Migration and child health inequities in Nigeria: a multilevel analysis of contextual- and individual-level factors
| Autor: | Diddy Antai, Tahereh Moradi, Rino Bellocco, Sara Wedrén |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Pediatrics
medicine.medical_specialty education.field_of_study business.industry Multilevel model Population Public Health Environmental and Occupational Health Vulnerability Psychological intervention Child mortality Infectious Diseases Environmental health Health care Medicine Parasitology Rural area business education Socioeconomic status |
| Zdroj: | Tropical Medicine & International Health. 15:1464-1474 |
| ISSN: | 1360-2276 |
| DOI: | 10.1111/j.1365-3156.2010.02643.x |
| Popis: | Objective: To assess the role of rural–urban migration in the risks of under-five death; to identify possible mechanisms through which migration may influence mortality; and to determine individual- and community-level relationships between migration status and under-five death. Method: Multilevel Cox regression analysis was used on a nationally representative sample of 6029 children from 2735 mothers aged 15–49 years and nested within 365 communities from the 2003 Nigeria Demographic and Health Survey. Hazard ratios with 95% confidence intervals were used to express the measures of association between the characteristics, and intra-class coefficients were used to express the measures of variation. Results: Children of rural non-migrant mothers had significantly lower risks of under-five death than children of rural–urban migrant mothers. The disruption of family and community ties, low socio-economic position and vulnerability, and the difficulties migrants face in adapting into the new urban environment, may predispose the children of rural–urban migrants to higher mortality. Conclusion: Our results stress the need for community-level and socio-economic interventions targeted at migrant groups within urban areas to improve their access to health care services, maternal education, as well as the general socio-economic situation of women. |
| Databáze: | OpenAIRE |
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