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Published in: Journal of Public Health 5/2021

01-10-2021 | Original Article

Epidemiology of mortality induced by acute respiratory infections in infants and children under the age of 5 years and its relationship with the Human Development Index in Asia: an updated ecological study

Authors: Elham Goodarzi, Malihe Sohrabivafa, Isan Darvishi, Hasan Naemi, Zaher Khazaei

Published in: Journal of Public Health | Issue 5/2021

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Abstract

Aim

Acute respiratory infection (ARI) is the most commonly reported disease in children. This study was conducted to investigate the epidemiology of mortality from ARI and its relationship with the Human Development Index (HDI) in children under the age of 5 years.

Subjects and methods

The study data included the HDI, neonatal mortality rates, and the mortality of children under the age of 5 years due to ARIs retrieved from the World Bank. In this study, the bivariate correlation method was employed and a significance level of less than 0.05 was considered.

Results

The mortality of children under the age of 5 years (r = − 0.784, p < 0.0001) and neonatal death (r = − 0.792, p < 0.0001) induced by ARIs was negatively correlated with the HDI. There was also a significant negative correlation between neonatal death caused by ARIs and gross national income (GNI) per capita per 1000 lives (r = − 0.453, p < 0.001), mean years of schooling (r = − 0.645, p < 0.001), life expectancy at birth (r = − 0.801, p < 0.001), and expected years of schooling (r = − 0.736, p < 0.001). A negative and significant correlation was also observed between the ARI-induced mortality of children under the age of 5 years and GNI per capita per 1000 lives (r = − 0.469, p < 0.001), mean years of schooling (r = − 0.619, p < 0.001), life expectancy at birth (r = − 0.771, p < 0.001), and expected years of schooling (r = − 0.756, p < 0.01).

Conclusion

The components of the HDI are directly related to ARI deaths. Therefore, a careful analysis of these indicators in countries with a low HDI can be effective in promoting health and reducing ARI-related mortality in children.
Literature
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Metadata
Title
Epidemiology of mortality induced by acute respiratory infections in infants and children under the age of 5 years and its relationship with the Human Development Index in Asia: an updated ecological study
Authors
Elham Goodarzi
Malihe Sohrabivafa
Isan Darvishi
Hasan Naemi
Zaher Khazaei
Publication date
01-10-2021
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 5/2021
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-020-01195-1

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