Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global study
Background Over the past few decades, various goals have been defined to reduce the mortality of children caused by acute lower respiratory infections (ALRIs) worldwide. However, few spatial studies to date have reported on ALRI deaths. Purpose We aimed to assess the spatial modeling of mortality fr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Pediatric Society
2021-12-01
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| Series: | Clinical and Experimental Pediatrics |
| Subjects: | |
| Online Access: | http://www.e-cep.org/upload/pdf/cep-2020-01438.pdf |
| _version_ | 1828944193196654592 |
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| author | Ali Almasi Sohyla Reshadat Alireza Zangeneh Mehdi Khezeli Raziyeh Teimouri Samira Rahimi Naderi Shahram Saeidi |
| author_facet | Ali Almasi Sohyla Reshadat Alireza Zangeneh Mehdi Khezeli Raziyeh Teimouri Samira Rahimi Naderi Shahram Saeidi |
| author_sort | Ali Almasi |
| collection | DOAJ |
| description | Background Over the past few decades, various goals have been defined to reduce the mortality of children caused by acute lower respiratory infections (ALRIs) worldwide. However, few spatial studies to date have reported on ALRI deaths. Purpose We aimed to assess the spatial modeling of mortality from ALRI in children under 5 years of age during 2000–2017 using a global data. Methods The data on the mortality of children under 5 years old caused by ALRI were initially obtained from the official website of the World Health Organization. The income status of their home countries was also gathered from the Country Income Groups (World Bank Classification) website and divided into 5 categories. After that, in the ArcGIS 10.6 environment, a database was created and the statistical tests and related maps were extracted. The Global Moran’s I statistic, Getis-Ord Gi statistic, and geographically weighted regression were used for the analyses. In this study, higher z scores indicated the hot spots, while lower z scores indicated the cold spots. Results In 2000–2017, child mortality showed a downward trend from 17.6 per 100,000 children to 8.1 and had a clustered pattern. Hot spots were concentrated in Asia in 2000 but shifted toward African countries by 2017. A cold spot that formed in Europe in 2007 showed an ascending trend by 2017. Based on the results of geographically weighted regression test, the regions identified as the hot spots of mortality from ALRI in children under 5 years old were among the middle-income countries (R2=0.01, adjusted R2=8.77). Conclusion While the total number of child deaths in 2000–2017 has decreased, the number of hot spots has increased among countries. This study also concluded that, during the study period, Central and Western Africa countries became the main new hot spots of deaths from ALRI. |
| first_indexed | 2024-12-14T04:29:18Z |
| format | Article |
| id | doaj.art-d23f1dc4f5dd45a6b10f54186f70eb7a |
| institution | Directory Open Access Journal |
| issn | 2713-4148 |
| language | English |
| last_indexed | 2024-12-14T04:29:18Z |
| publishDate | 2021-12-01 |
| publisher | The Korean Pediatric Society |
| record_format | Article |
| series | Clinical and Experimental Pediatrics |
| spelling | doaj.art-d23f1dc4f5dd45a6b10f54186f70eb7a2022-12-21T23:17:07ZengThe Korean Pediatric SocietyClinical and Experimental Pediatrics2713-41482021-12-01641263264110.3345/cep.2020.0143820125555426Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global studyAli Almasi0Sohyla Reshadat1Alireza Zangeneh2Mehdi Khezeli3Raziyeh Teimouri4Samira Rahimi Naderi5Shahram Saeidi6 Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran Department of Art, Architecture and Design, University of South Australia, Adelaide, Australia Department of Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, IranBackground Over the past few decades, various goals have been defined to reduce the mortality of children caused by acute lower respiratory infections (ALRIs) worldwide. However, few spatial studies to date have reported on ALRI deaths. Purpose We aimed to assess the spatial modeling of mortality from ALRI in children under 5 years of age during 2000–2017 using a global data. Methods The data on the mortality of children under 5 years old caused by ALRI were initially obtained from the official website of the World Health Organization. The income status of their home countries was also gathered from the Country Income Groups (World Bank Classification) website and divided into 5 categories. After that, in the ArcGIS 10.6 environment, a database was created and the statistical tests and related maps were extracted. The Global Moran’s I statistic, Getis-Ord Gi statistic, and geographically weighted regression were used for the analyses. In this study, higher z scores indicated the hot spots, while lower z scores indicated the cold spots. Results In 2000–2017, child mortality showed a downward trend from 17.6 per 100,000 children to 8.1 and had a clustered pattern. Hot spots were concentrated in Asia in 2000 but shifted toward African countries by 2017. A cold spot that formed in Europe in 2007 showed an ascending trend by 2017. Based on the results of geographically weighted regression test, the regions identified as the hot spots of mortality from ALRI in children under 5 years old were among the middle-income countries (R2=0.01, adjusted R2=8.77). Conclusion While the total number of child deaths in 2000–2017 has decreased, the number of hot spots has increased among countries. This study also concluded that, during the study period, Central and Western Africa countries became the main new hot spots of deaths from ALRI.http://www.e-cep.org/upload/pdf/cep-2020-01438.pdfgeographic information systemmortalityrespiration disorders |
| spellingShingle | Ali Almasi Sohyla Reshadat Alireza Zangeneh Mehdi Khezeli Raziyeh Teimouri Samira Rahimi Naderi Shahram Saeidi Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global study Clinical and Experimental Pediatrics geographic information system mortality respiration disorders |
| title | Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global study |
| title_full | Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global study |
| title_fullStr | Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global study |
| title_full_unstemmed | Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global study |
| title_short | Spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000–2017: a global study |
| title_sort | spatial modeling of mortality from acute lower respiratory infections in children under 5 years of age in 2000 2017 a global study |
| topic | geographic information system mortality respiration disorders |
| url | http://www.e-cep.org/upload/pdf/cep-2020-01438.pdf |
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