Autori
Singh, AbhishekLadusingh, LaishramMeitei, Wahengbam BigyanandaTitolo
The effects of community clustering on under-five mortality in India: a parametric shared frailty modelling approachPeriodico
GenusAnno:
2022 - Volume:
78 - Fascicolo:
18 - Pagina iniziale:
1 - Pagina finale:
30The study of the effect of community clustering of under-five mortality has its implica-
tions in both research and policy. Studies have shown the contribution of community
factors on under-five mortality. However, these studies did not account for censoring.
We examine the presence of community dependencies and determine the risk factors
of under-five mortality in India and its six state-regions by employing a Weibull hazard
model with gamma shared frailty. We considered every possible way to ensure that
the frailty models used in the study are not merely a consequence of how the data are
organized rather than representing a substantive assumption about the source of the
frailty. Data from the fourth round of the National Family Health Survey has been used.
The study found that except for south India, children born in the same community in
India and the other five state-regions shared similar characteristics of under-five mor-
tality. The risk of under-five mortality decreased with an increase in mother’s schooling.
Except for northern region, female births were less likely to die within first five years of
life. We found a U-shaped relationship between preceding birth interval and under-five
mortality. History of sibling’s death, multiple births and low-birthweight significantly
increases the risk of under-five mortality in all the six state-regions. The Hindu–Muslim
mortality gaps and Scheduled Caste or Tribe’s mortality disadvantage is diminishing.
Since the factors associated with under-five mortality were not necessarily the same
across the six state-regions of India, adopting a uniform approach in dealing with
under-five mortality in India may not benefit all the regions equally.
SICI: 0016-6987(2022)78:18<1:TEOCCO>2.0.ZU;2-I
Testo completo:
https://doi.org/10.1186/s41118‑022‑00165‑7Esportazione dati in Refworks (solo per utenti abilitati)
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