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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.
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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 |
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| 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: |
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| 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). |
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| Funder: | Economic and Social Research Council (Great Britain) (ESRC) | ||||
| Grant number: | RES-000-22-1221 |
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