Household resources as determinants of child mortality in Ghana

J. J. Nutor, Janice F Bell, J. C. Slaughter-Acey, J. G. Joseph, Ester Carolina Apesoa-Varano, Mary Lou de Leon Siantz

Research output: Contribution to journalArticle

Abstract

Introduction: Although the association between child mortality and socioeconomic status is well established, the role of household assets as predictors of child mortality, over and above other measures of socioeconomic status, is not well studied in developing nations. This study investigated the contribution of several household resources to child mortality, beyond the influence of maternal education as a measure of socioeconomic status. Methods: This secondary analysis used data from the 2007 Ghana Maternal Health Survey to explore the relationship of child mortality to household resources. The analysis of 7183 parous women aged 15-45 years examined household resources for their association with maternal reports of any child's death for children aged less than 5 years using a survey-weighted logistic regression model while controlling for sociodemographic and health covariates. Results: The overall household resources index was significantly associated with the death of one or more child in the entire sample (adjusted odd ratios (OR)=0.95; 95% confidence interval (CI): 0.92, 0.98]. In stratified analysis, this finding held for women living in rural but not in urban areas. Having a refrigerator at the time of interview was associated with lower odds of reporting child mortality (OR=0.63; 95%CI: 0.48, 0.83). Having a kerosene lantern (OR=1.40; 95%CI: 1.06, 1.85) or flush toilet (OR=1.84; 95%CI: 1.23, 2.75) was associated with higher odds of reporting child mortality. Adjusted regression models showed only possession of a refrigerator retained significance. Conclusions: Possession of a refrigerator may play a role in child mortality. This finding may reflect unmeasured socioeconomic status or the importance of access to refrigeration in preventing diarrheal disease or other proximal causes of child mortality in sub- Saharan Africa.

Original languageEnglish (US)
Article number4202
JournalRural and Remote Health
Volume17
Issue number4
DOIs
StatePublished - Jan 1 2017

Fingerprint

Child Mortality
Ghana
mortality
determinants
Social Class
resources
Odds Ratio
Confidence Intervals
social status
confidence
Logistic Models
Mothers
possession
Kerosene
Refrigeration
Africa South of the Sahara
Health Surveys
death
regression
Developing Countries

Keywords

  • Child mortality
  • Household resources
  • Refrigerator
  • Social determinants
  • Socioeconomic status
  • Sub-Saharan Africa

ASJC Scopus subject areas

  • Emergency Medical Services
  • Health(social science)
  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Household resources as determinants of child mortality in Ghana. / Nutor, J. J.; Bell, Janice F; Slaughter-Acey, J. C.; Joseph, J. G.; Apesoa-Varano, Ester Carolina; de Leon Siantz, Mary Lou.

In: Rural and Remote Health, Vol. 17, No. 4, 4202, 01.01.2017.

Research output: Contribution to journalArticle

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abstract = "Introduction: Although the association between child mortality and socioeconomic status is well established, the role of household assets as predictors of child mortality, over and above other measures of socioeconomic status, is not well studied in developing nations. This study investigated the contribution of several household resources to child mortality, beyond the influence of maternal education as a measure of socioeconomic status. Methods: This secondary analysis used data from the 2007 Ghana Maternal Health Survey to explore the relationship of child mortality to household resources. The analysis of 7183 parous women aged 15-45 years examined household resources for their association with maternal reports of any child's death for children aged less than 5 years using a survey-weighted logistic regression model while controlling for sociodemographic and health covariates. Results: The overall household resources index was significantly associated with the death of one or more child in the entire sample (adjusted odd ratios (OR)=0.95; 95{\%} confidence interval (CI): 0.92, 0.98]. In stratified analysis, this finding held for women living in rural but not in urban areas. Having a refrigerator at the time of interview was associated with lower odds of reporting child mortality (OR=0.63; 95{\%}CI: 0.48, 0.83). Having a kerosene lantern (OR=1.40; 95{\%}CI: 1.06, 1.85) or flush toilet (OR=1.84; 95{\%}CI: 1.23, 2.75) was associated with higher odds of reporting child mortality. Adjusted regression models showed only possession of a refrigerator retained significance. Conclusions: Possession of a refrigerator may play a role in child mortality. This finding may reflect unmeasured socioeconomic status or the importance of access to refrigeration in preventing diarrheal disease or other proximal causes of child mortality in sub- Saharan Africa.",
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