Determinants of Acute Respiratory Infection Among Children Under-Five Years in Indonesia

Abstract

BackgroundAcute respiratory infection (ARI) among children under five years has been identified as a risk factor for child morbidity, leading to child mortality in Indonesia. Many factors may cause ARI; however, determinants associated with ARI remain unclear in Indonesia. ObjectivesThis study sought to analyze the determinants of ARI among children aged under five years in Indonesia. MethodsThis study was cross-sectional and utilized secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 15,993 children under five years old were selected as respondents. Chi-squared test and binary logistic regression were used to examine the determinants of ARI among children under five years in Indonesia. ResultsChildren aged 1 year [Odds Ratio (OR) = 1.43, 95% CI = 1.04–1.97], children aged 2 years [OR = 1.54, 95% CI = 1.12–2.11], mother's occupation [OR = 1.24, 95% CI = 1.01–2.154], poorest wealth index [OR = 1.91, 95% CI = 1.26–2.89], poor [OR = 1.50, 95% CI = 1.01–2.21], region of residence: Western Indonesia [OR = 1.96, 95% CI = 1.28–2.00], Middle of Indonesia [OR = 2.19, 95% CI = 1.44–3.33] were significantly associated with ARI among children under five years in Indonesia. ConclusionsThis study revealed that the determinants of ARI among children under five years in Indonesia remain related to the socio-demographic aspect. This research highlighted that the family's and the living area's wealth index remains essential in improving children's health outcomes. Practice implicationsOur findings support increasing awareness of the low-income family through adequate information and health promotion. Advancing the feasibility, accessibility, and affordability of health information and health services across all Indonesian regions should be strengthened.