Nakhzari-Moghaddam Masoud, Yavari Parvin, Abadi Alireza, Rostami-Gooran Narges
Faculty of Medicine, Zabol University of Medical Sciences; Zabol, Iran.
Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2019 Jun 26;33:61. doi: 10.34171/mjiri.33.61. eCollection 2019.
Under-5 mortality is an important health indicator of a country's development and every country is committed todecrease it. Children under-5 years are vulnerable to the imbalance of socioeconomic inequality and are dependent on the adults toremain healthy. The aim of this study was to determine the association of socioeconomic factors with under-5 mortality in Zabol. This descriptive cross sectional study was performed on 2001 children younger than 5 years who were under the coverageof Zabol University of Medical Sciences between 2011 and 2015. The data were collected using standard questionnaires on mortality ofinfant and children 1-59 months old, questionnaires determining socioeconomic condition, and health center data files. The analyseswere performed using SPSS software version 21, and significance level was set at 0.05 for all tests. The most common causes of death under 5 years of age included immaturity, congenital defects, and respiratory diseases. Inthe logistic regression model, father's addiction, maternal literacy, socioeconomic level, and household family size were significantlyassociated with under-5 mortality (P<0.05). Moreover, there was a correlation between a congenital defect in the Zahak region andimmaturity in the Hamun region with under-5 mortality. Low socioeconomic status, parental addiction, and low education level were the most probable risk factors for under 5mortality.
5岁以下儿童死亡率是一个国家发展的重要健康指标,每个国家都致力于降低这一指标。5岁以下儿童易受社会经济不平等失衡的影响,且依赖成年人来保持健康。本研究的目的是确定扎博勒地区社会经济因素与5岁以下儿童死亡率之间的关联。 这项描述性横断面研究对2001名5岁以下儿童进行,这些儿童在2011年至2015年期间处于扎博勒医科大学的覆盖范围内。数据通过关于1至59个月婴儿和儿童死亡率的标准问卷、确定社会经济状况的问卷以及健康中心数据文件收集。分析使用SPSS 21软件进行,所有测试的显著性水平设定为0.05。5岁以下儿童最常见的死亡原因包括早产、先天性缺陷和呼吸系统疾病。在逻辑回归模型中,父亲的成瘾情况、母亲的识字率、社会经济水平和家庭规模与5岁以下儿童死亡率显著相关(P<0.05)。此外,扎哈克地区的先天性缺陷和哈蒙地区的早产与5岁以下儿童死亡率之间存在相关性。社会经济地位低下、父母成瘾和教育水平低是5岁以下儿童死亡最可能的风险因素。