دورية أكاديمية

Empowering child health: Harnessing machine learning to predict acute respiratory infections in Ethiopian under-fives using demographic and health survey insights.

التفاصيل البيبلوغرافية
العنوان: Empowering child health: Harnessing machine learning to predict acute respiratory infections in Ethiopian under-fives using demographic and health survey insights.
المؤلفون: Kalayou MH; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. Mhayelom5@gmail.com., Kassaw AK; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Shiferaw KB; Department of Medical Informatics, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
المصدر: BMC infectious diseases [BMC Infect Dis] 2024 Mar 21; Vol. 24 (1), pp. 338. Date of Electronic Publication: 2024 Mar 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect Dis Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Child Health* , Respiratory Tract Infections*/diagnosis , Respiratory Tract Infections*/epidemiology, Child ; Humans ; Bayes Theorem ; Machine Learning ; Diarrhea/epidemiology ; Demography ; Power, Psychological
مستخلص: Background: A dearth of studies showed that infectious diseases cause the majority of deaths among under-five children. Worldwide, Acute Respiratory Infection (ARI) continues to be the second most frequent cause of illness and mortality among children under the age of five. The paramount disease burden in developing nations, including Ethiopia, is still ARI.
Objective: This study aims to determine the magnitude and predictors of ARI among under-five children in Ethiopia using used state of the art machine learning algorithms.
Methods: Data for this study were derived from the 2016 Ethiopian Demographic and Health Survey. To predict the determinants of acute respiratory infections, we performed several experiments on ten machine learning algorithms (random forests, decision trees, support vector machines, Naïve Bayes, and K-nearest neighbors, Lasso regression, GBoost, XGboost), including one classic logistic regression model and an ensemble of the best performing models. The prediction ability of each machine-learning model was assessed using receiver operating characteristic curves, precision-recall curves, and classification metrics.
Results: The total ARI prevalence rate among 9501 under-five children in Ethiopia was 7.2%, according to the findings of the study. The overall performance of the ensemble model of SVM, GBoost, and XGBoost showed an improved performance in classifying ARI cases with an accuracy of 86%, a sensitivity of 84.6%, and an AUC-ROC of 0.87. The highest performing predictive model (the ensemble model) showed that the child's age, history of diarrhea, wealth index, type of toilet, mother's educational level, number of living children, mother's occupation, and type of fuel they used were an important predicting factor for acute respiratory infection among under-five children.
Conclusion: The intricate web of factors contributing to ARI among under-five children was identified using an advanced machine learning algorithm. The child's age, history of diarrhea, wealth index, and type of toilet were among the top factors identified using the ensemble model that registered a performance of 86% accuracy. This study stands as a testament to the potential of advanced data-driven methodologies in unraveling the complexities of ARI in low-income settings.
(© 2024. The Author(s).)
References: Lancet. 2010 Jun 5;375(9730):1969-87. (PMID: 20466419)
PLoS One. 2015 Nov 11;10(11):e0142553. (PMID: 26560469)
Science. 2018 Feb 16;359(6377):725-726. (PMID: 29449469)
BMC Pediatr. 2019 Oct 25;19(1):380. (PMID: 31651291)
Multidiscip Respir Med. 2020 Dec 23;15(1):710. (PMID: 33437475)
Sci Data. 2016 Mar 15;3:160018. (PMID: 26978244)
Nature. 2016 May 25;533(7604):452-4. (PMID: 27225100)
Int J Infect Dis. 2002 Dec;6(4):294-301. (PMID: 12718824)
BMC Pediatr. 2019 Oct 27;19(1):386. (PMID: 31656181)
Arch Dis Child. 1995 Aug;73(2):177-81. (PMID: 7574870)
PLoS One. 2019 Apr 22;14(4):e0215572. (PMID: 31009506)
PLoS One. 2017 Sep 7;12(9):e0184204. (PMID: 28880953)
Public Health. 2021 Apr;193:29-40. (PMID: 33713984)
Lancet. 2012 Jun 9;379(9832):2123-4. (PMID: 22682449)
Int J Epidemiol. 2009 Jun;38(3):766-72. (PMID: 19279073)
BMC Pediatr. 2022 Mar 10;22(1):123. (PMID: 35272658)
Paediatr Int Child Health. 2016 May;36(2):84-90. (PMID: 25936959)
Toxicol Lett. 2016 Jul 8;254:1-7. (PMID: 27084041)
PLoS One. 2007 Jun 06;2(6):e491. (PMID: 17551572)
Int J Gen Med. 2020 Jan 30;13:17-26. (PMID: 32099446)
Clin Biochem Rev. 2008 Aug;29 Suppl 1:S83-7. (PMID: 18852864)
BMC Pediatr. 2020 Feb 28;20(1):93. (PMID: 32111196)
Trop Med Int Health. 2014 Aug;19(8):894-905. (PMID: 24779548)
Indian J Med Res. 2012 Apr;135(4):459-68. (PMID: 22664492)
Arch Dis Child. 1997 Feb;76(2):124-8. (PMID: 9068301)
Croat Med J. 2013 Apr;54(2):110-21. (PMID: 23630139)
Am J Trop Med Hyg. 2012 Nov;87(5 Suppl):6-10. (PMID: 23136272)
Cad Saude Publica. 2017 Oct 26;33(10):e00028216. (PMID: 29091168)
BMC Infect Dis. 2023 Oct 30;23(1):743. (PMID: 37904115)
فهرسة مساهمة: Keywords: Acute respiratory infection; Artificial intelligence; Ethiopia; FAIR; Machine learning
تواريخ الأحداث: Date Created: 20240322 Date Completed: 20240325 Latest Revision: 20240325
رمز التحديث: 20240325
مُعرف محوري في PubMed: PMC10956296
DOI: 10.1186/s12879-024-09195-2
PMID: 38515014
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2334
DOI:10.1186/s12879-024-09195-2