1. Association between ethnicity and under-5 mortality: analysis of data from demographic surveys from 36 low-income and middle-income countries
- Author
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Cesar G Victora, ProfMD, Aluisio J D Barros, ProfPhD, Cauane Blumenberg, PhD, Janaina Calu Costa, MS, Luis Paulo Vidaletti, MS, Fernando C Wehrmeister, PhD, Bruno Masquelier, PhD, Lucia Hug, MA, and Danzhen You, PhD
- Subjects
Public aspects of medicine ,RA1-1270 - Abstract
Summary: Background: The UN Sustainable Development Goals (SDGs) call for stratification of social indicators by ethnic groups; however, no recent multicountry analyses on ethnicity and child survival have been done in low-income and middle-income countries (LMICs). Methods: We used data from Demographic and Health Surveys and Multiple Indicator Cluster Surveys collected between 2010 and 2016, from LMICs that provided birth histories and information on ethnicity or a proxy variable. We calculated neonatal (age 0–27 days), post-neonatal (age 28–364 days), child (age 1–4 years), and under-5 mortality rates (U5MRs) for each ethnic group within each country. We assessed differences in mortality between ethnic groups using a likelihood ratio test, Theil's index, and between-group variance. We used multivariable analyses of U5MR by ethnicity to adjust for household wealth, maternal education, and urban–rural residence. Findings: We included data from 36 LMICs, which included 2 812 381 livebirths among 415 ethnic groups. In 25 countries, significant differences in U5MR by ethnic group were identified (all p
- Published
- 2020
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