ArticleSage open pediatrics
Determinants of Under-five Mortality in Vietnam: Evidence From a Nationwide Survey.
Article in Sage open pediatrics. 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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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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Authors and funding
10 authors.
Funding
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Abstract
Objective: To examine biological, maternal, and socio-cognitive determinants of under-five mortality in Vietnam using nationally representative data. Methods: This retrospective study analyzed data from the Vietnam Multiple Indicator Cluster Survey 2020-2021, including 4,475 children under five. Bayesian Model Averaging reduced redundancy among correlated predictors and addressed model uncertainty before multivariable logistic regression identified independent predictors. Results: Multiple birth was the strongest risk factor (adjusted odds ratio [aOR] 8.37, 95% CI 4.35-15.87; P<0.001). Receiving prenatal care from a doctor was strongly protective and was associated with a 64% lower odds of death (aOR 0.36, 95% CI 0.25-0.52; P<0.001). Birth interval of at least 4 years, maternal age ≥35 years, and maternal digital connectivity were also associated with better survival. Conclusion: These findings highlight biological vulnerability and modifiable social determinants of child survival in Vietnam, supporting targeted interventions for high-risk births and equitable access to quality maternal and newborn care.
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