Objective To assess the role of rural-urban migration in the risks of under-five death; to identify possible mechanisms through which migration may influence mortality; and to determine individual- and community-level relationships between migration status and under-five death.Method Multilevel Cox regression analysis was used on a nationally representative sample of 6029 children from 2735 mothers aged 15-49 years and nested within 365 communities from the 2003 Nigeria Demographic and Health Survey. Hazard ratios with 95% confidence intervals were used to express the measures of association between the characteristics, and intra-class coefficients were used to express the measures of variation.Results Children of rural non-migrant mothers had significantly lower risks of under-five death than children of rural-urban migrant mothers. The disruption of family and community ties, low socio-economic position and vulnerability, and the difficulties migrants face in adapting into the new urban environment, may predispose the children of rural-urban migrants to higher mortality.Conclusion Our results stress the need for community-level and socio-economic interventions targeted at migrant groups within urban areas to improve their access to health care services, maternal education, as well as the general socio-economic situation of women. © 2010 Blackwell Publishing Ltd.
Antai, D., Wedrén, S., Bellocco, R., Moradi, T. (2010). Migration and child health inequities in Nigeria: A multilevel analysis of contextual- and individual-level factors [Migrations et iniquités dans la santé des enfants au Nigeria: Une analyse multi-niveau des facteurs contextuels et individuels]. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 15(12), 1464-1474 [10.1111/j.1365-3156.2010.02643.x].
Migration and child health inequities in Nigeria: A multilevel analysis of contextual- and individual-level factors [Migrations et iniquités dans la santé des enfants au Nigeria: Une analyse multi-niveau des facteurs contextuels et individuels]
BELLOCCO, RINO;
2010
Abstract
Objective To assess the role of rural-urban migration in the risks of under-five death; to identify possible mechanisms through which migration may influence mortality; and to determine individual- and community-level relationships between migration status and under-five death.Method Multilevel Cox regression analysis was used on a nationally representative sample of 6029 children from 2735 mothers aged 15-49 years and nested within 365 communities from the 2003 Nigeria Demographic and Health Survey. Hazard ratios with 95% confidence intervals were used to express the measures of association between the characteristics, and intra-class coefficients were used to express the measures of variation.Results Children of rural non-migrant mothers had significantly lower risks of under-five death than children of rural-urban migrant mothers. The disruption of family and community ties, low socio-economic position and vulnerability, and the difficulties migrants face in adapting into the new urban environment, may predispose the children of rural-urban migrants to higher mortality.Conclusion Our results stress the need for community-level and socio-economic interventions targeted at migrant groups within urban areas to improve their access to health care services, maternal education, as well as the general socio-economic situation of women. © 2010 Blackwell Publishing Ltd.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.