Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study

Authors

  • Juliana Coelho Pina Universidade Federal de Santa Catarina
  • Suzana Alves de Moraes Universidade de São Paulo
  • Isabel Cristina Martins de Freitas PhD, Social scientist.
  • Débora Falleiros de Mello Universidade de São Paulo

DOI:

https://doi.org/10.1590/1518-8345.1731.2892

Keywords:

Child, Pneumonia, Hospitalization, Primary Health Care, Risk Factors, Protective Factors

Abstract

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 The risk factors included: parity (2 childbirths: OR=4.60; ≥3 childbirths: OR=3.25), out-of-date vaccination (OR=2.81), undernutrition (OR=2.53), history of wheezing (≥3 episodes OR=2.37; 1 episode: OR=2.13), attendance at daycare center (OR=1.67), and use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.

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Published

2017-01-01

Issue

Vol. 25 (2017)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Role of Primary Health Care in child hospitalization due to pneumonia: a case-control study. (2017). Revista Latino-Americana De Enfermagem, 25, e2892-. https://doi.org/10.1590/1518-8345.1731.2892