Contextual socioeconomic factors associated with childhood mortality in Nigeria: a multilevel analysis.

Abstract:

BACKGROUND:Childhood mortality is a well-known public health issue, particularly in the low and middle income countries. The overarching aim of this study was to examine whether neighbourhood socioeconomic disadvantage is associated with childhood mortality beyond individual-level measures of socioeconomic status in Nigeria. METHODS:Multilevel logistic regression models were applied to data on 31 482 under-five children whether alive or dead (level 1) nested within 896 neighbourhoods (level 2) from the 37 states in Nigeria (level 3) using the most recent 2013 Nigeria Demographic and Health Survey (DHS). RESULTS:More than 1 of every 10 children studied had died before reaching the age of 5 years (130/1000 live births). The following factors independently increased the odds of childhood mortality: male sex, mother's age at 15-24 years, uneducated mother or low maternal education attainment, decreasing household wealth index at individual level (level 1), residing in rural area and neighbourhoods with high poverty rate at level 2. There were significant neighbourhoods and states clustering in childhood mortality in Nigeria. CONCLUSIONS:The study provides evidence that individual-level and neighbourhood-level socioeconomic conditions are important correlates of childhood mortality in Nigeria. The findings of this study also highlight the need to implement public health prevention strategies at the individual level, as well as at the area/neighbourhood level. These strategies include the establishment of an effective publicly funded healthcare system, as well as health education and poverty alleviation programmes.

authors

Adekanmbi VT,Kandala NB,Stranges S,Uthman OA

doi

10.1136/jech-2015-205457

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1102-8

issue

11

eissn

0143-005X

issn

1470-2738

pii

jech-2015-205457

journal_volume

69

pub_type

杂志文章
  • Mental health benefits of interactions with nature in children and teenagers: a systematic review.

    abstract:BACKGROUND:It is commonly believed that nature has positive impacts on children's health, including physical, mental and social dimensions. This review focuses on how accessibility to, exposure to and engagement with nature affects the mental health of children and teenagers. METHODS:Ten academic databases were used t...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech-2018-210436

    authors: Tillmann S,Tobin D,Avison W,Gilliland J

    更新日期:2018-10-01 00:00:00

  • Children's neighbourhood physical environment and early development: an individual child level linked data study.

    abstract:BACKGROUND:Identification of features of the neighbourhood physical environment that have a causal association with positive child development is important for promoting long-term developmental health. Previous research on these associations have been conducted at the neighbourhood level, and do not account for individ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech-2019-212686

    authors: Bell MF,Turrell G,Beesley B,Boruff B,Trapp G,Zubrick SR,Christian HE

    更新日期:2020-04-01 00:00:00

  • Sense of coherence and psychiatric morbidity: a 19-year register-based prospective study.

    abstract:BACKGROUND:Most prospective studies on the relationship between sense of coherence (SOC) and mental health have been conducted using subjective health indicators and short-term follow-ups. The objective of this prospective occupational cohort study was to examine whether a strong sense of coherence is a protective fact...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.2008.083352

    authors: Kouvonen AM,Väänänen A,Vahtera J,Heponiemi T,Koskinen A,Cox SJ,Kivimäki M

    更新日期:2010-03-01 00:00:00

  • Evidence based educational outreach visits: effects on prescriptions of non-steroidal anti-inflammatory drugs.

    abstract:AIMS:To evaluate the effectiveness of an evidence based group educational outreach visit on prescription patterns of non-steroidal anti-inflammatory drugs (NSAIDs) in primary care. DESIGN:Randomised controlled simple blind trial, with randomisation into three groups: experimental (evidence based educational outreach v...

    journal_title:Journal of epidemiology and community health

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/jech.56.9.653

    authors: Bernal-Delgado E,Galeote-Mayor M,Pradas-Arnal F,Peiró-Moreno S

    更新日期:2002-09-01 00:00:00

  • Relation between leisure time exercise and cardiovascular risk factors among 15-year-olds in eastern Finland.

    abstract:STUDY OBJECTIVE:To examine the associations between frequency of leisure time exercise and cardiovascular risk factors in adolescents. DESIGN:Cross sectional survey carried out over a 3 month period in 1984. SETTING:All 24 schools in North Karelia province and 16 randomly selected schools in Kuopio province. PARTICI...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.43.3.228

    authors: Marti B,Vartiainen E

    更新日期:1989-09-01 00:00:00

  • Selection and mortality differentials.

