TY  - JOUR
PY  - 2020//
TI  - Explanatory social variables of under-5 mortality caused by injury in Isfahan Province, Islamic Republic of Iran
JO  - Eastern Mediterranean health journal
A1  - Hooshangi, Zohre
A1  - Amini-Rarani, Mostafa
A1  - Salehi, Shayesteh
SP  - 660
EP  - 667
VL  - 26
IS  - 6
N2  - BACKGROUND: Injuries are a major cause of disease, long-term disability and death. Injury-related damage accounts for 12% of the burden of disease worldwide. Recently, significant improvements in child health have been achieved in the Islamic Republic of Iran: under-5 mortality was reduced substantially from 1990 to 2013. Nevertheless, injury is still a significant cause of mortality in this age group.     Aims: Because of their vulnerability and the high rates of injury-related mortality among children under-5, this study aimed at investigating explanatory social variables of injury-related mortality.   Methods: The study was conducted using the Commission on Social Determinants of Health conceptual framework among children aged under-5 years in Isfahan Province. Using the national child mortality surveillance system 1433 under- 5 mortalities during 2010-2015 were secondary analysed.     Results: We found 403 (28%) cases were related to injury. Most of the deaths occurred in 706 infants (49.2%), among boys (54.8%) and urban residents (78.9%). Multivariate logistic regression showed that mothers' low education level, age 1-5 years', living in a supportive centre and having financial problems increased the odds of under-5 mortality caused by injury (odds ratio > 1, P-value ≤ 0.05).     Conclusion: Considering the importance and impacts of social factors on injury-related mortality among children, health policy-makers should initially consider the social determinants of health approach in child health programmes to inform interventions aimed at reducing injury-related mortality.<p />  <p>Language: en</p>
LA  - en
SN  - 1020-3397
UR  - http://dx.doi.org/10.26719/emhj.19.086
ID  - ref1
ER  -