Diddy Antai|Tahereh Moradi
Urban Area Disadvantage and Under-5 Mortality in Nigeria: The Effect of Rapid Urbanization
Karolinska Institutet|Karolinska Institutet
backgroundliving socioeconomically disadvantaged areas associated increased childhood mortality risksas cityliving becomes predominant social context lowand middleincome countries resulting rapid urbanization together poor economic circumstances countries greatly increase risks underfive mortality objectivethis study examined trends urban population growth urban underfive mortality 1983 2003 nigeriawe assessed whether urban area socioeconomic disadvantage impact underfive mortality methodsurban underfive mortality rates directly estimated 1990 1999 2003 nigeria demographic health surveysmultilevel logistic regression analysis performed data containing 2118 children nested within 1350 mother turn nested within 165 communities resultsurban underfive mortality increased urban population steadily increased 1983 2003urban area disadvantage significantly associated underfive mortality adjusting individual childand motherlevel demographic socioeconomic characteristics conclusionssignificant risks underfive deaths individual community levels underscore need interventions tailored towards communityand individuallevel interventionswe stress need studies communitylevel determinants underfive mortality disadvantaged urban areas