Cargando…
Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis
BACKGROUND: In sub-Saharan Africa, socioeconomic factors such as place of residence, mother’s educational level, or household wealth, are strongly associated with risk factors of under-five mortality (U5M) such as health behavior or exposure to diseases and injuries. The aim of the study was to asse...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570834/ https://www.ncbi.nlm.nih.gov/pubmed/31200681 http://dx.doi.org/10.1186/s12889-019-7111-8 |
_version_ | 1783427306705911808 |
---|---|
author | Van Malderen, Carine Amouzou, Agbessi Barros, Aluisio J. D. Masquelier, Bruno Van Oyen, Herman Speybroeck, Niko |
author_facet | Van Malderen, Carine Amouzou, Agbessi Barros, Aluisio J. D. Masquelier, Bruno Van Oyen, Herman Speybroeck, Niko |
author_sort | Van Malderen, Carine |
collection | PubMed |
description | BACKGROUND: In sub-Saharan Africa, socioeconomic factors such as place of residence, mother’s educational level, or household wealth, are strongly associated with risk factors of under-five mortality (U5M) such as health behavior or exposure to diseases and injuries. The aim of the study was to assess the relative contribution of four known socioeconomic factors to the variability in U5M in sub-Saharan countries. METHODS: The study was based on birth histories from the Demographic and Health Surveys conducted in 32 sub-Saharan countries in 2010–2016. The relative contribution of sex of the child, place of residence, mother’s educational level, and household wealth to the variability in U5M was assessed using a regression-based decomposition of a Gini-type index. RESULTS: The Gini index – measuring the variability in U5M related to the four socioeconomic factors – varied from 0.006 (95%CI: 0.001–0.010) in Liberia 2013 to 0.034 (95%CI: 0.029–0.039) in Côte d’Ivoire 2011/12. The main contributors to the Gini index (with a relative contribution higher than 25%) were different across countries: mother’s educational level in 13 countries, sex of the child in 12 countries, household wealth in 11 countries, and place of residence in 8 countries (in some countries, more than one main contributor was identified). CONCLUSIONS: Factors related to socioeconomic status exert varied effects on the variability in U5M in sub-Saharan African countries. The findings provide evidence in support of prioritizing intersectoral interventions aiming at improving child survival in all subgroups of a population. |
format | Online Article Text |
id | pubmed-6570834 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-65708342019-06-27 Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis Van Malderen, Carine Amouzou, Agbessi Barros, Aluisio J. D. Masquelier, Bruno Van Oyen, Herman Speybroeck, Niko BMC Public Health Research Article BACKGROUND: In sub-Saharan Africa, socioeconomic factors such as place of residence, mother’s educational level, or household wealth, are strongly associated with risk factors of under-five mortality (U5M) such as health behavior or exposure to diseases and injuries. The aim of the study was to assess the relative contribution of four known socioeconomic factors to the variability in U5M in sub-Saharan countries. METHODS: The study was based on birth histories from the Demographic and Health Surveys conducted in 32 sub-Saharan countries in 2010–2016. The relative contribution of sex of the child, place of residence, mother’s educational level, and household wealth to the variability in U5M was assessed using a regression-based decomposition of a Gini-type index. RESULTS: The Gini index – measuring the variability in U5M related to the four socioeconomic factors – varied from 0.006 (95%CI: 0.001–0.010) in Liberia 2013 to 0.034 (95%CI: 0.029–0.039) in Côte d’Ivoire 2011/12. The main contributors to the Gini index (with a relative contribution higher than 25%) were different across countries: mother’s educational level in 13 countries, sex of the child in 12 countries, household wealth in 11 countries, and place of residence in 8 countries (in some countries, more than one main contributor was identified). CONCLUSIONS: Factors related to socioeconomic status exert varied effects on the variability in U5M in sub-Saharan African countries. The findings provide evidence in support of prioritizing intersectoral interventions aiming at improving child survival in all subgroups of a population. BioMed Central 2019-06-14 /pmc/articles/PMC6570834/ /pubmed/31200681 http://dx.doi.org/10.1186/s12889-019-7111-8 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Van Malderen, Carine Amouzou, Agbessi Barros, Aluisio J. D. Masquelier, Bruno Van Oyen, Herman Speybroeck, Niko Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis |
title | Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis |
title_full | Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis |
title_fullStr | Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis |
title_full_unstemmed | Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis |
title_short | Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis |
title_sort | socioeconomic factors contributing to under-five mortality in sub-saharan africa: a decomposition analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570834/ https://www.ncbi.nlm.nih.gov/pubmed/31200681 http://dx.doi.org/10.1186/s12889-019-7111-8 |
work_keys_str_mv | AT vanmalderencarine socioeconomicfactorscontributingtounderfivemortalityinsubsaharanafricaadecompositionanalysis AT amouzouagbessi socioeconomicfactorscontributingtounderfivemortalityinsubsaharanafricaadecompositionanalysis AT barrosaluisiojd socioeconomicfactorscontributingtounderfivemortalityinsubsaharanafricaadecompositionanalysis AT masquelierbruno socioeconomicfactorscontributingtounderfivemortalityinsubsaharanafricaadecompositionanalysis AT vanoyenherman socioeconomicfactorscontributingtounderfivemortalityinsubsaharanafricaadecompositionanalysis AT speybroeckniko socioeconomicfactorscontributingtounderfivemortalityinsubsaharanafricaadecompositionanalysis |