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The Butajira project in Ethiopia: a nested case-referent study of under-five mortality and its public health determinants.
Bull World Health Organ. 1993; 71(3-4):389-96.BW

Abstract

During one year of follow-up, 306 deaths of children under the age of 5 years were included in a concurrent case-referent study that was based on a population estimated at 28,780 in 1987. A total of 612 live referents, matched for age, sex and study area, were also selected from the study population through density sampling. Data were collected by lay reporters by verbal autopsy. For the study period the estimated cumulative under-five mortality rate was 293 and the infant (0-11 months old) mortality rate was 136 per 1000. Major probable causes of death were diarrhoeal disease or acute respiratory infections (ARI). The relative importance of parental and environmental characteristics was assessed using conditional multiple logistic regression analysis. Under-five mortality was associated with paternal illiteracy, maternal ethnicity, and not being in the committee of people's organizations. Parental factors affected the infants relatively more than they did the children, especially with regard to ARI mortality. This was also noted with "absence of window", a proxy measure for evaluating the type of housing. In terms of etiological fractions a greater number of under-five deaths could be ascribed to parental than environmental conditions, with relatively more infants being affected than children.

Authors+Show Affiliations

Department of Community Health, Faculty of Medicine, Addis Ababa University, Ethiopia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8324859

Citation

Shamebo, D, et al. "The Butajira Project in Ethiopia: a Nested Case-referent Study of Under-five Mortality and Its Public Health Determinants." Bulletin of the World Health Organization, vol. 71, no. 3-4, 1993, pp. 389-96.
Shamebo D, Sandström A, Muhe L, et al. The Butajira project in Ethiopia: a nested case-referent study of under-five mortality and its public health determinants. Bull World Health Organ. 1993;71(3-4):389-96.
Shamebo, D., Sandström, A., Muhe, L., Freij, L., Krantz, I., Lönnberg, G., & Wall, S. (1993). The Butajira project in Ethiopia: a nested case-referent study of under-five mortality and its public health determinants. Bulletin of the World Health Organization, 71(3-4), 389-96.
Shamebo D, et al. The Butajira Project in Ethiopia: a Nested Case-referent Study of Under-five Mortality and Its Public Health Determinants. Bull World Health Organ. 1993;71(3-4):389-96. PubMed PMID: 8324859.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Butajira project in Ethiopia: a nested case-referent study of under-five mortality and its public health determinants. AU - Shamebo,D, AU - Sandström,A, AU - Muhe,L, AU - Freij,L, AU - Krantz,I, AU - Lönnberg,G, AU - Wall,S, PY - 1993/1/1/pubmed PY - 1993/1/1/medline PY - 1993/1/1/entrez KW - Africa KW - Africa South Of The Sahara KW - Biology KW - Case Control Studies KW - Causes Of Death KW - Child Mortality--determinants KW - Cohort Analysis KW - Control Groups KW - Cultural Background KW - Demographic Factors KW - Developing Countries KW - Diarrhea KW - Diseases KW - Eastern Africa KW - Economic Factors KW - Educational Status KW - Ethiopia KW - Ethnic Groups--women KW - Geographic Factors KW - Housing KW - Illiterates KW - Infant Mortality--determinants KW - Infections KW - Matched Groups KW - Mortality KW - Organizations KW - Population KW - Population Characteristics KW - Population Dynamics KW - Research Methodology KW - Residence Characteristics KW - Respiratory Infections KW - Risk Factors KW - Socioeconomic Factors KW - Socioeconomic Status KW - Spatial Distribution KW - Studies SP - 389 EP - 96 JF - Bulletin of the World Health Organization JO - Bull World Health Organ VL - 71 IS - 3-4 N2 - During one year of follow-up, 306 deaths of children under the age of 5 years were included in a concurrent case-referent study that was based on a population estimated at 28,780 in 1987. A total of 612 live referents, matched for age, sex and study area, were also selected from the study population through density sampling. Data were collected by lay reporters by verbal autopsy. For the study period the estimated cumulative under-five mortality rate was 293 and the infant (0-11 months old) mortality rate was 136 per 1000. Major probable causes of death were diarrhoeal disease or acute respiratory infections (ARI). The relative importance of parental and environmental characteristics was assessed using conditional multiple logistic regression analysis. Under-five mortality was associated with paternal illiteracy, maternal ethnicity, and not being in the committee of people's organizations. Parental factors affected the infants relatively more than they did the children, especially with regard to ARI mortality. This was also noted with "absence of window", a proxy measure for evaluating the type of housing. In terms of etiological fractions a greater number of under-five deaths could be ascribed to parental than environmental conditions, with relatively more infants being affected than children. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/8324859/The_Butajira_project_in_Ethiopia:_a_nested_case_referent_study_of_under_five_mortality_and_its_public_health_determinants_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/8324859/ DB - PRIME DP - Unbound Medicine ER -