    abstract::The Office of Population Censuses and Surveys Longitudinal Study provides reliable mortality data by a much wider range of characteristics than are available for other national sources. Although it is based on only a 1% sample of the population, it broadens the scope of mortality analysis and permits study of changes ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.36.2.69

    authors: Fox AJ,Goldblatt PO,Adelstein AM

    更新日期:1982-06-01 00:00:00

  • Depression and early retirement: prospective population based study in middle aged men.

    abstract:BACKGROUND:Mental depression is an important health problem in many countries. It reduces productivity at work and is the fastest increasing reason for early retirement. METHODS:This study followed up a Finnish cohort of 1726 men from 1984 to 2000. Depression was assessed at baseline by HPL depression score. Pension r...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.2003.010702

    authors: Karpansalo M,Kauhanen J,Lakka TA,Manninen P,Kaplan GA,Salonen JT

    更新日期:2005-01-01 00:00:00

  • Adherence to healthy lifestyles and incidence of diabetes and mortality among individuals with diabetes: a systematic review and meta-analysis of prospective studies.

    abstract:INTRODUCTION:Lifestyle factors in combination have been hypothesised to be associated with the prevention of type 2 diabetes (T2D) and mortality among individuals with T2D. The aim was to conduct a systematic review and meta-analysis to quantify the association between lifestyle indices and incident T2D as well as mort...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章,meta分析

    doi:10.1136/jech-2019-213415

    authors: Schlesinger S,Neuenschwander M,Ballon A,Nöthlings U,Barbaresko J

    更新日期:2020-05-01 00:00:00

  • Changing levels of local crime and mental health: a natural experiment using self-reported and service use data in Scotland.

    abstract:BACKGROUND:This study contributes robust evidence on the association between mental health and local crime rates by showing how changing exposure to small area-level crime relates to self-reported and administrative data on mental health. METHODS:The study sample comprised 112 251 adults aged 16-60 years, drawn from t...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech-2020-213837

    authors: Baranyi G,Cherrie M,Curtis SE,Dibben C,Pearce J

    更新日期:2020-10-01 00:00:00

  • How much downside? Quantifying the relative harm from tobacco taxation.

    abstract:OBJECTIVE:To estimate the loss of life expectancy attributable to tobacco taxation (via financial hardship and flow-on health effect) in New Zealand. DESIGN:Data were used on the gradients in life expectancy and smoking by neighbourhood socioeconomic deprivation and survey data on tobacco expenditure. Three estimates ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.2003.011528

    authors: Wilson N,Thomson G,Tobias M,Blakely T

    更新日期:2004-06-01 00:00:00

  • Association of sexual problems with social, psychological, and physical problems in men and women: a cross sectional population survey.

    abstract:STUDY OBJECTIVE:To investigate the association of sexual problems with social, physical, and psychological problems. DESIGN:An anonymous postal questionnaire survey. SETTING:Four general practices in England. PARTICIPANTS:789 men and 979 women responding to a questionnaire sent to a stratified random sample of the a...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.53.3.144

    authors: Dunn KM,Croft PR,Hackett GI

    更新日期:1999-03-01 00:00:00

  • Utility of indices of gun availability in the community.

    abstract:OBJECTIVE:To estimate the degree to which the proportion of homicides and suicides committed with a gun is associated with reported availability of firearms across Chicago neighbourhoods. METHODS:Data were collected as part of the Project on Human Development in Chicago Neighborhoods (PHDCN), a combined neighbourhood ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.2005.039149

    authors: Shenassa ED,Daskalakis C,Buka SL

    更新日期:2006-01-01 00:00:00

  • Global health equity: evidence for action on the social determinants of health.

    abstract::More than 30 years ago, the older of us published a paper with the proposal that all scientific papers should start with a statement along the lines of: "These are the opinions on which I base my facts". Why pretend? To take a topical example, if you are on the nature side of the nature/nurture debates, is it likely t...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.2008.081695

    authors: Marmot M,Friel S

    更新日期:2008-12-01 00:00:00

  • How complete and accurate are cancer registrations notified by the National Health Service Central Register for England and Wales?

