Document Detail

The effects of social variables on symptom recognition and medical care seeking behaviour for acute respiratory infections in infants in urban Mongolia.
MedLine Citation:
PMID:  19574234     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To investigate potentially modifiable factors associated with carers' recognition of symptoms and timely presentation of infants with acute respiratory infections (ARI) in urban Mongolia. METHODS: A prospective cohort study nested in a randomised controlled trial of infant swaddling. Data were collected on social, educational and childcare variables and all doctor contacts for ARI in primary and secondary care by regular questionnaires to carers of infants during the first 6 months of life. FINDINGS: Analyses were based on 9024 ARI related doctor contacts for 4554 illness episodes in 1218 infants. Delay in medical care seeking (>3 days from acute lower respiratory infection (ALRI) symptom onset) was associated with younger maternal age (OR (95% CI) 3.8 (1.2 to 11.6)), single child families (3.8 (1.2 to 11.61)), absent father (4.1 (1.2 to 14.4)) and residence more than 1 km from a clinic (3.5 (1.2 to 10.2)). CONCLUSION: There is a continuing need to educate carers of infants in the management of ARI, particularly those of younger age and those with limited family support.
N Gombojav; S Manaseki-Holland; J Pollock; A J Henderson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-07-01
Journal Detail:
Title:  Archives of disease in childhood     Volume:  94     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-22     Completed Date:  2009-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  England    
Other Details:
Languages:  eng     Pagination:  849-54     Citation Subset:  AIM; IM    
Department of General Practice, Health Sciences University, Ulaanbaatar, Mongolia.
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MeSH Terms
Family Characteristics
Health Behavior
Infant Care / methods
Infant, Newborn
Maternal Age
Mongolia / epidemiology
Patient Acceptance of Health Care / statistics & numerical data*
Prospective Studies
Respiratory Tract Infections / diagnosis*,  epidemiology
Risk Factors
Socioeconomic Factors
Time Factors
Urban Health
Grant Support
//Wellcome Trust

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