Evidence map›Paper›PMID 32843572›Full record

ArticleBMJ global health2020

Proximate and socio-economic determinants of under-five mortality in Benin, 2017/2018.

Sanni Yaya, Bright Opoku Ahinkorah, Edward Kwabena Ameyaw, Abdul-Aziz Seidu, Eugene Kofuor Maafo Darteh, Nicholas Kofi Adjei

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 5 countries.

Sanni YayaSchool of International Development and Global Studies, University of Ottawa, Ottawa, Ontario, Canada sanni.yaya@uottawa.ca.ORCID 0000-0002-4876-6043
Bright Opoku AhinkorahSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-7415-895X
Edward Kwabena AmeyawSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-6617-237X
Abdul-Aziz SeiduCollege of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.ORCID 0000-0001-9734-9054
Eugene Kofuor Maafo DartehDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Nicholas Kofi AdjeiLeibniz Institute for Prevention Research and Epidemiology, Bremen, Bremen, Germany.
University of Technology Sydney · AUGlobal Affairs Canada · CAJames Cook University · AULeibniz Institute for Prevention Research and Epidemiology - BIPS · DEUniversity of Cape Coast · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, under-five mortality has declined significantly, but still remains a critical public health problem in sub-Saharan African countries such as Benin. Yet, there is no empirical information in the country using a nationally representative data to explain this phenomenon. The aim of this study was to examine how proximate and socio-economic factors are associated with mortality in under-five children in Benin.

methodsWe analysed data of 5977 under-five children using the 2017 to 2018 Benin Demographic and Health Surveys. Multivariable hierarchical logistic regression modelling technique was applied to investigate the factors associated with under-five mortality. The fit of the models were assessed using variance inflation factor and Pseudo R

resultsThe study revealed an under-five mortality rate of 96 deaths per 1000 live births in Benin. Regarding the socio-economic determinants, the risk of death was found to be higher in children born in the Plateau region (aOR=3.05; 95% CI: 1.29 to 7.64), in rural areas (aOR=1.45; 95% CI: 1.07 to 1.98) and children with ≥4 birth rank and >2 years of birth interval (aOR=1.52; 95% CI: 1.07 to 2.17). Among the proximate determinants, we found the probability of death to be higher in children whose mothers had no postnatal check-up (PNC) visits after delivery (aOR=1.79; 95% CI: 1.22 to 2.63), but there was no significant association between individual-level/household-level factors and under-five mortality.

conclusionThis study has established that socio-economic and proximate factors are important determinants of under-five mortality in Benin. Our findings have shown the need to implement both socio-economic and proximate interventions, particularly those related to PNC visits when planning on under-five mortality. To achieve this, a comprehensive, long-term public health interventions, which consider the disparity in the access and utilisation of healthcare services in Benin are key.

Indexed as

Infant MortalityMothersBeninChild, PreschoolFamily CharacteristicsFemaleHealth SurveysHumansInfantInfant, NewbornPregnancySocial Determinants of Healthchild healthhealth policypublic health

Identifiers

PMID32843572
PMCPMC7449341
OpenAlexW3080365253

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.