Author Identifier

Emmanuel O Adewuyi

ORCID : 0000-0002-4533-0340

Document Type

Journal Article

Publication Title

Pediatrics International

Publisher

Wiley

School

School of Medical and Health Sciences / Centre for Precision Health

RAS ID

36139

Comments

This is an Author's Accepted Manuscript of: Adewuyi, E. O., & Zhao, Y. (2017). Determinants of neonatal mortality in rural and urban Nigeria: Evidence from a population‐based national survey. Pediatrics International, 59(2), 190-200.

https://doi.org/10.1111/ped.13086

Abstract

Background

Significant reduction in the global burden of neonatal mortality was achieved through the millennium development goals. In Nigeria, however, only a marginal reduction was realized. This study assesses the rural–urban differences in neonatal mortality rate (NMR) and the associated risk factors in Nigeria.

Methods

The dataset from the 2013 Nigeria demographic and health survey (NDHS), disaggregated by rural–urban residence (n = 20 449 and 9935, respectively), was explored using univariate, bivariate, and multivariable analysis. Complex samples analysis was applied to adjust for the unequal selection probabilities due to the multi-stage cluster sampling method used in the 2013 NDHS. The adjusted relationship between the outcome and predictor variables was assessed on multi-level logistic regression analysis.

Results

NMR for rural and urban populations was 36 and 28 deaths per 1000 live births, respectively. Risk factors in urban residence were lack of electricity access (adjusted OR [AOR], 1.555; 95%CI: 1.089–2.220), small birth size (as a proxy for low birthweight; AOR, 3.048; 95%CI: 2.047–4.537), and male gender (AOR, 1.666; 95%CI: 1.215–2.284). Risk factors in rural residence were small birth size (a proxy for low birthweight; AOR, 2.118; 95%CI: 1.600–2.804), and birth interval < 2 years (AOR, 2.149; 95%CI: 1.760–2.624). Cesarean delivery was a risk factor both in rural (AOR, 5.038; 95%CI: 2.617–9.700) and urban Nigeria (AOR, 2.632; 95%CI: 1.543–4.489).

Conclusions

Determinants of neonatal mortality were different in rural and urban Nigeria, and rural neonates had greater risk of mortality than their urban counterparts.

DOI

10.1111/ped.13086

Research Themes

Health

Priority Areas

Exercise, nutrition, lifestyle and other interventions for optimal health across the lifespan

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