ArticleBMC public health2017
The impact of income inequality and national wealth on child and adolescent mortality in low and middle-income countries.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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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.
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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.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Methods for Estimating Productivity Losses due to Illness or Caregiving in Low- and Middle-Income Countries.PharmacoEconomics · 2024Pooled it
- The association between income inequality and adult mental health at the subnational level-a systematic review.Social psychiatry and psychiatric epidemiology · 2022Pooled it
- Global Trends in Adolescent Health Inequalities and Their Social Determinants: A Bibliometric and Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Mortality amongst European children with congenital anomalies: Associations with socio-economic status in the EUROLINKCAT cohort.PloS one · 2026Observational
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- The cost of inaction on health equity and its social determinants.BMJ global health · 2024Review
- Association between light at night and the risk of child death in sub-saharan Africa: a cross-sectional analysis based on DHS data.BMC public health · 2023Article
- Home environmental change for child injury prevention in Nepal: A qualitative study.Journal of child health care : for professionals working with children in the hospital and community · 2023Article
- Impact of good governance, economic growth and universal health coverage on COVID-19 infection and case fatality rates in Africa.Health research policy and systems · 2022Article
- Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study.EClinicalMedicine · 2022Article
- Characteristics of Medically Transported Critically Ill Children with Respiratory Failure in Latin America: Implications for Outcomes.Journal of pediatric intensive care · 2022Article
- [Injury mortality among Chinese aged 5 to 24 years from 1990 to 2019].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2022Article
- Socioeconomic inequalities in adolescent health complaints: A multilevel latent class analysis in 45 countries.Current psychology (New Brunswick, N.J.) · 2022Article
- Changes in asset-based wealth across the life course in birth cohorts from five low- and middle-income countries.SSM - population health · 2021Article
- Global, regional, and national mortality among young people aged 10-24 years, 1950-2019: a systematic analysis for the Global Burden of Disease Study 2019.Lancet (London, England) · 2021Article
- Income inequality and non-communicable disease mortality and morbidity in Brazil States: a longitudinal analysis 2002-2017.Lancet regional health. Americas · 2021Article
- Taking the Test: A Qualitative Analysis of Cultural and Contextual Factors Impacting Neuropsychological Assessment of Xhosa-Speaking South Africans.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2021Article
- Socio-Cultural Constraints in Protecting Child Rights in a Society in Transition: A Review and Synthesis from Oman.Child indicators research · 2021Review
- Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015.Iranian journal of public health · 2020Article
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2 authors.
Funding
Abstract
backgroundIncome inequality and national wealth are strong determinants for health, but few studies have systematically investigated their influence on mortality across the early life-course, particularly outside the high-income world.
methodsWe performed cross-sectional regression analyses of the relationship between income inequality (national Gini coefficient) and national wealth (Gross Domestic Product (GDP) averaged over previous decade), and all-cause and grouped cause national mortality rate amongst infants, 1-4, 5-9, 10-14, 15-19 and 20-24 year olds in low and middle-income countries (LMIC) in 2012. Gini models were adjusted for GDP.
resultsData were available for 103 (79%) countries. Gini was positively associated with increased all-cause and communicable disease mortality in both sexes across all age groups, after adjusting for national wealth. Gini was only positively associated with increased injury mortality amongst infants and 20-24 year olds, and increased non-communicable disease mortality amongst 20-24 year old females. The strength of these associations tended to increase during adolescence. Increasing GDP was negatively associated with all-cause, communicable and non-communicable disease mortality in males and females across all age groups. GDP was also associated with decreased injury mortality in all age groups except 15-19 year old females, and 15-24 year old males. GDP became a weaker predictor of mortality during adolescence.
conclusionPolicies to reduce income inequality, rather than prioritising economic growth at all costs, may be needed to improve adolescent mortality in low and middle-income countries, a key development priority.
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