Ethnic differentials in under-five mortality in Nigeria
| العنوان: | Ethnic differentials in under-five mortality in Nigeria |
|---|---|
| المؤلفون: | Eunice N. S. Imasiku, Dorothy N. Ononokpono, Sunday A. Adedini, Clifford Odimegwu |
| المصدر: | Ethnicity & Health |
| بيانات النشر: | Informa UK Limited, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Adult, Male, Cultural Studies, inequality, Adolescent, Cross-sectional study, Population, Ethnic group, Nigeria, Developing country, under-five mortality, Young Adult, 03 medical and health sciences, Birth Intervals, 0302 clinical medicine, Arts and Humanities (miscellaneous), Infant Mortality, Ethnicity, Humans, Medicine, 030212 general & internal medicine, Marriage, 10. No inequality, education, Proportional Hazards Models, cultural practices, education.field_of_study, 030505 public health, business.industry, Infant, Newborn, 1. No poverty, Public Health, Environmental and Occupational Health, Infant, Articles, Middle Aged, Infant mortality, Child mortality, Birth order, Cross-Sectional Studies, Child, Preschool, Child Mortality, Female, Birth Order, 0305 other medical science, business, Live birth, Live Birth, Maternal Age, Demography |
| الوصف: | Objective. There are huge regional disparities in under-five mortality in Nigeria. While a region within the country has as high as 222 under-five deaths per 1000 live births, the rate is as low as 89 per 1000 live births in another region. Nigeria is culturally diverse as there are more than 250 identifiable ethnic groups in the country; and various ethnic groups have different sociocultural values and practices which could influence child health outcome. Thus, the main objective of this study was to examine the ethnic differentials in under-five mortality in Nigeria. Design. The study utilized 2008 Nigeria Demographic and Health Survey (NDHS) data. We analyzed data from a nationally representative sample drawn from 33,385 women aged 15–49 that had a total of 104,808 live births within 1993–2008. In order to examine ethnic differentials in under-five mortality over a sufficiently long period of time, our analysis considered live births within 15 years preceding the 2008 NDHS. The risks of death in children below age five were estimated using Cox proportional regression analysis. Results were presented as hazard ratios (HR) with 95% confidence intervals (CI). Results. The study found substantial differentials in under-five mortality by ethnic affiliations. For instance, risks of death were significantly lower for children of the Yoruba tribes (HR: 0.39, CI: 0.37–0.42, p < 0.001), children of Igbo tribes (HR: 0.58, CI: 0.55–0.61, p < 0.001) and children of the minority ethnic groups (HR: 0.66, CI: 0.64–0.68, p < 0.001), compared to children of the Hausa/Fulani/Kanuri tribes. Besides, practices such as plural marriage, having higher-order births and too close births showed statistical significance for increased risks of under-five mortality (p < 0.05). Conclusion. The findings of this study stress the need to address the ethnic norms and practices that negatively impact on child health and survival among some ethnic groups in Nigeria. |
| تدمد: | 1465-3419 1355-7858 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d8b7575bce92e4cce9f797309c794b5cTest https://doi.org/10.1080/13557858.2014.890599Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d8b7575bce92e4cce9f797309c794b5c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14653419 13557858 |
|---|