Evidence map›Paper›PMID 32566965›Full record

ArticleInternational journal of public health2020

Inequalities in cause-specific mortality in children and adolescents in the Moramanga health survey, Madagascar.

Rila Ratovoson, Bruno Masquelier, Todisoa Andriatahina, Reziky Mangahasimbola, Zo Andrianirina, Gilles Pison, Laurence Baril

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Article in International journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
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

7 authors.

Rila RatovosonEpidemiology and Clinical Research Unit, Institut Pasteur de Madagascar, Ambatofotsikely Avaradoha, Po Box 1274, 101, Antananarivo, Madagascar. rilaratov@gmail.com.ORCID http://orcid.org/0000-0002-3867-6343
Bruno MasquelierUR 15 DEMOSUD, Institut national d'études démographiques, Paris, France.
Todisoa AndriatahinaPediatric Unit, District Hospital, Moramanga, Madagascar.
Reziky MangahasimbolaEpidemiology and Clinical Research Unit, Institut Pasteur de Madagascar, Ambatofotsikely Avaradoha, Po Box 1274, 101, Antananarivo, Madagascar.
Zo AndrianirinaPediatric and Neonatal Unit, Soavinandriana Hospital, Antananarivo, Madagascar.
Gilles PisonUR 15 DEMOSUD, Institut national d'études démographiques, Paris, France.
Laurence BarilEpidemiology and Clinical Research Unit, Institut Pasteur de Madagascar, Ambatofotsikely Avaradoha, Po Box 1274, 101, Antananarivo, Madagascar.

Funding

European Commission RIA: 2016E-1612European Commission RIA: 2016V-1637France Expertise International Mission n°12INI109Horizon 2020 Marie Sklodowska-Curie grant agreement N° 690984 DEMOSTAF projectUnited States Agency for International Development AID-687-G-13-00003
6 · The paper itself

Abstract

objectivesOne child or young adolescent dies every 10 min in Madagascar and large disparities in survival persist. We estimated cause-specific mortality in a cohort of children aged 0-14 in the Moramanga district and explored how causes of death shape these inequalities.

methodsChildren were followed prospectively between 2012 and 2017. Causes of death were established based on verbal autopsies. Incidence rate ratios were estimated in Poisson regression models.

resultsThe risk of dying before age 15 was 68.1 per thousand live births. Risks of dying were highest in the first year of life (31.2‰) and lowest in children aged 10-14 (6.4‰). The male-to-female sex ratios of mortality increased with age and reached 2.3 among adolescents aged 10-14. Communicable, nutritional and neonatal causes accounted for 79.5% of deaths below age 5 and 47.0% above age 5. Mortality was positively associated with household poverty, lack of education of the household head, and rural residence.

conclusionsInterventions should be designed with an equity lens to reduce large disparities in survival and be tailored to the needs of each age-group.

Indexed as

Cause of DeathChild MortalityHealth Status DisparitiesAdolescentChildChild, PreschoolCohort StudiesFamily CharacteristicsFemaleHealth SurveysHumansInfantInfant, NewbornMadagascarMaleMortalityChild mortalityLow-income countriesMadagascarRural areaUrban areaVerbal autopsy

Identifiers

PMID32566965

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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.