Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017
Abstract Background To reveal the ethnic disparity in the pneumonia-specific mortality rates of children under the age of 5 years (PU5MRs) and provide suggestions regarding priority interventions to reduce preventable under-five-years-of-age deaths. Methods Data were obtained from the Direct Report...
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| Format: | Article |
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BMC
2019-12-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-019-8056-7 |
| _version_ | 1830353857911193600 |
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| author | Min Luo Ziling Zhao Linkun He Bingzhong Su Weixin Liu Gang Zhang |
| author_facet | Min Luo Ziling Zhao Linkun He Bingzhong Su Weixin Liu Gang Zhang |
| author_sort | Min Luo |
| collection | DOAJ |
| description | Abstract Background To reveal the ethnic disparity in the pneumonia-specific mortality rates of children under the age of 5 years (PU5MRs) and provide suggestions regarding priority interventions to reduce preventable under-five-years-of-age deaths. Methods Data were obtained from the Direct Report System of Maternal and Child Health in Sichuan. The Cochran-Armitage trend test was used to assess the time trend. The Cochran-Mantel-Haenszel test and Chi-square test were used to examine the differences in the PU5MRs among different groups. Results The PU5MRs in the minority and nonminority counties decreased by 53.7 and 42.3% from 2010 to 2017, respectively. The PU5MRs of the minority counties were 4.81 times higher than those of the nonminority counties in 2017. The proportion of pneumonia deaths to total deaths in Sichuan Province increased from 11.7% in 2010 to 15.5% in 2017. The pneumonia-specific mortality rates of children in the categories of 0–28 days, 29 days-11 months, and 12–59 months were reduced by 55.1, 38.8, and 65.5%, respectively, in the minority counties and by 35.5, 43.1, and 43.7%, respectively, in the nonminority counties. Conclusions PU5MRs declined in Sichuan, especially in the minority counties, while ethnic disparity still exists. Although the PU5MRs decreased more for the minority counties as a fraction of all mortality, the absolute number of such deaths were higher, and therefore more children in these counties continue to die from pneumonia than from the non-minority counties. Priority should be given to strategies for preventing and controlling child pneumonia, especially for postneonates, in the minority counties. |
| first_indexed | 2024-12-20T01:21:51Z |
| format | Article |
| id | doaj.art-a72840225861444293326366bbee1351 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-20T01:21:51Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-a72840225861444293326366bbee13512022-12-21T19:58:25ZengBMCBMC Public Health1471-24582019-12-011911810.1186/s12889-019-8056-7Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017Min Luo0Ziling Zhao1Linkun He2Bingzhong Su3Weixin Liu4Gang Zhang5Sichuan Provincial Maternal and Child Health HospitalSichuan Provincial Maternal and Child Health HospitalSichuan Provincial Maternal and Child Health HospitalSichuan Provincial Maternal and Child Health HospitalSichuan Provincial Maternal and Child Health HospitalSichuan Provincial Maternal and Child Health HospitalAbstract Background To reveal the ethnic disparity in the pneumonia-specific mortality rates of children under the age of 5 years (PU5MRs) and provide suggestions regarding priority interventions to reduce preventable under-five-years-of-age deaths. Methods Data were obtained from the Direct Report System of Maternal and Child Health in Sichuan. The Cochran-Armitage trend test was used to assess the time trend. The Cochran-Mantel-Haenszel test and Chi-square test were used to examine the differences in the PU5MRs among different groups. Results The PU5MRs in the minority and nonminority counties decreased by 53.7 and 42.3% from 2010 to 2017, respectively. The PU5MRs of the minority counties were 4.81 times higher than those of the nonminority counties in 2017. The proportion of pneumonia deaths to total deaths in Sichuan Province increased from 11.7% in 2010 to 15.5% in 2017. The pneumonia-specific mortality rates of children in the categories of 0–28 days, 29 days-11 months, and 12–59 months were reduced by 55.1, 38.8, and 65.5%, respectively, in the minority counties and by 35.5, 43.1, and 43.7%, respectively, in the nonminority counties. Conclusions PU5MRs declined in Sichuan, especially in the minority counties, while ethnic disparity still exists. Although the PU5MRs decreased more for the minority counties as a fraction of all mortality, the absolute number of such deaths were higher, and therefore more children in these counties continue to die from pneumonia than from the non-minority counties. Priority should be given to strategies for preventing and controlling child pneumonia, especially for postneonates, in the minority counties.https://doi.org/10.1186/s12889-019-8056-7PneumoniaEthnic disparityChildren under fiveMortality |
| spellingShingle | Min Luo Ziling Zhao Linkun He Bingzhong Su Weixin Liu Gang Zhang Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017 BMC Public Health Pneumonia Ethnic disparity Children under five Mortality |
| title | Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017 |
| title_full | Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017 |
| title_fullStr | Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017 |
| title_full_unstemmed | Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017 |
| title_short | Ethnic disparity in pneumonia-specific mortality among children under 5 years of age in Sichuan Province of Western China from 2010 to 2017 |
| title_sort | ethnic disparity in pneumonia specific mortality among children under 5 years of age in sichuan province of western china from 2010 to 2017 |
| topic | Pneumonia Ethnic disparity Children under five Mortality |
| url | https://doi.org/10.1186/s12889-019-8056-7 |
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