Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study

Objective: to evaluate the association of primary health care and other potential factors in relation to hospitalization due to pneumonia, among children aged under five years. Method: epidemiological study with a case-control, hospital-based design, which included 345 cases and 345 controls, match...

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Main Authors: Juliana Coelho Pina, Suzana Alves de Moraes, Isabel Cristina Martins de Freitas, Débora Falleiros de Mello
Format: Article
Language:English
Published: Universidade de São Paulo
Series:Revista Latino-Americana de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692017000100336&lng=en&tlng=en
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author Juliana Coelho Pina
Suzana Alves de Moraes
Isabel Cristina Martins de Freitas
Débora Falleiros de Mello
author_facet Juliana Coelho Pina
Suzana Alves de Moraes
Isabel Cristina Martins de Freitas
Débora Falleiros de Mello
author_sort Juliana Coelho Pina
collection DOAJ
description Objective: to evaluate the association of primary health care and other potential factors in relation to hospitalization due to pneumonia, among children aged under five years. Method: epidemiological study with a case-control, hospital-based design, which included 345 cases and 345 controls, matched according to gender, age and hospital. Data were collected using a pre-coded questionnaire and the Primary Care Assessment Tool, analyzed by means of multivariate logistic regression, following the assumptions of a hierarchical approach. Results: the protective factors were: family income >US$216.12 (OR=0.68), weight gain during pregnancy ≥10 kg (OR=0.68), quality of Primary Health Care (OR for scores >3.41=0.57; OR for scores >3.17 and ≤3.41=0.50), gastro-esophageal reflux (OR=0.55), overweight (OR=0.37) and birth interval ≥48 months (OR=0.28). The risk factors included: parity (2 childbirths: OR=4.60; ≥3 childbirths: OR=3.25), out-of-date vaccination (OR=2.81), undernutrition (OR=2.53), history of wheezing (≥3 episodes OR=2.37; 1 episode: OR=2.13), attendance at daycare center (OR=1.67), and use of medicines over the past month (OR=1.67). Conclusion: primary health care and its child health care practices, such as nutritional monitoring, immunization, care to prevalent illnesses, prenatal care and family planning need to be prioritized to avoid child hospitalization due to pneumonia.
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spelling doaj.art-c4fb1f9df30a49e0b37cef09c71ec2582022-12-22T03:53:38ZengUniversidade de São PauloRevista Latino-Americana de Enfermagem1518-834525010.1590/1518-8345.1731.2892S0104-11692017000100336Role of Primary Health Care in child hospitalization due to pneumonia: a case-control studyJuliana Coelho PinaSuzana Alves de MoraesIsabel Cristina Martins de FreitasDébora Falleiros de MelloObjective: to evaluate the association of primary health care and other potential factors in relation to hospitalization due to pneumonia, among children aged under five years. Method: epidemiological study with a case-control, hospital-based design, which included 345 cases and 345 controls, matched according to gender, age and hospital. Data were collected using a pre-coded questionnaire and the Primary Care Assessment Tool, analyzed by means of multivariate logistic regression, following the assumptions of a hierarchical approach. Results: the protective factors were: family income >US$216.12 (OR=0.68), weight gain during pregnancy ≥10 kg (OR=0.68), quality of Primary Health Care (OR for scores >3.41=0.57; OR for scores >3.17 and ≤3.41=0.50), gastro-esophageal reflux (OR=0.55), overweight (OR=0.37) and birth interval ≥48 months (OR=0.28). The risk factors included: parity (2 childbirths: OR=4.60; ≥3 childbirths: OR=3.25), out-of-date vaccination (OR=2.81), undernutrition (OR=2.53), history of wheezing (≥3 episodes OR=2.37; 1 episode: OR=2.13), attendance at daycare center (OR=1.67), and use of medicines over the past month (OR=1.67). Conclusion: primary health care and its child health care practices, such as nutritional monitoring, immunization, care to prevalent illnesses, prenatal care and family planning need to be prioritized to avoid child hospitalization due to pneumonia.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692017000100336&lng=en&tlng=enCriançaPneumoniaHospitalizaçãoAtenção Primária à SaúdeFatores de RiscoFatores de Proteção.
spellingShingle Juliana Coelho Pina
Suzana Alves de Moraes
Isabel Cristina Martins de Freitas
Débora Falleiros de Mello
Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study
Revista Latino-Americana de Enfermagem
Criança
Pneumonia
Hospitalização
Atenção Primária à Saúde
Fatores de Risco
Fatores de Proteção.
title Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study
title_full Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study
title_fullStr Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study
title_full_unstemmed Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study
title_short Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study
title_sort role of primary health care in child hospitalization due to pneumonia a case control study
topic Criança
Pneumonia
Hospitalização
Atenção Primária à Saúde
Fatores de Risco
Fatores de Proteção.
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-11692017000100336&lng=en&tlng=en
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