Anja Schoeps1, Aurélia Souares2, Louis Niamba3, Eric Diboulo4, Gisela Kynast-Wolf2, Olaf Müller2, Ali Sié5, Heiko Becher2. 1. Institute of Public Health, University of Heidelberg, 69120 Heidelberg, Germany schoeps@uni-heidelberg.de. 2. Institute of Public Health, University of Heidelberg, 69120 Heidelberg, Germany. 3. Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso Département de Démographie, Université de Montréal, H3T 1N8 Montréal, Canada. 4. Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso Swiss Tropical and Public Health Institute (Swiss TPH), 4051 Basel, Switzerland. 5. Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso.
Abstract
BACKGROUND: This study aimed to investigate the relationship between household wealth and under-5 year mortality in rural and semi-urban Burkina Faso. METHODS: The study included 15 543 children born between 2005 and 2010 in the Nouna Health and Demographic Surveillance System. Information on household wealth was collected in 2009. Two separate wealth indicators were calculated by principal components analysis for the rural and the semi-urban households, which were then divided into quintiles accordingly. Multivariable Cox proportional hazards regression was used to study the effect of the respective wealth measure on under-5 mortality. RESULTS: We observed 1201 childhood deaths, corresponding to 5-year survival probability of 93.6% and 88% in the semi-urban and rural area, respectively. In the semi-urban area, household wealth was significantly related to under-5 mortality after adjustment for confounding. There was a similar but non-significant effect of household wealth on infant mortality, too. There was no effect of household wealth on under-5 mortality in rural children. CONCLUSIONS: Results from this study indicate that the more privileged children from the semi-urban area with access to piped water and electricity have an advantage in under-5 survival, while under-5 mortality in the rural area is rather homogeneous and still relatively high.
BACKGROUND: This study aimed to investigate the relationship between household wealth and under-5 year mortality in rural and semi-urban Burkina Faso. METHODS: The study included 15 543 children born between 2005 and 2010 in the Nouna Health and Demographic Surveillance System. Information on household wealth was collected in 2009. Two separate wealth indicators were calculated by principal components analysis for the rural and the semi-urban households, which were then divided into quintiles accordingly. Multivariable Cox proportional hazards regression was used to study the effect of the respective wealth measure on under-5 mortality. RESULTS: We observed 1201 childhood deaths, corresponding to 5-year survival probability of 93.6% and 88% in the semi-urban and rural area, respectively. In the semi-urban area, household wealth was significantly related to under-5 mortality after adjustment for confounding. There was a similar but non-significant effect of household wealth on infant mortality, too. There was no effect of household wealth on under-5 mortality in rural children. CONCLUSIONS: Results from this study indicate that the more privileged children from the semi-urban area with access to piped water and electricity have an advantage in under-5 survival, while under-5 mortality in the rural area is rather homogeneous and still relatively high.
Authors: Anja Schoeps; Gisela Kynast-Wolf; Robin C Nesbitt; Olaf Müller; Ali Sié; Heiko Becher Journal: Am J Trop Med Hyg Date: 2015-03-23 Impact factor: 2.345
Authors: Kristine Belesova; Antonio Gasparrini; Ali Sié; Rainer Sauerborn; Paul Wilkinson Journal: Environ Health Date: 2017-06-20 Impact factor: 5.984
Authors: Matthew M Coates; Mamusu Kamanda; Alexander Kintu; Iwara Arikpo; Alberto Chauque; Melkamu Merid Mengesha; Alison J Price; Peter Sifuna; Marylene Wamukoya; Charfudin N Sacoor; Sheila Ogwang; Nega Assefa; Amelia C Crampin; Eusebio V Macete; Catherine Kyobutungi; Martin M Meremikwu; Walter Otieno; Kafui Adjaye-Gbewonyo; Andrew Marx; Peter Byass; Osman Sankoh; Gene Bukhman Journal: Glob Health Action Date: 2019 Impact factor: 2.640