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Association Between Ethnicity and Under-5 Mortality: Analysis of Data from Demographic Surveys from 36 Low-income and Middle-income Countries by Victora, Cesar G; Barros, Aluisio J D; Blumenberg, Cauane; Costa, Janaina Calu; Vidaletti, Luis Paulo; Wehrmeister, Fernando C; Masquelier, Bruno; Hug, Lucia; You, Danzhen is a Medicine article available to read on EtoBox.

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## Summary ## Background The UN Sustainable Development Goals (SDGs) call for stratification of social indicators by ethnic groups; however, no recent multicountry analyses on ethnicity and child survival have been done in low-income and middle-income countries (LMICs). ## Methods We used data from Demographic and Health Surveys and Multiple Indicator Cluster Surveys collected between 2010 and 2016, from LMICs that provided birth histories and information on ethnicity or a proxy variable. We calculated neonatal (age 0–27 days), post-neonatal (age 28–364 days), child (age 1–4 years), and under-5 mortality rates (U5MRs) for each ethnic group within each country. We assessed differences in mortality between ethnic groups using a likelihood ratio test, Theil's index, and between-group variance. We used multivariable analyses of U5MR by ethnicity to adjust for household wealth, maternal education, and urban–rural residence. ## Findings We included data from 36 LMICs, which included 2 812 381 livebirths among 415 ethnic groups. In 25 countries, significant differences in U5MR by ethnic group were identified (all p<0·05 likelihood ratio test). In these countries, the median mortality rati

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Author

Victora, Cesar G; Barros, Aluisio J D; Blumenberg, Cauane; Costa, Janaina Calu; Vidaletti, Luis Paulo; Wehrmeister, Fernando C; Masquelier, Bruno; Hug, Lucia; You, Danzhen

Publisher

Elsevier ; Elsevier BV; Amsterdam: Elsevier (ISSN 2214-109X)

Published

2020

Language

EN

Field

Medicine (Health Sciences)