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Spatial analysis of risk factors for childhood morbidity in Nigeria

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Kandala, Ngianga-Bakwin, Ji, Chen, Stallard, Nigel, Stranges, Saverio and Cappuccio, Francesco. (2007) Spatial analysis of risk factors for childhood morbidity in Nigeria. American Journal of Tropical Medicine and Hygiene, Vol.77 (No.4). pp. 770-779. ISSN 0002-9637

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Official URL: http://www.ajtmh.org/cgi/content/abstract/77/4/770

Abstract

Recent Demographic and Health Surveys (DHS) from Sub-Saharan Africa (SSA) indicate a decline in
childhood vaccination coverage but a high prevalence of childhood diarrhea, cough, and fever. We used Nigerian DHS
data to investigate the impact of geographical factors and other important risk factors on diarrhea, cough, and fever using
geoadditive Bayesian semiparametric models. A higher prevalence of childhood diarrhea, cough, and fever is observed
in the northern and eastern states, while lower disease prevalence is observed in the western and southern states. In
addition, children from mothers with higher levels of education and those from poor households had a significantly lower
association with diarrhea; children delivered in hospitals, living in urban areas, or from mothers having received prenatal
visits had a significantly lower association with fever. Our maps are a novel and relevant tool to help local governments
to improve health-care interventions and achieve Millennium Development Goals (MDG4).

Item Type:

Journal Article

Subjects:

R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services

Divisions:

Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) > Warwick Evidence
Faculty of Medicine > Warwick Medical School

Library of Congress Subject Headings (LCSH):

Children -- Death -- Nigeria

Journal or Publication Title:

American Journal of Tropical Medicine and Hygiene

Publisher:

American Society of Tropical Medicine and Hygiene

ISSN:

0002-9637

Official Date:

2007

Dates:

Date	Event
2007	Published

Volume:

Vol.77

Number:

No.4

Page Range:

pp. 770-779

Status:

Peer Reviewed

Access rights to Published version:

Open Access

Description:

Final version (published as open access).

Funder:

Economic and Social Research Council (Great Britain) (ESRC)

Grant number:

RES-000-22-1221

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