Work

Deaths of children aged under 5 years and realted factors in the Islamic Republic of Iran: a population-based case-control study

Year: 2016

Type: article

Abstract: The study was conducted to determine the family, social and economic factors associated with deaths of children aged under 5 years.A registry-based nested case-control study was conducted of the deaths of all children aged under 5 years in Kohgilooyeh and Boyer-Ahmad Province in the Islamic Republic of Iran.For each death, two controls were randomly selected among children of the same age, sex and place of residence (186 cases and 372 controls).Congenital abnormality (37.6%) and preterm birth (29.0%) were the two most frequent causes of death among children aged under 5 years.No vaccine-preventable disease was reported as the cause of death.The strongest associations were found with consanguinity of the parents (OR = 3.92; 95% CI = 2.27-6.85 for being first cousins in comparison with no family relation; P < 0.001) and with domestic violence to the mother during pregnancy (OR = 3.13; 95% CI = 1.60-6.17;P < 0.01).The main causes of death of children aged under 5 years in the Province were congenital abnormality and prematurity.‫ـاالت‬ ‫حـ‬ ‫ـة‬ ‫دراسـ‬ ‫ـامية:‬ ‫اإلسـ‬ ‫ـران‬ ‫إيـ‬ ‫ـة‬ ‫مجهوريـ‬ ‫يف‬ ‫ـا‬ ‫هبـ‬ ‫ـة‬ ‫املتصلـ‬ ‫ـل‬ ‫والعوامـ‬ ‫ـنوات‬ ‫سـ‬ 5 ‫ـن‬ ‫عـ‬ ‫ـم‬ ‫أعامرهـ‬ ‫ـل‬ ‫تقـ‬ ‫ـن‬ ‫الذيـ‬ ‫ـال‬ ‫األطفـ‬ ‫ـات‬ ‫وفيـ‬ ‫ـز‬ ‫املرتكـ‬ ‫ـكانية‬ ‫سـ‬ ‫ـواهد‬ ‫وشـ‬ ‫باريساي‬ ‫ظفر‬ ‫فراروين،‬ ‫حممد‬ ‫هيبونن،‬ ‫الينا‬ ‫عدااليت،‬ ‫عيل‬ ‫بور،‬ ‫عوض‬ ‫رضا‬ ‫عيل‬ 5 ‫ـن‬ ‫عـ‬ ‫ـم‬ ‫أعامرهـ‬ ‫ـل‬ ‫تقـ‬ ‫ـن‬ ‫الذيـ‬ ‫ـال‬ ‫األطفـ‬ ‫ـات‬ ‫بوفيـ‬ ‫ـة‬ ‫املرتبطـ‬ ‫ـة‬ ‫واالقتصاديـ‬ ‫ـة‬ ‫واالجتامعيـ‬ ‫ـة‬ ‫العائليـ‬ ‫ـل‬ ‫العوامـ‬ ‫ـد‬ ‫لتحديـ‬ ‫ـة‬ ‫الدراسـ‬ ‫ـذه‬ ‫هـ‬ ‫ـت‬ ‫أجريـ‬ ‫ـة:‬ ‫اخلاصـ‬ ‫ـنوات‬ ‫سـ‬ 5 ‫عن‬ ‫أعامرهم‬ ‫ـل‬ ‫تقـ‬ ‫ـن‬ ‫الذيـ‬ ‫ـال‬ ‫األطفـ‬ ‫ـع‬ ‫مجيـ‬ ‫وفيات‬ ‫ـأن‬ ‫بشـ‬ ‫ـجالت‬ ‫السـ‬ ‫ـى‬ ‫عـ‬ ‫ـز‬ ‫ترتكـ‬ ‫ـواهد‬ ‫وشـ‬ ‫ـاالت‬ ‫حلـ‬ ‫ـة‬ ‫متداخلـ‬ ‫ـة‬ ‫دراسـ‬ ‫ـت‬ ‫أجريـ‬ ‫ـد‬ ‫فقـ‬ ‫ـنوات.

Source: Eastern Mediterranean Health Journal

DOI: 10.26719/2016.22.6.368

Authors: Alireza Evazpoor, Ali Edalati, Elina Hypponen, Mohammad Fararouei, Zafar Parisai