ArticleGlobal health action2013
Relationship between household socio-economic status and under-five mortality in Rufiji DSS, Tanzania.
Article in Global health action, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Prediction of under-five mortality using supervised machine learning algorithms in the 23 sub-Sharan African countries.Scientific reports · 2026Article
- Influence of demographic, socioeconomic and geographical variability on children under-five mortality in The Gambia: an application of survival analysis.BMJ public health · 2024Article
- Factors associated with under-five mortality in Rwanda: An analysis of the Rwanda Demographic and Health Survey 2020.PLOS global public health · 2024Article
- Bayesian multilevel modelling of the association between socio-economic status and stunting among under-five-year children in Tanzania.Journal of health, population, and nutrition · 2023Article
- Determinants of infant mortality in Oromia region, Ethiopia.Annals of medicine and surgery (2012) · 2023Article
- How Poor Is Your Sample? A Simple Approach for Estimating the Relative Economic Status of Small and Nonrepresentative Samples.Global health, science and practice · 2023Article
- Determinant factors of under-five mortality in rural Ethiopia.Annals of medicine and surgery (2012) · 2022Article
- The factors associated with under-five mortality in Ethiopia.Annals of medicine and surgery (2012) · 2022Article
- Geographic and socioeconomic inequalities in the survival of children under-five in Nigeria.Scientific reports · 2022Article
- Socio-demographic and environmental risk factors associated with multiple under-five child loss among mothers in Bangladesh.BMC pediatrics · 2021Article
- Under-5 mortality in sub-Saharan Africa: is maternal age at first childbirth below 20 years a risk factor?BMJ open · 2021Article
- Maternal age at first childbirth and under-five morbidity in sub-Saharan Africa: analysis of cross-sectional data of 32 countries.Archives of public health = Archives belges de sante publique · 2021Article
- Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013-2017) from nine countries.Tropical medicine and health · 2021Article
- Article
- Health Inequalities in Under-Five Mortality: An Assessment of Empowered Action Group (EAG) States of India.Journal of health economics and outcomes research · 2020Article
- Article
- Inequalities in early childhood mortality in Myanmar - Association between parents' socioeconomic status and early childhood mortality.Global health action · 2019Article
- Socioeconomic and environmental determinants of under-five mortality in Gamo Gofa Zone, Southern Ethiopia: a matched case control study.BMC international health and human rights · 2018Article
- Caregiver delay in seeking healthcare during the acute phase of pediatric illness, Kigali, Rwanda.The Pan African medical journal · 2018Article
- Socioeconomic inequalities in under-five mortality in rural Bangladesh: evidence from seven national surveys spreading over 20 years.International journal for equity in health · 2017Article
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3 authors.
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Abstract
backgroundDisparities in health outcomes between the poor and the better off are increasingly attracting attention from researchers and policy makers. However, policies aimed at reducing inequity need to be based on evidence of their nature, magnitude, and determinants.
objectivesThe study aims to investigate the relationship between household socio-economic status (SES) and under-five mortality, and to measure health inequality by comparing poorest/least poor quintile mortality rate ratio and the use of a mortality concentration index. It also aims to describe the risk factors associated with under-five mortality at Rufiji Demographic Surveillance Site (RDSS), Tanzania.
methodsThis analytical cross sectional study included 11,189 children under-five residing in 7,298 households in RDSS in 2005. Principal component analysis was used to construct household SES. Kaplan-Meier survival incidence estimates were used for mortality rates. Health inequality was measured by calculating and comparing mortality rates between the poorest and least poor wealth quintile. We also computed a mortality concentration index. Risk factors of child mortality were assessed using Poisson regression taking into account potential confounders.
resultsUnder-five mortality was 26.9 per 1,000 person-years [95% confidence interval (CI) (23.7-30.4)]. The poorest were 2.4 times more likely to die compared to the least poor. Our mortality concentration index [-0.16; 95% CI (-0.24, -0.08)] indicated considerable health inequality. Least poor households had a 52% reduced mortality risk [incidence rate ratio (IRR) = 0.48; 95% CI 0.30-0.80]. Furthermore, children with mothers who had attained secondary education had a 70% reduced risk of dying compared to mothers with no education [IRR = 0.30; 95% CI (0.22-0.88)].
conclusionHousehold socio-economic inequality and maternal education were associated with under-five mortality in the RDSS. Targeted interventions to address these factors may contribute towards accelerating the reduction of child mortality in rural Tanzania.
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