Association of socioeconomic risk factors with under 5-year mortality in Zabol, Iran, during 2011-2015

Abstract

Background: Under-5 mortality is an important health indicator of a country's development and every country is committed to decrease it. Children under-5 years are vulnerable to the imbalance of socioeconomic inequality and are dependent on the adults to remain healthy. The aim of this study was to determine the association of socioeconomic factors with under-5 mortality in Zabol. Methods: This descriptive cross sectional study was performed on 2001 children younger than 5 years who were under the coverage of Zabol University of Medical Sciences between 2011 and 2015. The data were collected using standard questionnaires on mortality of infant and children 1-59 months old, questionnaires determining socioeconomic condition, and health center data files. The analyses were performed using SPSS software version 21, and significance level was set at 0.05 for all tests. Results: The most common causes of death under 5 years of age included immaturity, congenital defects, and respiratory diseases. In the logistic regression model, father's addiction, maternal literacy, socioeconomic level, and household family size were significantly associated with under-5 mortality (P<0.05). Moreover, there was a correlation between a congenital defect in the Zahak region and immaturity in the Hamun region with under-5 mortality. Conclusion: Low socioeconomic status, parental addiction, and low education level were the most probable risk factors for under 5 mortality.

Widening Social Inequalities in Cancer Mortality of Children Under 5 Years in Korea

“…Several previous studies reported social inequalities in under-5 cancer mortality. 15 17 21 This study extended the investigation and found that social inequalities in under-5 cancer mortality risk were greater in the 2010–2014 cohort than in the 1995–1999 cohort.…”

“…The previous studies presented the effects of parents’ socioeconomic conditions 14 15 16 17 18 and the child’s birth conditions (low weight and premature birth) 19 20 on child mortality separately, few studies on the interactive effect of parental social class and low birthweight and preterm birth on under-5 cancer mortality were reported. Therefore, this study attempted to analyze how the social inequalities interact with the child’s birth conditions (low weight and premature birth) and effect on cancer deaths under the age of 5.…”

A Systematic Review on The Leading Causes of Death Among Under-Five Children in Iran

“…Congenital anomalies and prematurity are the leading causes of neonatal death in higher-income countries. Moreover, three major causes of deaths among children aged 1-59 months in the world were pneumonia, other diseases and diarrhea ( Fig 5) (37).…”

Maternal demographic and socioeconomic correlates of child mortality in Papua New Guinea: Evidence from the integrated Health and Demographic Surveillance System

“…Between 2014-2023, studies from LMICs have examined demographic and socioeconomic factors associated with child mortality. Geographic region/residence [5,[11][12][13][14][15][16][17], ethnicity [18], mother's age [12,17,[19][20][21], marital status [19], sex of child [5], maternal education [5,12,17,19,22], maternal literacy [23], religion [17], breastfeeding [18,21], child death experience [24] place of delivery [5], type of births and delivery [5,11,18,22], high birth order [12], presence of antenatal (ANC) checks [21], tetanus vaccination status [24], contraception use [11][12][13]24], unmet need for family planning [25], distance from health facility [26], mother's working status [20], paternal occupation [13], and household wealth index [5,13,17,…”