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Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011
OBJECTIVE: The aim of this study was to identify factors associated with mortality in children under 5 years of age using a nationally representative sample of singleton births for the period of 2004–2011. DESIGN, SETTING AND PARTICIPANTS: Pooled 2004, 2007 and 2011 cross-sectional data sets of the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4550704/ https://www.ncbi.nlm.nih.gov/pubmed/26297357 http://dx.doi.org/10.1136/bmjopen-2014-006722 |
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author | Abir, Tanvir Agho, Kingsley Emwinyore Page, Andrew Nicolas Milton, Abul Hasnat Dibley, Michael John |
author_facet | Abir, Tanvir Agho, Kingsley Emwinyore Page, Andrew Nicolas Milton, Abul Hasnat Dibley, Michael John |
author_sort | Abir, Tanvir |
collection | PubMed |
description | OBJECTIVE: The aim of this study was to identify factors associated with mortality in children under 5 years of age using a nationally representative sample of singleton births for the period of 2004–2011. DESIGN, SETTING AND PARTICIPANTS: Pooled 2004, 2007 and 2011 cross-sectional data sets of the Bangladesh Demographic and Health Surveys were analysed. The surveys used a stratified two-stage cluster sample of 16 722 singleton live-born infants of the most recent birth of a mother within a 3-year period. MAIN OUTCOME MEASURES: Outcome measures were neonatal mortality (0–30 days), postneonatal mortality (1–11 months), infant mortality (0–11 months), child mortality (1–4 years) and under-5 mortality (0–4 years). RESULTS: Survival information for 16 722 singleton live-born infants and 522 deaths of children <5 years of age included: 310 neonatal deaths, 154 postneonatal deaths, 464 infant deaths, 58 child deaths and 522 under-5 deaths. Multiple variable analysis showed that, over a 7-year period, mortality reduced significantly by 48% for postneonatal deaths, 33% for infant deaths and 29% for under-5 deaths, but there was no significant reduction in neonatal deaths (adjusted OR (AOR)=0.79, 95% CI 0.59 to 1.06) or child deaths (AOR=1.00, 95% CI 0.51 to 1.94). The odds of neonatal, postneonatal, infant, child and under-5 deaths decreased significantly among mothers who used contraceptive and mothers who had other children aged 3 years or older. The risk of neonatal, postneonatal, infant, child and under-5 deaths was significantly higher in mothers who reported a previous death of a sibling. CONCLUSIONS: Our study suggests that family planning is needed to further reduce the overall rate of under-5 deaths in Bangladesh. To reduce childhood mortality, public health interventions that focus on child spacing and contraceptive use by mothers may be most effective. |
format | Online Article Text |
id | pubmed-4550704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-45507042015-08-31 Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011 Abir, Tanvir Agho, Kingsley Emwinyore Page, Andrew Nicolas Milton, Abul Hasnat Dibley, Michael John BMJ Open Global Health OBJECTIVE: The aim of this study was to identify factors associated with mortality in children under 5 years of age using a nationally representative sample of singleton births for the period of 2004–2011. DESIGN, SETTING AND PARTICIPANTS: Pooled 2004, 2007 and 2011 cross-sectional data sets of the Bangladesh Demographic and Health Surveys were analysed. The surveys used a stratified two-stage cluster sample of 16 722 singleton live-born infants of the most recent birth of a mother within a 3-year period. MAIN OUTCOME MEASURES: Outcome measures were neonatal mortality (0–30 days), postneonatal mortality (1–11 months), infant mortality (0–11 months), child mortality (1–4 years) and under-5 mortality (0–4 years). RESULTS: Survival information for 16 722 singleton live-born infants and 522 deaths of children <5 years of age included: 310 neonatal deaths, 154 postneonatal deaths, 464 infant deaths, 58 child deaths and 522 under-5 deaths. Multiple variable analysis showed that, over a 7-year period, mortality reduced significantly by 48% for postneonatal deaths, 33% for infant deaths and 29% for under-5 deaths, but there was no significant reduction in neonatal deaths (adjusted OR (AOR)=0.79, 95% CI 0.59 to 1.06) or child deaths (AOR=1.00, 95% CI 0.51 to 1.94). The odds of neonatal, postneonatal, infant, child and under-5 deaths decreased significantly among mothers who used contraceptive and mothers who had other children aged 3 years or older. The risk of neonatal, postneonatal, infant, child and under-5 deaths was significantly higher in mothers who reported a previous death of a sibling. CONCLUSIONS: Our study suggests that family planning is needed to further reduce the overall rate of under-5 deaths in Bangladesh. To reduce childhood mortality, public health interventions that focus on child spacing and contraceptive use by mothers may be most effective. BMJ Publishing Group 2015-08-21 /pmc/articles/PMC4550704/ /pubmed/26297357 http://dx.doi.org/10.1136/bmjopen-2014-006722 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Global Health Abir, Tanvir Agho, Kingsley Emwinyore Page, Andrew Nicolas Milton, Abul Hasnat Dibley, Michael John Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011 |
title | Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011 |
title_full | Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011 |
title_fullStr | Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011 |
title_full_unstemmed | Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011 |
title_short | Risk factors for under-5 mortality: evidence from Bangladesh Demographic and Health Survey, 2004–2011 |
title_sort | risk factors for under-5 mortality: evidence from bangladesh demographic and health survey, 2004–2011 |
topic | Global Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4550704/ https://www.ncbi.nlm.nih.gov/pubmed/26297357 http://dx.doi.org/10.1136/bmjopen-2014-006722 |
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