Evidence map›Paper›PMID 25887409›Full record

ArticleBMC public health2015

Predictors for neonatal death in the rural areas of Shaanxi Province of Northwestern China: a cross-sectional study.

Chao Li, Hong Yan, Lingxia Zeng, Michael J Dibley, Duolao Wang

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Chao LiDepartment of Epidemiology and Health Statistics, Xi'an Jiaotong University Health Science Center, Xi'an, PR China. lichao.xjtu1985@stu.xjtu.edu.cn.
Hong YanDepartment of Epidemiology and Health Statistics, Xi'an Jiaotong University Health Science Center, Xi'an, PR China. xjtu_yh.paper@aliyun.com.
Lingxia ZengDepartment of Epidemiology and Health Statistics, Xi'an Jiaotong University Health Science Center, Xi'an, PR China. tjzlx@mail.xjtu.edu.cn.
Michael J DibleySchool of Public Health, University of Sydney, Room 307A, Edward Ford Building (A27), University of Sydney, Sydney, NSW, 2006, Australia. michael.dibley@sydney.edu.au.
Duolao WangDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. duolao.wang@lshtm.ac.uk.
Xi'an Jiaotong University · CNLiverpool School of Tropical Medicine · GBUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlmost all (99%) neonatal deaths arise in low-income and middle-income countries. Approximately 450 new-born children die every hour, which is mainly from preventable causes. There has been increased recognition of the need for these countries to implement public health interventions that specifically target neonatal deaths. The purpose of this paper is to identify the predictors of neonatal death in Type 4 rural (poorest) counties in Shaanxi Province of northwestern China.

methodsA cross-sectional study was conducted in Shaanxi Province, China. A single-stage survey design was identified to estimate standard errors. Because of concern about the complex sample design, the data were analysed using multivariate logistic regression analysis. Socioeconomic and maternal health service utilization factors were added into the model.

resultsDuring the study period, a total of 4750 women who delivered in the past three years were randomly selected for interview in the five counties. There were 4880 live births and 54 neonatal deaths identified. In the multiple logistic regression, the odds of neonatal death was significantly higher for multiparous women (OR = 2.77; 95% CI: 1.34, 5.70) and women who did not receive antennal health care in the first trimester of pregnancy (OR = 2.49; 95% CI: 1.41, 4.40). Women who gave birth in a county-level hospital (OR = 0.18; 95% CI: 0.04, 0.86) and had junior high school or higher education level (OR = 0.20; 95% CI: 0.05, 0.84) were significantly protected from neonatal death.

conclusionsPublic health interventions directed at reducing neonatal death should address the socioeconomic factors and maternal health service utilization, which significantly influence neonatal mortality in rural China. Multipara, low educational level of the women, availability of prenatal visits in the first trimester of pregnancy and hospital delivery should be considered when planning the interventions to reduce the neonatal mortality in rural areas.

Indexed as

Poverty AreasAdultChinaCross-Sectional StudiesFemaleHumansInfantInfant MortalityInfant, NewbornInterviews as TopicLogistic ModelsMaternal Health ServicesParityPerinatal DeathPregnancyPrenatal Care

Identifiers

PMID25887409
PMCPMC4403673
OpenAlexW2014085239

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.