Association between ethnicity and under-5 mortality: analysis of data from demographic surveys from 36 low-income and middle-income countries
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1 mars 2020
info:eu-repo/semantics/openAccess , http://creativecommons.org/licenses/by/
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INTERNATIONAL_COMPARISON ETHNIC_GROUPS DEMOGRAPHIC_AND_HEALTH_SURVEYS_(DHS) INFANT_MORTALITY ETHNICITY CHILD_MORTALITYSujets proches
Patients--Mortality Mortality, Law ofCiter ce document
Cesar G. Victora et al., « Association between ethnicity and under-5 mortality: analysis of data from demographic surveys from 36 low-income and middle-income countries », Archined : l'archive ouverte de l'INED, ID : 10.1016/S2214-109X(20
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Background The UN Sustainable Development Goals (SDGs) call for stratification of social indicators by ethnic groups; however, no recent multicountry analyses on ethnicity and child survival have been done in low-income and middle-income countries (LMICs). Methods We used data from Demographic and Health Surveys and Multiple Indicator Cluster Surveys collected between 2010 and 2016, from LMICs that provided birth histories and information on ethnicity or a proxy variable. We calculated neonatal (age 0–27 days), post-neonatal (age 28–364 days), child (age 1–4 years), and under-5 mortality rates (U5MRs) for each ethnic group within each country. We assessed differences in mortality between ethnic groups using a likelihood ratio test, Theil's index, and between-group variance. We used multivariable analyses of U5MR by ethnicity to adjust for household wealth, maternal education, and urban–rural residence. Findings We included data from 36 LMICs, which included 2 812 381 livebirths among 415 ethnic groups. In 25 countries, significant differences in U5MR by ethnic group were identified (all p