Pneumonia and poverty: a prospective population-based study among children in Brazil
2011

Pneumonia and Poverty in Brazilian Children

Sample size: 11521 publication 10 minutes Evidence: high

Author Information

Author(s): Thörn Lícia KAM, Minamisava Ruth, Nouer Simonne S, Ribeiro Luiza H, Andrade Ana Lucia

Primary Institution: Department of Epidemiology, Secretariat of Health of the Municipality of Goiânia, Brazil

Hypothesis

Is there an association between poverty and the incidence of pneumonia in children in Brazil?

Conclusion

Children in areas with lower socioeconomic conditions have a higher incidence of pneumonia.

Supporting Evidence

  • Incidence rates of pneumonia were significantly higher in very low income areas compared to high income areas.
  • Lower income households and illiteracy were associated with higher pneumonia incidence.
  • Spatial analysis identified clusters of pneumonia cases in specific regions of the city.

Takeaway

Kids who live in poorer neighborhoods are more likely to get pneumonia. We need to help them get vaccinated.

Methodology

A prospective population-based study was conducted, analyzing chest X-rays and socioeconomic indicators among children with suspected pneumonia.

Potential Biases

Potential selection bias in hospitalization based on socioeconomic status.

Limitations

The study may not accurately represent individual-level socioeconomic status and could be affected by ecological fallacy.

Participant Demographics

Median age of participants was 13 months; 54% were male.

Statistical Information

P-Value

0.001

Confidence Interval

95% CI: 937-967

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2334-11-180

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