Knowledge, attitude and practices about acute respiratory infection among mothers of under 5 children in an urban area of Tamil Nadu
Open accessAbstract
Acute respiratory infection (ARI) is one of the major public health problems in developing countries and in India, ARI is considered as one of the major killer diseases and leading cause for morbidity and mortality in children below five years. Knowledge, attitude and practice of mothers play a major role in the decrease of morbidity in under 5 children. The objective is to evaluate the health-seeking behaviour of mothers and to assess knowledge, attitude and practices of mothers regarding ARI.Using pre-tested semi-structured pro -forma, a descriptive study on 204 mothers was done and information on knowledge of ARI, attitude and practice regarding consulting physician,antibiotic usewere collected and results were analysed using SPSS 22. Questionnaire regarding knowledge preferred that 61.8% of mothers preferred private set up as a place of choice of treatment and the commonest aggravating factor was infection (36.8%), most common complication was Pneumonia (32.4%), and most mothers opted for the medical practitioner (86.3%) for treatment. Self-medication was seen to be practiced by (52.5%).The younger age, a short period of time since marriage, and higher educational level were found to be significantly correlated with the good knowledge, attitude and practice and this could be due to that younger women with a lower duration of marriage have more time as well as being aware of new media and internet. They would gain knowledgeeasily compared to older women.
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Multiple studies conducted in India consistently reported a high rate of self-medication with antibiotics across the country.
“Despite these strict regulations, multiple studies conducted in India consistently reported a high rate of self-medication with antibiotics across the country [6, 7, 10, 15, 18, 19].”
From Prevalence and associated factors of self-medication with antibiotics among pediatric population in India: a systematic review and meta-analysis (2025) · cites this paper as [18]
Lower education levels are associated with an increased tendency toward pediatric ASM and limited knowledge regarding proper antibiotic use.
“Lower education levels are often associated with an increased tendency toward self-medication along with limited knowledge regarding the proper use of antibiotics [6, 10, 18, 46].”
From Prevalence and associated factors of self-medication with antibiotics among pediatric population in India: a systematic review and meta-analysis (2025) · cites this paper as [18]
Low and middle-income families often resort to self-medication as a cost-saving measure primarily due to financial constraints.
“Low and middle-income families often resort to self-medication as a cost-saving measure. This cost-driven decision is significant and is primarily due to the financial constraints faced by these families [6, 18, 26, 33].”
From Prevalence and associated factors of self-medication with antibiotics among pediatric population in India: a systematic review and meta-analysis (2025) · cites this paper as [18]
Advertisements in various media outlets play a significant role in promoting and normalizing self-medication.
“Advertisements in various media outlets play a significant role in promoting and normalizing the behavior of self-medication [15, 18].”
From Prevalence and associated factors of self-medication with antibiotics among pediatric population in India: a systematic review and meta-analysis (2025) · cites this paper as [18]
Cites
Nair, H., Simões, E. A., Rudan, I., Gessner, B. D., Azziz-Baumgartner, E., Zhang, J. S. F., Feikin, D. R., Mackenzie, G. A., Moiïsi, J. C., Roca, A., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(12)61901-1 · Cited by 779 · cited 1× · see citing works
“Every year ARIs account for over 12 million hospital admissions among children below ive years of age (Nair et al., 2013; WHO, 2019).”
Estimating child mortality due to diarrhoea in developing countries.
Boschi-Pinto, C., Velebit, L., & Shibuya, K. (2008) · Bulletin of the World Health Organization · doi:10.2471/blt.07.050054 · Cited by 727 · cited 2× · see citing works
“India ranks 2nd for three-quarters of death due to ARI in under 5 population in developing regions of the world (Bhanderi and Chowdhary, 2006).”
BackgroundKumar, S., Majumdar, A., Kumar, V., Naik, B. N., Selvaraj, K., & Laksham, K. B. (2015) · Journal of Natural Science Biology and Medicine · doi:10.4103/0976-9668.149069 · Cited by 108 · cited 1× · see citing works
“Based on a study done in Tamil Nadu, the prevalence of acute respiratory infectionwas found to be 59.1% (Kumar et al., 2015).”
BackgroundInfluentialSimiyu, D., Wafula, E., & Nduati, R. (2004) · East African Medical Journal · doi:10.4314/eamj.v80i6.8706 · Cited by 41 · cited 4×
“An article observed (Simiyu et al., 2004) that about 87.”
BackgroundInfluentialPrajapati, B., Talsania, N., Lala, M., et al. (2012) · doi:10.5455/ijmsph.2012.1.52-58 · Cited by 38 · cited 5×
“and indoor air pollution howevermajority of associated factors are preventable (Prajapati et al., 2012).”
BackgroundResultInfluentialFarhad, J., Malihe, A., Fatemeh, A., et al. (2014) · doi:10.13005/bbra/1279 · Cited by 19 · cited 1×
“Whereas, a study observed by (Farhad et al., 2014) revealed that only 5% of them gave antibiotics without consultation.”
BackgroundPotential risk factors contributing to acute respiratory infections in under five age group children
Choube, A., Kumar, B., Mahmood, S., et al. (2014) · doi:10.5455/ijmsph.2014.200820141 · Cited by 18 · cited 2×
“%) and this inding was signi icant statistically and similar to various studies (Choube et al., 2014; Prajapati et al., 2012; Goel et al., 2012).”
ResultMarano, N., & Ahmed, J. (2018) · Cambridge University Press eBooks · doi:10.1017/9781107477261.022 · Cited by 6 · see citing works
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2 of the 10 references couldn’t be matched to a known paper.
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Atem, T. D., Singh, R., Newbury-Birch, D., Pal, B., & Chaudhary, V. (2025) · BMC Pediatrics · doi:10.1186/s12887-025-05676-8 · Cited by 8 · see citing works
“The highest number of studies in terms of geographical distribution was conducted in Maharashtra [7, 26, 32] and Tamil Nadu [6, 16, 18], with three studies each.”
InfluentialBharatbhai, P. N. (2023) · Bioinformation · doi:10.6026/97320630019713 · Cited by 5 · see citing works
- Authors
- Jeya Subha, C., Shiny Chrism Queen Nesan, G., Charumathi, B., & Jain, T.
- Affiliations
- Saveetha University (IN)
- ORCID
- Timsi Jain
- Venue
- International Journal of Research in Pharmaceutical Sciences
- Publisher
- GP Innovations Pvt. Ltd.
- Published
- 2020-04-02
- Volume
- 11
- Issue
- SPL2
- Pages
- 16-20
- ISSN
- 0975-7538 (ISSN-L)
- OpenAlex
- W3026858730
- Cited by
- 2
- References
- 10
- Citations by year
- 2025: 1 · 2023: 1
- FWCI
- 0.23
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- International Journal of Research in Pharmaceutical Sciences (publishedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Pediatric health and respiratory diseases
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- acute respiratory infections, maternal knowledge, attitudes and practices, mothers of children under five, health-seeking behavior, self-medication, antibiotic use, pneumonia, sociodemographic factors
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