婴儿（2-11个月）和儿童（12-59个月）的40.8％和37.1％。百分之九十五百分比的看护人私下寻求护理，68.5％。对于独立追求的独立预测因子（或者）如下：儿童年轻人（与儿童相比的婴儿），3.60（95％CI = 2.65-4.87）;与小学教育的看护人与无，3.40（2.46-4.70）;疫苗意识，1.65（1.45-1.87）;和母乳喂养意识，1.32（1.13-1.53​​）。症状如发烧，1.51（1.30-1.76）; Tachypnea，1.57（1.35-1.83）;胸部偷偷，2.56（2.05-3.18）;持续呕吐，1.69（1.37-2.09）;和复发性疾病，2.57（2.23-2.97）也预测。对肺炎的医疗保健利用率很高，对私人服务的倾斜展示。策略应专注于使肺炎护理标准化，高效且价格合理，特别是在私营部门。

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    Kerai Salima; Nisar Imran; Muhammad Ilyas; Qaisar Sana; Feroz Khalid; Raza Azhar; Khalid Faizan; Baloch Benazir; Jehan Fyezah;

  • 作者单位

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

    Aga Khan Univ Dept Pediat &

    Child Hlth Stadium Rd POB 3500 Karachi 74800 Pakistan;

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  • 正文语种 eng
  • 中图分类 地方病学;
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