Association of household demographic variables with child mortality in Cote d'Ivoire
Association of household demographic variables with child mortality in Cote d'Ivoire
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DOI：
10.1017/s0021932006001301
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发表时间：
2007-03-01
影响因子：
1.5
通讯作者：
Takano, Takehito
中科院分区：
文献类型：
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作者：
Andoh, Samuel Y.;Umezaki, Masahiro;Takano, Takehito
使用西非科特迪瓦1998年人口与健康调查(DHS)的数据，调查了家庭人口变量与五岁以下儿童死亡率之间的关系。在调查前5年期间，被调查人口中的妇女所生的1992个孩子中，260人(13%)已经死亡，1732人(87%)在调查时还活着。Logistic回归分析表明，儿童的性别、出生间隔和母亲的职业与儿童的生存状况有关。在调整其影响后，家庭人口统计变量(即家庭成员数量、5岁以下家庭成员数量[HM-5Y]、5岁或5岁以上家庭成员数量[HM+5Y]、HM-5Y在所有家庭成员中的比例以及HM-5Y与HM+5Y的比例)显示与儿童的生存状况有关。这项研究洞察了家庭内儿童之间的竞争以及是否有照顾者作为儿童生存的潜在决定因素的影响。结果表明，改善托儿环境和生殖干预对于降低西非国家的儿童死亡率是必要的。
The associations between household demographic variables and mortality of children aged less than five years were investigated using data from the 1998 Demographic and Health Survey (DHS) of the Republic of C (o) over cap te d'Ivoire, Western Africa. Of the total of 1992 children born to women included in the study population during the 5-year period preceding the survey, 260 (13%) had died and 1732 (87%) were alive at the time of the survey. Logistic regression analyses used to compare biosocial variables between the deceased and living children showed that the sex of the child, birth interval and mother's occupation were associated with child's survival status. After adjusting for their effects, household demographic variables (i.e. number of household members, number of household members under 5 years [HM-5Y], number of household members 5 years or older [HM+5Y], the proportion of HM-5Y among all household members, and the ratio of HM-5Y to HM+5Y) were shown to be associated with the child's survival status. This study provided insight into the effects of intra-household competition among children and availability of care-givers as potential determinants of child survival. The results indicate that improvement of the childcare environment and reproductive intervention are necessary to reduce child mortality in West African countries.