THE BUTAJIRA-RURAL-HEALTH-PROJECT IN ETHIOPIA - A NESTED CASE-REFERENT (CONTROL) STUDY OF UNDER-5 MORTALITY AND ITS HEALTH AND BEHAVIORAL DETERMINANTS

被引:13
作者
SHAMEBO, D [1 ]
MUHE, L [1 ]
SANDSTROM, A [1 ]
FREIJ, L [1 ]
KRANTZ, I [1 ]
WALL, S [1 ]
机构
[1] UMEA UNIV,DEPT EPIDEMIOL & PUBL HLTH,S-90185 UMEA,SWEDEN
来源
ANNALS OF TROPICAL PAEDIATRICS | 1994年 / 14卷 / 03期
关键词
D O I
10.1080/02724936.1994.11747718
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The associations between under-5 mortality and its health and behavioural determinants were investigated in a rural district of Ethiopia, by means of a concurrent case-referent technique nested within a study-base population established in 1987. Three-hundred and six infant and child deaths registered over a period of 1 year, were contrasted with 612 controls, matched for age, sex and study area. Data were collected by trained non-medical workers using a structured questionnaire. Breastfeeding and supplementary feeding came out as strongly protective against under-5 mortality, even when controlling for parental and environmental determinants. Early termination of breastfeeding was demonstrated to have a substantial impact on mortality, particularly on that caused by diarrhoea. I-ate introduction of supplementary feeding, particularly of protein origin, was also associated with increased under-5 mortality. When the relative impacts of parental, environmental and behavioural determinants are compared, the greater impact of parental factors can be demonstrated, especially among infants.
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页码:201 / 209
页数:9
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