Levels, Trends, and Factors Associated with Under-5 Excess Mortality among Twins in Sub-Saharan Africa: Studies of National Surveys from 42 Countries
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6 décembre 2021
- handle: 10670/1.jc0juj
info:eu-repo/semantics/openAccess
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SUB-SAHARAN_AFRICA MORTALITY DEMOGRAPHIC_AND_HEALTH_SURVEYS_(DHS) DIFFERENTIAL_MORTALITY TWINSSujets proches
Patients--Mortality Mortality, Law ofCiter ce document
Adama Ouédraogo et al., « Levels, Trends, and Factors Associated with Under-5 Excess Mortality among Twins in Sub-Saharan Africa: Studies of National Surveys from 42 Countries », Archined : l'archive ouverte de l'INED, ID : 10670/1.jc0juj
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Twin children are more likely to die than singletons. In sub-Saharan African countries, this is an additional burden, as child mortality levels are already higher than anywhere else.This article presents under-5 mortality rates (U5MR) for twins and singletons in sub-Saharan Africa from 1986 to 2016. It describes the geographical variations and changes over time. It also describes the variation of twins’ excess mortality according to age, between 0 and 5 years old. Moreover, it analyses the factors associated with twins’ excess mortality. We used data from 156 national surveys (Demographic and Health Surveys (DHS) & Multiple Indicator Cluster Survey) from 42 countries. The findings show that U5MR are, on average, 3 times higher among twins compared to singletons. The multivariate results show that, all else being equal, the adjusted Hazard Ratio (HRa) of twins is 3.2 times higher (2.9 -3.3; p