2023-09-28 14:46:10 +00:00
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abstract: 'In low- and middle-income countries (LMICs), the probability of dying in
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childhood is strongly related to the socio-economic position of the
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parents or household in which the child is born. This article reviews
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the evidence on the magnitude of socio-economic inequalities in
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childhood mortality within LMICs, discusses possible causes and
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highlights entry points for intervention.
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Evidence on socio-economic inequalities in childhood mortality in LMICs
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is mostly based on data from household surveys and demographic
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surveillance sites.
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Childhood mortality is systematically and considerably higher among
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lower socio-economic groups within countries. Also most proximate
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mortality determinants, including malnutrition, exposure to infections,
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maternal characteristics and health care use show worse levels among
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more deprived groups. The magnitude of inequality varies between
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countries and over time, suggesting its amenability to intervention.
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Reducing inequalities in childhood mortality would substantially
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contribute to improving population health and reaching the Millennium
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Development Goals (MDGs).
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The contribution of specific determinants, including national policies,
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to childhood mortality inequalities remains uncertain. What works to
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reduce these inequalities, in particular whether policies should be
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universal or targeted to the poor, is much debated.
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The increasing political attention for addressing health inequalities
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needs to be accompanied by more evidence on the contribution of specific
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determinants, and on ways to ensure that interventions reach lower
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socio-economic groups.'
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affiliation: 'Houweling, TAJ (Corresponding Author), Erasmus MC Univ Med Ctr Rotterdam,
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Dept Publ Hlth, POB 2040, NL-3000 CA Rotterdam, Netherlands.
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Houweling, Tanja A. J., Erasmus MC Univ Med Ctr Rotterdam, Dept Publ Hlth, NL-3000
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CA Rotterdam, Netherlands.
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Kunst, Anton E., Univ Amsterdam, Acad Med Ctr, Dept Publ Hlth, NL-1105 AZ Amsterdam,
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Netherlands.'
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author: Houweling, Tanja A. J. and Kunst, Anton E.
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author-email: tanja.houweling@gmail.com
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author_list:
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- family: Houweling
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given: Tanja A. J.
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- family: Kunst
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given: Anton E.
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da: '2023-09-28'
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doi: 10.1093/bmb/ldp048
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eissn: 1471-8391
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files: []
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issn: 0007-1420
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journal: BRITISH MEDICAL BULLETIN
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keywords: 'health inequality; child mortality; low- and middle-income countries;
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socioeconomic factors; review'
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keywords-plus: 'HEALTH-CARE; INFANT-MORTALITY; MATERNAL EDUCATION; POOR; SURVIVAL;
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DETERMINANTS; INEQUITIES; EQUITY; GROWTH; RATES'
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language: English
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month: MAR
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number: '1'
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number-of-cited-references: '105'
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orcid-numbers: 'Kunst, Anton/0000-0002-3313-5273
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Houweling, Tanja AJ/0000-0001-6090-4376'
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pages: 7-26
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papis_id: 14b8b50c6c56c4fc9946beeaaa5b3285
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ref: Houweling2010socioeconomicinequal
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researcherid-numbers: 'Houweling, Tanja/GRF-6127-2022
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'
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tags:
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- review
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times-cited: '138'
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title: 'Socio-economic inequalities in childhood mortality in low- and middle-income
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countries: a review of the international evidence'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000275565800002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '25'
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volume: '93'
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web-of-science-categories: Medicine, General \& Internal
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year: '2010'
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