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印度的家庭户主身份与婴儿死亡率:评估决定因素及差异

Household Headship and Infant Mortality in India: Evaluating the Determinants and Differentials.

作者信息

Gupta Ashish Kumar, Borkotoky M Kakoli, Kumar Amit

机构信息

International Institute for Population Sciences, Mumbai-400088, INDIA.

出版信息

Int J MCH AIDS. 2015;3(1):44-52.

Abstract

BACKGROUND

There has been ample discussion on the levels and trends of infant mortality in India over time, but what remains less explored are, the differentials in infant mortality according to household headship. This paper examined the differences in the determinants of infant mortality between male-headed households (MHH) and female-headed households (FHH).

METHODS

The study used Cox proportional hazard model to examine the determinants of infant death, and Kaplan-Meier estimation technique to examine the survival pattern during infancy using data from Indian National Family Health Survey (2005-06). The analysis is restricted to women who had at least one live birth in the five years preceding the survey.

RESULTS

The study observed that household size and number of children below five are significant risk factors of infant mortality in MHH while length of previous birth interval is the only significant risk factor of infant death in FHH.

CONCLUSIONS AND GLOBAL HEALTH IMPLICATIONS

The results indicate that children from FHH have higher survival probability at each age than children from MHH irrespective of place of residence and sex of the child.

摘要

背景

关于印度婴儿死亡率随时间的水平和趋势已有充分讨论,但根据户主情况的婴儿死亡率差异仍较少被探讨。本文研究了男性户主家庭(MHH)和女性户主家庭(FHH)中婴儿死亡率决定因素的差异。

方法

该研究使用Cox比例风险模型来研究婴儿死亡的决定因素,并使用Kaplan-Meier估计技术,利用印度全国家庭健康调查(2005 - 2006年)的数据来研究婴儿期的生存模式。分析仅限于在调查前五年内至少有一次活产的妇女。

结果

该研究观察到,家庭规模和五岁以下儿童数量是男性户主家庭中婴儿死亡率的重要风险因素,而前次生育间隔时间是女性户主家庭中婴儿死亡的唯一重要风险因素。

结论及对全球健康的影响

结果表明,无论居住地点和儿童性别如何,女性户主家庭的儿童在各年龄段的生存概率均高于男性户主家庭的儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c94e/4948170/fd31c506d38d/IJMA-3-44-g001.jpg

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