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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Format: | Article |
Language: | English |
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Universidade de São Paulo
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Series: | Revista Latino-Americana de Enfermagem |
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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 The risk factors included: parity (2 childbirths: OR=4.60; ≥3 childbirths: OR=3.25), out-of-date vaccination (OR=2.81), undernutrition (OR=2.53), history of wheezing (≥3 episodes OR=2.37; 1 episode: OR=2.13), attendance at daycare center (OR=1.67), and use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. |
first_indexed | 2024-04-12T01:26:38Z |
format | Article |
id | doaj.art-c4fb1f9df30a49e0b37cef09c71ec258 |
institution | Directory Open Access Journal |
issn | 1518-8345 |
language | English |
last_indexed | 2024-04-12T01:26:38Z |
publisher | Universidade de São Paulo |
record_format | Article |
series | Revista Latino-Americana de Enfermagem |
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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