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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...

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Autores principales: Abir, Tanvir, Agho, Kingsley Emwinyore, Page, Andrew Nicolas, Milton, Abul Hasnat, Dibley, Michael John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
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.
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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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