Evidence map›Paper›PMID 26184248›Full record

ArticleInternational journal of environmental research and public health2015

Levels of Urbanization and Parental Education in Relation to the Mortality Risk of Young Children.

Hsin-Sheng Fang, Wei-Ling Chen, Chiu-Ying Chen, Chun-Hua Jia, Chung-Yi Li, Wen-Hsuan Hou

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Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hsin-Sheng FangSchool of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. oneal0831@yahoo.com.tw.
Wei-Ling ChenDepartment of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei 10845, Taiwan. ivy2657356@hotmail.com.
Chiu-Ying ChenDepartment of Public Health, College of Public Health, China Medical University, Taichung 40454, Taiwan. chence@mail.cmu.edu.tw.
Chun-Hua JiaSchool of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029, China. jiachunhua125@163.com.
Chung-Yi LiDepartment of Public Health, College of Public Health, China Medical University, Taichung 40454, Taiwan. chence@mail.cmu.edu.tw.
Wen-Hsuan HouMaster Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan. houwh@tmu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe establishment of the National Health Insurance program in Taiwan in 1995 effectively removed the financial barrier to access health care services of Taiwanese people. This population-based cohort study aimed to determine the independent and joint effects of parental education and area urbanization on the mortality risk among children under the universal health insurance coverage in Taiwan since 1995.

methodsWe linked 1,501,620 births from 1996 to 2000 to the Taiwan Death Registry to estimate the neonatal, infant, and under-five mortality rates, according to the levels of parental education and urbanization of residential areas. We used a logistic regression model that considers data clustering to estimate the independent and joint effects.

resultsLower levels of parental education and area urbanization exerted an independent effect of mortality on young children, with a stronger magnitude noted for areas with lower levels of urbanization. Children whose parents had lower levels of education and who were born in areas with lower levels of urbanization experienced the highest risk for neonatal (odds ratio (OR) = 1.60, 95% CI = 1.46-1.76), infant (OR = 1.58, 95% CI = 1.48-1.70), and under-five (OR = 1.71, 95% CI = 1.61-1.82) mortality.

conclusionsEven with universal health insurance coverage, lower levels of area urbanization and parental education still exerted independent and joint effects on mortality in young children. This finding implies the inadequate accessibility to health care resources for children from socially disadvantaged families and less urbanized areas.

Indexed as

Child MortalityHealth Knowledge, Attitudes, PracticeInfant MortalityUrbanizationAsian PeopleChildCohort StudiesFemaleHumansInfantLogistic ModelsMaleNational Health ProgramsOdds RatioParentsRegistriescohort studiesinfant mortalityneonatal mortalitysocioeconomic statusunder-five mortality

Identifiers

PMID26184248
PMCPMC4515684

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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.