Maternal reports of child illness and the biochemical status of the child : the use of morbidity interviews in rural Bangladesh.
In a longitudinal study of child growth and nutritional status in Bangladesh, child morbidity was recorded using health interviews with the mother.
The aim of the present study was to establish whether maternal reports of child illness were associated with the biochemical health status of the child.
Children aged 2-5 years (n 117) took part in the study and their mothers were interviewed every fortnight by Bangladeshi fieldworkers.
Maternal reports of diarrhoea were associated with significantly lower plasma albumin concentrations (P<0.001), poorer intestinal permeability (P<0.001), higher plasma immunoglobulin A levels (P<0.005) and higher alpha-1-antichymotrypsin (ACT) levels (P<0.05) compared with children reported to be healthy.
Children with fever had significantly higher ACT (P<0.001) and lower albumin (P<0.05) levels compared with their healthy counterparts.
Respiratory infections (RI) were not associated with any significant changes ; however, reports of RI with fever were associated with significantly higher levels of ACT than either illness individually (interaction P<0.05).
These highly significant associations between maternal reports of illness and biochemical profiles of child health support the use of health interviews in developing countries.
Mots-clés Pascal : Mère, Compte rendu, Morbidité, Variation saisonnière, Etat nutritionnel, Marqueur biologique, Malnutrition, Diarrhée, Fièvre, Infection, Appareil respiratoire, Milieu rural, Bengla Desh, Asie, Pays en développement, Appareil digestif pathologie, Intestin pathologie, Appareil respiratoire pathologie, Enfant, Homme, Age préscolaire
Mots-clés Pascal anglais : Mother, Report, Morbidity, Seasonal variation, Nutritional status, Biological marker, Malnutrition, Diarrhea, Fever, Infection, Respiratory system, Rural environment, Bangladesh, Asia, Developing countries, Digestive diseases, Intestinal disease, Respiratory disease, Child, Human, Preschool age
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0036078
Code Inist : 002B22C. Création : 31/05/1999.