    abstract:STUDY OBJECTIVE:To assess the completeness and accuracy of notification of cancers by the National Health Service Central Register (NHSCR) for England and Wales. DESIGN:Comparison of 720 cancer registrations ascertained from NHSCR up to May 1999 with those ascertained for the same cohort from six other sources and a p...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.55.6.414

    authors: Dickinson HO,Salotti JA,Birch PJ,Reid MM,Malcolm A,Parker L

    更新日期:2001-06-01 00:00:00

  • Neighbourhood deprivation and incidence of coronary heart disease: a multilevel study of 2.6 million women and men in Sweden.

    abstract:STUDY OBJECTIVE:To examine whether neighbourhood deprivation predicts incidence rates of coronary heart disease, beyond age and individual income. DESIGN:Follow up study from 31 December 1995 to 31 December 1999. Women and men were analysed separately with respect to incidence rates of coronary heart disease. Multilev...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.58.1.71

    authors: Sundquist K,Malmström M,Johansson SE

    更新日期:2004-01-01 00:00:00

  • Trends and predictors in all-cause and cause-specific mortality in diabetic and reference populations during 21 years of follow-up.

    abstract:BACKGROUND:Patients with diabetes mellitus (DM) have a markedly higher overall mortality from coronary heart disease (CHD), as well as many other causes of death like cancer. Since diabetes is a multisystem disease, this fact together with the increased lifespan among individuals with diabetes may also lead to the emer...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech-2019-213602

    authors: Niskanen L,Partonen T,Auvinen A,Haukka J

    更新日期:2020-11-01 00:00:00

  • Migraine and non-migrainous headaches. A community survey in Jerusalem.

    abstract::The epidemiology of migraine and non-migrainous headaches (NMH) was investigated in a community survey in a neighbourhood of western Jerusalem in 1969-71. Diagnoses were based on histories taken by physicians. Prevalence rates among persons aged 15 and over were 10.1% for migraine (including classical migraine, 2.1%) ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.34.3.188

    authors: Abramson JH,Hopp C,Epstein LM

    更新日期:1980-09-01 00:00:00

  • The use of expensive technologies instead of simple, sound and effective lifestyle interventions: a perpetual delusion.

    abstract::A dangerous distortion of priorities seems to be currently apparent in the dominant approaches to major public health problems, including cardiovascular disease, diabetes, obesity, cancer and some infectious diseases. Relevant examples suggest an apparently inappropriate tendency to prioritise technocratic, partial so...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章,评审

    doi:10.1136/jech-2014-203884

    authors: Carlos S,de Irala J,Hanley M,Martínez-González MÁ

    更新日期:2014-09-01 00:00:00

  • Changes in autonomy, job demands and working hours after diagnosis of chronic disease: a comparison of employed and self-employed older persons using the English Longitudinal Study of Ageing (ELSA).

    abstract:BACKGROUND:Modifications in working conditions can accommodate changing needs of chronically ill persons. The self-employed may have more possibilities than employees to modify their working conditions. We investigate how working conditions change following diagnosis of chronic disease for employed and self-employed ol...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech-2017-210328

    authors: Fleischmann M,Carr E,Xue B,Zaninotto P,Stansfeld SA,Stafford M,Head J

    更新日期:2018-10-01 00:00:00

  • The incidence of cancer in schizophrenic patients.

    abstract::A cohort of 6168 schizophrenic patients was followed from 1957 to 1984 to determine the incidence of cancer in these patients. In the male schizophrenic patients the incidence of cancer was found to be significantly reduced in comparison with the general Danish population. This reduction was especially marked for canc...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.43.1.43

    authors: Mortensen PB

    更新日期:1989-03-01 00:00:00

  • Leukaemia and childhood cancer in twins.

    abstract::Data from the United Kingdom on childhood leukaemia and childhood cancer in twins and from the United States on leukaemia in twins are analysed by a new method. The method distinguishes determinants occurring before the stage of pregnancy corresponding with the cleavage of MZ pairs, from determinants occurring after t...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.38.1.12

    authors: Knox EG,Marshall T,Barling R

    更新日期:1984-03-01 00:00:00

  • Peer status in school and adult disease risk: a 30-year follow-up study of disease-specific morbidity in a Stockholm cohort.

    abstract:BACKGROUND:Children have a social status position of their own, apart from that of the family, that may have an impact on short-term and long-term health. The aim of the present study was to analyse the associations between childhood social status in school (ie, peer status) and disease-specific morbidity in adulthood....

