Spatial modeling of geographic inequalities in infant and child mortality across Nepal

被引:31
作者
Chin, Brian [1 ]
Montana, Livia [2 ]
Basagana, Xavier [3 ]
机构
[1] Univ Penn, Ctr Populat Studies, Philadelphia, PA 19104 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
[3] Hosp del Mar, CIBER Epidemiol & Salud Publ CIBERESP, Municipal Inst Med Res IMIM, Ctr Res Environm Epidemiol CREAL, Barcelona 08003, Spain
关键词
Child mortality; Infant mortality; Spatial modeling; Geographic Information System (GIS); Proportional hazards; Nepal; PRECEDING BIRTH INTERVALS; UNDER-5; MORTALITY; SURVIVAL; DETERMINANTS; FRAILTY; ASSOCIATION; FRAMEWORK; TRENDS;
D O I
10.1016/j.healthplace.2011.04.006
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A survival regression model that allows for spatially correlated random effects is used to predict the hazard of dying among 12,714 children born between 1996 and 2006 in Nepal. The maps of fitted hazard rates show that even after accounting for individual and community-level covariates, a residual spatial pattern in infant mortality remains, with higher mortality concentrated in parts of Nepal's Far-Western and Mid-Western development regions. Results suggest a need to consider health policies and programs that reach children in spatially concentrated high-mortality areas. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:929 / 936
页数:8
相关论文
共 36 条
  • [11] Spatial patterns of infant mortality in Mali: The effect of malaria endemicity
    Gemperli, A
    Vounatsou, P
    Kleinschmidt, I
    Bagayoko, M
    Lengeler, C
    Smith, T
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 2004, 159 (01) : 64 - 72
  • [12] SOCIOECONOMIC, DEMOGRAPHIC AND ENVIRONMENTAL DETERMINANTS OF INFANT-MORTALITY IN NEPAL
    GUBHAJU, B
    STREATFIELD, K
    MAJUMDER, AK
    [J]. JOURNAL OF BIOSOCIAL SCIENCE, 1991, 23 (04) : 425 - 435
  • [13] Parametric frailty and shared frailty survival models
    Gutierrez, Roberto G.
    [J]. STATA JOURNAL, 2002, 2 (01) : 22 - 44
  • [14] DEMOGRAPHIC DETERMINANTS OF INFANT AND EARLY CHILD-MORTALITY - A COMPARATIVE-ANALYSIS
    HOBCRAFT, JN
    MCDONALD, JW
    RUTSTEIN, SO
    [J]. POPULATION STUDIES-A JOURNAL OF DEMOGRAPHY, 1985, 39 (03): : 363 - 385
  • [15] A geo-additive Bayesian discrete-time survival model and its application to spatial analysis of childhood mortality in Malawi
    Kandala, Ngianga-Bakwin
    Ghilagaber, Gebrenegus
    [J]. QUALITY & QUANTITY, 2006, 40 (06) : 935 - 957
  • [16] Katz J, 2003, B WORLD HEALTH ORGAN, V81, P717
  • [17] Spatial analysis of the relationship between early childhood mortality and malaria endemicity in Malawi
    Kazembe, Lawrence N.
    Appleton, Christopher C.
    Kleinschmidt, Immo
    [J]. GEOSPATIAL HEALTH, 2007, 2 (01) : 41 - 50
  • [18] Child mortality 30 years after the Alma-Ata Declaration
    Loaiza, Edilberto
    Wardlaw, Tessa
    Salama, Peter
    [J]. LANCET, 2008, 372 (9642) : 874 - 876
  • [19] WinBUGS - A Bayesian modelling framework: Concepts, structure, and extensibility
    Lunn, DJ
    Thomas, A
    Best, N
    Spiegelhalter, D
    [J]. STATISTICS AND COMPUTING, 2000, 10 (04) : 325 - 337
  • [20] *MENRIS ICIMOD, 2005, NEP ROAD NETW DAT FI