Childhood Acute Respiratory Infections and Household Environment in an Eastern Indonesian Urban Setting

Tomoyuki Shibata, James L. Wilson, Lindsey M. Watson, Alyse LeDuc, Can Meng, Ansariadi, Ruslan La Ane, Syamsuar Manyullei and Alimin Maidin
Additional contact information
Tomoyuki Shibata: Public Health Program, Northern Illinois University, DeKalb, IL 60115, USA
James L. Wilson: Institute of the Study for Environment, Sustainability, and Energy, Northern Illinois University, DeKalb, IL 60115, USA
Lindsey M. Watson: Public Health Program, Northern Illinois University, DeKalb, IL 60115, USA
Alyse LeDuc: Public Health Program, Northern Illinois University, DeKalb, IL 60115, USA
Can Meng: Public Health Program, Northern Illinois University, DeKalb, IL 60115, USA
Ansariadi: Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia
Ruslan La Ane: Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia
Syamsuar Manyullei: Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia
Alimin Maidin: Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia

IJERPH, 2014, vol. 11, issue 12, 1-14

Abstract: This pilot study evaluated the potential effect of household environmental factors such as income, maternal characteristics, and indoor air pollution on children’s respiratory status in an Eastern Indonesian community. Household data were collected from cross-sectional ( n = 461 participants) and preliminary childhood case-control surveys (pneumonia cases = 31 diagnosed within three months at a local health clinic; controls = 30). Particulate matter (PM 2.5 and PM 10 ) was measured in living rooms, kitchens, children’s bedrooms, and outside areas in close proximity once during the case-control household interviews (55 homes) and once per hour from 6 a.m. to midnight in 11 homes. The household survey showed that children were 1.98 times ( p = 0.02) more likely to have coughing symptoms indicating respiratory infection, if mothers were not the primary caregivers. More children exhibited coughing if they were not exclusively breastfed (OR = 2.18; p = 0.06) or there was a possibility that their mothers were exposed to environmental tobacco smoke during pregnancy (OR = 2.05; p = 0.08). This study suggests that household incomes and mother’s education have an indirect effect on childhood pneumonia and respiratory illness. The concentrations of PM 2.5 and PM 10 ranged from 0.5 to 35.7 µg/m 3 and 7.7 to 575.7 µg/m 3 , respectively, based on grab samples. PM was significantly different between the case and control groups ( p < 0.01). The study also suggests that ambient air may dilute indoor pollution, but also introduces pollution into the home from the community environment. Effective intervention programs need to be developed that consider multiple direct and indirect risk factors to protect children.

Keywords: childhood pneumonia; acute respiratory infections; household environment; particulate matter; low and middle income countries (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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