ArticleBMC public health2019
Socioeconomic factors contributing to under-five mortality in sub-Saharan Africa: a decomposition analysis.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 2 of them syntheses that pooled it.
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Who cites it
81 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Under-five mortality and social determinants in africa: a systematic review.European journal of pediatrics · 2025Pooled it
- Anthropometric nutritional status of children (0-18 years) in South Africa 1997-2022: a systematic review and meta-analysis.Public health nutrition · 2023Pooled it
- Trial
- Approximation of the Cox survival regression model by MCMC Bayesian Hierarchical Poisson modelling of factors associated with childhood mortality in Nigeria.Scientific reports · 2021Trial
- Added value of an open narrative in verbal autopsies: a mixed-methods evaluation from Malawi.BMJ paediatrics open · 2021Trial
- Trial
- Investigating the persistence of infant mortality and the Matthew effect in post-Soviet countries: evidence from nonlinear and Fourier-based time-series methods.Primary health care research & development · 2026Article
- Economic development and under-five mortality: a global longitudinal analysis of lagged effects and between-country inequalities.BMC public health · 2026Article
- One-year mortality disparities between infants of unmarried and married families in South Korea: a large scale retrospective cohort study.Korean journal of family medicine · 2026Article
- Quantifying the attributable burden of economic inequality on under-five mortality across ten African countries: a WHO HEAT-based analysis.BMC public health · 2025Article
- Spatial distribution of mortality: evidence from DIMAMO HDSS, Limpopo Province, South Africa.BMC public health · 2025Article
- Hidden by national averages: Unveiling the complex dynamics of ethnic disparities in under-five survival across sub-Saharan Africa.SSM - population health · 2025Review
- Pregnancy reporting and biases in under-five mortality in three African HDSSs.Population studies · 2025Article
- Decomposing the gap in under-five mortality determinants between the low- and high-risk regions of Nigeria.Scientific reports · 2025Article
- Poverty and women's health in Somaliland: examining body mass index and maternal mortality.Journal of health, population, and nutrition · 2025Article
- Comparisons of cox semi-parametric and parametric shared frailty models: application for under-five children survival in sub-Saharan Africa.BMC public health · 2025Article
- Rural-urban differentials in women empowerment and experience of under-five mortality among mothers in Nigeria: a Multiple Indicator Survey analysis.BMC public health · 2025Article
- Is Iron Supplementation Associated with Infant Mortality in Sub-Saharan Africa and Does Birth Weight Modify These Associations?Nutrients · 2025Article
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- Review
21 more citing papers are in PubMed but not listed here.
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6 authors.
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Abstract
backgroundIn sub-Saharan Africa, socioeconomic factors such as place of residence, mother's educational level, or household wealth, are strongly associated with risk factors of under-five mortality (U5M) such as health behavior or exposure to diseases and injuries. The aim of the study was to assess the relative contribution of four known socioeconomic factors to the variability in U5M in sub-Saharan countries.
methodsThe study was based on birth histories from the Demographic and Health Surveys conducted in 32 sub-Saharan countries in 2010-2016. The relative contribution of sex of the child, place of residence, mother's educational level, and household wealth to the variability in U5M was assessed using a regression-based decomposition of a Gini-type index.
resultsThe Gini index - measuring the variability in U5M related to the four socioeconomic factors - varied from 0.006 (95%CI: 0.001-0.010) in Liberia 2013 to 0.034 (95%CI: 0.029-0.039) in Côte d'Ivoire 2011/12. The main contributors to the Gini index (with a relative contribution higher than 25%) were different across countries: mother's educational level in 13 countries, sex of the child in 12 countries, household wealth in 11 countries, and place of residence in 8 countries (in some countries, more than one main contributor was identified).
conclusionsFactors related to socioeconomic status exert varied effects on the variability in U5M in sub-Saharan African countries. The findings provide evidence in support of prioritizing intersectoral interventions aiming at improving child survival in all subgroups of a population.
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