International Journal of Public Health Science (IJPHS)
Vol.6, No.2, June 2017, pp. 118~125
ISSN: 2252-8806, DOI: 10.11591/.v6i2.6641 118
Journal homepage: https://www.iaescore.com/journals/index.php/IJPHS
Early Weaning Risk Factors for Acute Respiratory Infections
Eni Folendra Rosa, Gunardi Pome, D. Harsanto
Nursing Department of Baturaja, Polytechnic of Health Palembang, Indonesia
Article Info ABSTRACT
Article history:
Received Apr 3, 2017
Revised May 27, 2017
Accepted Jun 9, 2017
Acute respiratory infections (ARIs) still a health problem in the world
resulting in high mortality and morbidity. Every year 13 million children
under five died, 95% of deaths occur in developing countries and 4.5 million
deaths due to respiratory infection. Takes effort and hard work to reduce
mortality of children under five are caused by ARIs. ARIs episodes in
children under five in the world generally between 3-8 times every year.
Breast milk is a natural nutrient that contain IgA (SIgA), IgE, IgM, IgG,
lactoferin, lysozyme, vitamin A, C and E. SIgA generated broncho mammary
and α2--microglobulin substances that protect against syncytial virus and
inhibit and lowering the risk of infection with Haemophilus influenzae
contained in the mouth and nose. Babies who are not breastfed full or partial
ARIs at greater risk due to lack of intake of protective substances in the
breast milk. The incidence of acute respiratory diseases are at highest order
resulting morbidity and mortality of children in the district OKU in 2014
amounted to 52.2% and increased by 53% in 2015. Unmatched case control
study with a quantitative approach, the study subjects children aged 6-24
months. Data analysis using Stata program consists of univariable, bivariable
and multivariable logistic regression with 95% CI. Significant relationship
with ARIs early weaning (OR = 2.72; 95% CI = 1.08 - 6.83). The average
episode of ARIs was 2.8 times every year. Early weaning increase risk of
ARIs in children 6-24 months.
Keyword:
Early Weaning
Acute Respiratory Infections
Children Ages 6 to 24 Months
Copyright © 2017 Institute of Advanced Engineering and Science.
All rights reserved.
Corresponding Author:
Eni Folendra Rosa,
Nursing Department of Baturaja,
Polytechnic of Health Palembang.
Jl. Imam Bonjol No. 652 Baturaja 32112, South Sumatera, Indonesia
Email: enifrosa@gmail.com
1. INTRODUCTION
Acute respiratory infections ARIs called the forgotten pandemic, consists of pneumonia, bronchitis,
bronchiolitis, otitis media, sinusitis, pharyngitis, measles and pertussis, and is still a major health problem
because 19% of the causes of death and illness in the world. Every year there are 13 million children under
five died, 95% of under five deaths occur in developing countries and one third due to respiratory infection
[1]-[4]. Episodes of ARIs in infants differ generally occurs 3-6 times a year depending on the seriousness of
the disease, in developed countries and developing countries are different than the etiology and risk factors
were also influenced by demographic and sociocultural [1]. Case fatality rate of ARIs in infants is higher in
developing countries compared to developed countries [5]. Overall incidence of ARIs in the developed and
developing countries is almost equal to the average episodes in children 4-8 times every year, whereas in
Indonesia episode ISPA is 3-6 times every year.
Mother's milk is a natural drink for newborns in the first month of life [6]. Babies who are not
breastfed or breastfed partially filled with susceptible to respiratory diseases and diarrhea [1],[7]. Risk infants
who are not breastfed get a full or partial breastfeeding on the incidence of death from respiratory diseases
3.27 times greater than with exclusive breastfeeding while other researchers reported the risk of 2.23 times