Contributing determinants of overall and wealth-related inequality in under-5 mortality in 13 African countries

Contributing determinants of overall and wealth-related inequality in under-5 mortality in 13 African countries

Objective: To investigate and compare the main determinants of overall inequality and wealth-related inequality in under-5 mortality in 13 African countries. Methods: Data from Demographic and Health Surveys conducted in 2007-2010 in African countries were used. The study assessed the contribution o...

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Veröffentlicht in:Journal of Epidemiology and Community Health (1979-). - BMJ Publishing Group Ltd. - 67(2013), 8, Seite 667-676
1. Verfasser: Van Malderen, Carine (VerfasserIn)
Weitere Verfasser: Van Oyen, Herman, Speybroeck, Niko
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2013
Zugriff auf das übergeordnete Werk:Journal of Epidemiology and Community Health (1979-)
Schlagworte:Social sciences Economics Behavioral sciences Education Biological sciences Health sciences
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520 |a Objective: To investigate and compare the main determinants of overall inequality and wealth-related inequality in under-5 mortality in 13 African countries. Methods: Data from Demographic and Health Surveys conducted in 2007-2010 in African countries were used. The study assessed the contribution of determinants to (1) overall inequality in under-5 mortality measured by the Gini index and (2) wealthrelated inequality in under-5 mortality measured by the concentration index. Techniques used were multivariate logistic regression and decomposition of Gini and concentration indexes. Results: Birth order and interval and region contributed the most to overall inequality in under-5 mortality in a majority of countries. A significant wealth-related inequality was observed in five countries: DRCongo, Egypt, Madagascar, Nigeria and Sao Tome & Principe. Overall, household wealth, father's occupation and mother's education contributed the most to this inequality, though the ranking of the most important determinants differed across countries. Conclusions: Assessing the contribution of determinants to overall inequality and to wealth-related inequality in under-5 mortality help in prioritising interventions aiming at improving child survival and equity. 
540 |a © 2013 BMJ Publishing Group 
650 4 |a Social sciences  |x Population studies  |x Mortality 
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700 1 |a Speybroeck, Niko  |e verfasserin  |4 aut 
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