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Sociodemographic, climatic variability and lower respiratory tract infections: a systematic literature review

  • Mohammad Zahid Hossain
  • Hilary Bambrick
  • Darren Wraith
  • Shilu Tong
  • Al Fazal Khan
  • Samar Kumar Hore
  • Wenbiao HuEmail author
Review Paper

Abstract

Pneumonia is the leading cause of mortality and morbidity in developing countries, particularly for children and elderly. The main objective of this review paper is to review the epidemiological evidence about the effects of sociodemographic and climatic variability on pneumonia and other lower respiratory tract infections. A detailed literature search was conducted in PubMed and Scopus following PRISMA guidelines. The articles, which considered the effect of only climatic or both climatic and sociodemographic factors on pneumonia and other lower respiratory tract infections, included in this review. A total thirty-four relevant articles were reviewed. Of 34 studies, only 14 articles (41%) examined the joint effects of sociodemographic and climate factors on pneumonia and other lower respiratory infections while most of them (59%) assessed climate factors separately. Among these fourteen, only three articles (8.8%) considered detailed sociodemographic factors. All of the reviewed articles suggested different degrees of positive or negative relationship of temperature with pneumonia or other lower respiratory tract infections. Fifteen (44%) articles suggested an association with relative humidity and 13 (38%) with rainfall. Only 3 articles (8.8%) found a relationship with wind speed. Three articles (8.8%) considered other risk factors such as particulate matter 2.5 (PM2.5) and particulate matter 10 (PM10). One study among the reviewed articles used spatial analysis methods but this study did not examine the joint effects. Among the reviewed articles, 18 (53%) articles used different time series models, one article (3%) used spatiotemporal time series model, 8 (23%) studies used other models and rest 7 (21%) studies used simple descriptive analysis. A total of 18 studies (53%) were conducted in Asia, most of them in China. There were 6 studies (17%) in Europe and 8 studies (23%) in America (South, North and Central). In Africa and Oceania, only one study was found for each region. The joint effect of climate and sociodemographic factors on pneumonia and other lower respiratory tract infections remain to be determined and further research is highly recommended for future prevention of this important and common disease.

Keywords

Pneumonia Lower respiratory tract infections Sociodemographic factors Climatic factors Early warning system 

Notes

Acknowledgements

The study was supported by the Queensland University of Technology Postgraduate Research Award and Queensland University of Technology Higher Degree Research International Tuition Fee Sponsorship.

Supplementary material

484_2018_1654_MOESM1_ESM.docx (238 kb)
ESM 1 (DOCX 238 kb)

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Authors and Affiliations

  1. 1.School of Public Health and Social Work, Institute of Health and Biomedical InnovationQueensland University of TechnologyBrisbaneAustralia
  2. 2.Shanghai Children’s Medical CentreShanghai Jiao Tong University School of MedicineShanghaiChina
  3. 3.School of Public Health, Institute of Environment and Population HealthAnhui Medical UniversityHefeiChina
  4. 4.International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b)DhakaBangladesh

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