Inequalities in cause-specific mortality in children and adolescents in the Moramanga health survey, Madagascar.
Int J Public Health
; 65(6): 781-790, 2020 Jul.
Article
en En
| MEDLINE
| ID: mdl-32566965
ABSTRACT
OBJECTIVES:
One child or young adolescent dies every 10 min in Madagascar and large disparities in survival persist. We estimated cause-specific mortality in a cohort of children aged 0-14 in the Moramanga district and explored how causes of death shape these inequalities.METHODS:
Children were followed prospectively between 2012 and 2017. Causes of death were established based on verbal autopsies. Incidence rate ratios were estimated in Poisson regression models.RESULTS:
The risk of dying before age 15 was 68.1 per thousand live births. Risks of dying were highest in the first year of life (31.2) and lowest in children aged 10-14 (6.4). The male-to-female sex ratios of mortality increased with age and reached 2.3 among adolescents aged 10-14. Communicable, nutritional and neonatal causes accounted for 79.5% of deaths below age 5 and 47.0% above age 5. Mortality was positively associated with household poverty, lack of education of the household head, and rural residence.CONCLUSIONS:
Interventions should be designed with an equity lens to reduce large disparities in survival and be tailored to the needs of each age-group.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
Problema de salud:
1_acesso_equitativo_servicos
/
1_desigualdade_iniquidade
/
2_cobertura_universal
/
2_muertes_prevenibles
Asunto principal:
Causas de Muerte
/
Mortalidad del Niño
/
Disparidades en el Estado de Salud
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Patient_preference
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Región como asunto:
Africa
Idioma:
En
Revista:
Int J Public Health
Asunto de la revista:
SAUDE PUBLICA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Madagascar