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

International Journal of Environmental Research and Public Health

Tomoyuki Shibata³  James L. Wilson²  Lindsey M. Watson³  Alyse LeDuc³  Can Meng³  rib-type="author">Ansariadi3Ansariadi¹  Ruslan La Ane¹  Syamsuar Manyullei¹  Alimin Maidin¹ 

[1] Faculty of Public Health, Universitas Hasanuddin, Makassar, South Sulawesi 90245, Indonesia; E-Mails:;Institute of the Study for Environment, Sustainability, and Energy, Northern Illinois University, DeKalb, IL 60115, USA; E-Mail:;Public Health Program, Northern Illinois University, DeKalb, IL 60115, USA; E-Mails:

关键词: childhood pneumonia;    acute respiratory infections;    household environment;    particulate matter;    low and middle income countries;   

DOI  :  10.3390/ijerph111212190

来源: mdpi

【 摘 要 】

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 PM₁₀) 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 PM₁₀ ranged from 0.5 to 35.7 µg/m³ and 7.7 to 575.7 µg/m³, 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.

【 授权许可】

CC BY   
© 2014 by the authors; licensee MDPI, Basel, Switzerland.