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.2009.088377

    authors: Almquist Y

    更新日期:2009-12-01 00:00:00

  • Standardisation of laboratories engaged in lipid analyses of population health examination surveys.

    abstract:BACKGROUND:Reliable data on clinical biomarkers are necessary in order to assess the health risks of populations and especially in assessing long-term trends related to disease incidence. METHODS:Ten European laboratories participated in a two-phase quality control exercise of total cholesterol (TC) and high-density l...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech-2018-210763

    authors: Alfthan G,Sundvall J,Råman L,Kuulasmaa K,Tolonen H,European Health Examination Survey Pilot Project.

    更新日期:2018-07-01 00:00:00

  • Impact of prenatal diagnosis by ultrasound on the prevalence of congenital anomalies at birth in southern France.

    abstract:STUDY OBJECTIVE:The aims were (1) to assess whether termination of pregnancy after prenatal screening by ultrasound affected the prevalence of congenital anomalies at birth, and (2) to examine the trend of this pattern over time. DESIGN:This study deals with congenital anomalies, possibly detectable prenatally or at b...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.48.3.290

    authors: Julian-Reynier C,Philip N,Scheiner C,Aurran Y,Chabal F,Maron A,Gombert A,Aymé S

    更新日期:1994-06-01 00:00:00

  • Analysis of completed reproductive histories: a cautionary tale.

    abstract::Recent authors have suggested that cross-sectional studies of adverse outcome of pregnancy are misleading, and that the only valid method of analysis controls for eventual number of pregnancies. The present study shows, by simple examples, that such a method produces results that cannot be interpreted in the way claim...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.37.1.78

    authors: Golding J,Butler NR,Newcombe RG

    更新日期:1983-03-01 00:00:00

  • Cerebral palsy: social class differences in prevalence in relation to birthweight and severity of disability.

    abstract:STUDY OBJECTIVE:The aim of the study was to examine the possible influence of social class on the prevalence of cerebral palsy. DESIGN:The study was a retrospective population based survey of all cases of cerebral palsy. SETTING:The study involved all cases of cerebral palsy born to residents in the Eastern Health Bo...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.44.3.191

    authors: Dowding VM,Barry C

    更新日期:1990-09-01 00:00:00

  • Extreme temperatures and paediatric emergency department admissions.

    abstract:BACKGROUND:Children are particularly vulnerable to the effects of extreme temperatures. OBJECTIVE:To examine the relationship between extreme temperatures and paediatric emergency department admissions (EDAs) in Brisbane, Australia, during 2003-2009. METHODS:A quasi-Poisson generalised linear model combined with a di...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech-2013-202725

    authors: Xu Z,Hu W,Su H,Turner LR,Ye X,Wang J,Tong S

    更新日期:2014-04-01 00:00:00

  • Improved functional status in 16 years of follow up of middle aged and elderly men and women in north eastern Finland.

    abstract:STUDY OBJECTIVE:To investigate age, period, and cohort effects on functional status. DESIGN:A prospective cohort study with measurements in 1981, 1990, and 1996. SETTING:Three municipalities in north east Finland. PARTICIPANTS:A regionally representative sample of 19 to 63 year old men and women was drawn from the c...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.56.12.905

    authors: Malmberg JJ,Miilunpalo SI,Vuori IM,Pasanen ME,Oja P,Haapanen-Niemi NA

    更新日期:2002-12-01 00:00:00

  • Respiratory conditions: effect of housing and other factors.

    abstract::The public health movement has been concerned with the relation between housing and health for well over a century. Nevertheless the Black Report still identified housing as one of the major causes of ill-health and suggested, on one indicator at least, that council housing is the least healthy form of tenure. An expl...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.39.1.15

    authors: McCarthy P,Byrne D,Harrisson S,Keithley J

    更新日期:1985-03-01 00:00:00

  • Family building in parents with Down's syndrome children.

    abstract::Fertility and contraceptive practice were examined by interview with parents of 100 Down's syndrome patients. Before the birth of the affected child, fertility was low by comparison with that in married women in the general population, and to this the socioeconomic class bias in the sample is thought to be contributor...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章

    doi:10.1136/jech.40.2.154

    authors: Boon AR

    更新日期:1986-06-01 00:00:00