Clustering of Infant Mortality Within Families in Rural Burkina Faso
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Clustering of Infant Mortality Within Families in Rural Burkina Faso. / Kynast-Wolf, Gisela; Schoeps, Anja; Winkler, Volker; Stieglbauer, Gabriele; Zabré, Pascal; Müller, Olaf; Sié, Ali; Becher, Heiko.
in: AM J TROP MED HYG, Jahrgang 100, Nr. 1, 01.2019, S. 187-191.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Clustering of Infant Mortality Within Families in Rural Burkina Faso
AU - Kynast-Wolf, Gisela
AU - Schoeps, Anja
AU - Winkler, Volker
AU - Stieglbauer, Gabriele
AU - Zabré, Pascal
AU - Müller, Olaf
AU - Sié, Ali
AU - Becher, Heiko
PY - 2019/1
Y1 - 2019/1
N2 - In this study, we analyze clustering of infant deaths within families living in a rural part of western Burkina Faso. The study included 9,220 infants, born between 1993 and 2009 in Nouna Health and Demographic Surveillance System (HDSS). A clustering of infant deaths in families was explored by calculating observed versus expected number of infant deaths within families for a given family size. In addition, risk ratios were calculated for infant death depending on the vital status of the previous sibling. We observed 470 infant deaths, yielding an overall infant mortality risk of 51/1,000 births. Clustering of infant deaths within families was observed (P = 0.004). In smaller families, the mortality of firstborns was higher than for the following siblings. The infant mortality risk was higher when the preceding sibling died in infancy (P = 0.03). The study supports the hypothesis of infant death clustering existing within rural families in West Africa. Further studies are needed to shed more light on these findings with the goal to develop effective interventions directed toward the families who already lost a child.
AB - In this study, we analyze clustering of infant deaths within families living in a rural part of western Burkina Faso. The study included 9,220 infants, born between 1993 and 2009 in Nouna Health and Demographic Surveillance System (HDSS). A clustering of infant deaths in families was explored by calculating observed versus expected number of infant deaths within families for a given family size. In addition, risk ratios were calculated for infant death depending on the vital status of the previous sibling. We observed 470 infant deaths, yielding an overall infant mortality risk of 51/1,000 births. Clustering of infant deaths within families was observed (P = 0.004). In smaller families, the mortality of firstborns was higher than for the following siblings. The infant mortality risk was higher when the preceding sibling died in infancy (P = 0.03). The study supports the hypothesis of infant death clustering existing within rural families in West Africa. Further studies are needed to shed more light on these findings with the goal to develop effective interventions directed toward the families who already lost a child.
KW - Journal Article
U2 - 10.4269/ajtmh.17-0669
DO - 10.4269/ajtmh.17-0669
M3 - SCORING: Journal article
C2 - 30457090
VL - 100
SP - 187
EP - 191
JO - AM J TROP MED HYG
JF - AM J TROP MED HYG
SN - 0002-9637
IS - 1
ER -