Predictors of Hospitalization During the First Year of Life among 31 999 Tanzanian Infants

Autor: Alfa Muhihi, Emily R. Smith, Christopher R. Sudfeld, Salum Mshamu, Honorati Masanja, Christina Briegleb, Wafaie W. Fawzi, Julia Ruben, Ramadhani A. Noor
Rok vydání: 2015
Předmět:
Zdroj: Journal of Tropical Pediatrics. 61:317-328
ISSN: 1465-3664
0142-6338
Popis: OBJECTIVE This study explored the risk factors for infant hospitalization in urban and peri-urban/rural Tanzania. METHODS We conducted a prospective cohort study examining predictors of hospitalization during the first year of life among infants enrolled at birth in a large randomized controlled trial of neonatal vitamin A supplementation conducted in urban Dar es Salaam (n = 11,895) and peri-urban/rural Morogoro region (n = 20,104) in Tanzania. Demographic, socioeconomic, environmental and birth outcome predictors of hospitalization were assessed using proportional hazard models. RESULTS The rate of hospitalization was highest during the neonatal period in both Dar es Salaam (102/10,000 neonatal-months) and Morogoro region (78/10,000 neonatal-months). Hospitalization declined with increased age and was lowest for infants 6-12 months of age in both Dar es Salaam (11/10,000 infant-months) and Morogoro region (16/10,000 infant-months). In both Dar es Salaam and Morogoro region, older maternal age, male sex, low birth weight and being small for gestational age were significant predictors of higher risk of hospitalization (p
Databáze: OpenAIRE