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首页> 外文期刊>BMC Public Health >Differential in infant, childhood and under-five death clustering among the empowered and non-empowered action group regions in India
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Differential in infant, childhood and under-five death clustering among the empowered and non-empowered action group regions in India

机译：婴儿，童年和五次死亡集群中的差异，在印度的赋权和非赋权行动集团区域之间

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With 8,82,000 deaths in the under-five period, India observed varied intra-state and inter-regional differences across infant and child mortality in 2018. However, scarce literature is present to capture this unusual concentration of mortality in certain families by examining the association of the mortality risks among the siblings of those families along with various unobserved characteristics of the mother. Looking towards the regional and age differential in mortality, this paper attempts to provide evidence for the differential in mortality clustering among infants (aged 0–11?months), children (12–59?months) and under-five (0–59?months) period among mothers from the Empowered Action Group (EAG) and non-EAG regions of India. The study used data from the National Family Health Survey (2015–16) which includes all the birth histories of 475,457 women aged 15–49?years. Bivariate and multivariate analyses were used to fulfil the objectives of the study. A two-level random intercept Weibull regression model was used to account for the unexplained mother (family) level heterogeneity. About 3.3% and 5.9% of infant deaths and 0.8% and 1.6% of childhood deaths were observed in non-EAG and EAG regions respectively. Among them, a higher percentage of infant and child death was observed due to the death of a previous sibling. There were 1.67 times [95%?CI: 1.55–1.80] and 1.46 times [CI: 1.37–1.56] higher odds of infant and under-five mortality of index child respectively when the previous sibling at the time of conception of the index child was dead in the non-EAG regions. In contrast, the odds of death scarring (death of previous sibling scars the survival of index child) were 1.38 times [CI: 1.32–1.44] and 1.24 times [CI: 1.20–1.29] higher for infant and under-five mortality respectively in the EAG regions. The extent of infant and child mortality clustering and unobserved heterogeneity was higher among mothers in the non-EAG regions in comparison to their EAG region counterparts. With the growing situation of under-five mortality clustering in non-EAG states, region-wise interventions are recommended. Additionally, proper care is needed to ameliorate the inter-family variation in mortality risk among the children of both EAG and non-EAG regions throughout their childhood.
机译：在下半年期间，印度患有8,82,000人死亡，印度在2018年观察到各种婴儿和儿童死亡率的各种国家和区域间差异。然而，稀缺的文学通过检查某些家庭在某些家庭中捕捉这种不寻常的死亡率这些家庭的兄弟姐妹中死亡率风险与母亲的各种未观察特征。朝着死亡率的区域和年龄差异，本文试图为婴儿（0-11岁以下），儿童（12-59？月）和下五（0-59岁）提供差异的差异几个月）来自授权行动小组（EAG）和印度非EAG地区的母亲之间的时期。该研究使用来自国家家庭健康调查（2015-16）的数据，其中包括475,457名妇女的所有诞生历史为15-49岁？年。双方和多变量分析用于满足研究的目标。使用两级随机拦截Weibull回归模型来解释未解释的母亲（家庭）水平异质性。在非EAG和EAG地区分别观察到约3.3％和5.9％的婴儿死亡和0.8％和1.6％的儿童死亡。其中，由于前一个兄弟姐妹的死亡，观察到更高比例的婴儿和儿童死亡。 1.67倍[95％吗？CI：1.55-1.80]和1.46倍[CI：1.37-1.56]当前一个兄弟在指数儿童概念时，分别较高的婴儿和指数儿童死亡率低下在非EAG地区死了。相比之下，死亡疤痕的几率（前一个兄弟姐妹的死亡指数儿童的生存）为1.38倍[CI：1.32-1.44]和1.24倍[CI：1.20-1.29]分别更高，分别为5岁以下的死亡率EAG地区。与其EAG地区对应物相比，非EAG地区的母亲中婴儿和儿童死亡率聚类和未观察到的异质性的程度更高。随着非EAG国家的五个死亡率聚类的越来越多的情况，建议地制定了区域明智的干预措施。此外，需要适当的护理，以改善在整个童年时代的EAG和非EAG地区的儿童中死亡率间的家庭间变异。

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