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Fine and Gray competing risk regression model to study the cause-specific under-five child mortality in Bangladesh
Authors: Khandoker Akib Mohammad, Most. Fatima-Tuz-Zahura, and Wasimul Bari
Source: BMC International Health and Human Rights, 17:3; DOI: 10.1186/s12914-017-0112-8
Topic(s): Child health
Childhood mortality
Children under five
Country: Asia
Published: JAN 2017
Abstract: Background The cause-specific under-five mortality of Bangladesh has been studied by fitting cumulative incidence function (CIF) based Fine and Gray competing risk regression model (1999). For the purpose of analysis, Bangladesh Demographic and Health Survey (BDHS), 2011 data set was used. Methods Three types of mode of mortality for the under-five children are considered. These are disease, non-disease and other causes. Product-Limit survival probabilities for the under-five child mortality with log-rank test were used to select a set of covariates for the regression model. The covariates found to have significant association in bivariate analysis were only considered in the regression analysis. Results Potential determinants of under-five child mortality due to disease is size of child at birth, while gender of child, NGO (non-government organization) membership of mother, mother’s education level, and size of child at birth are due to non-disease and age of mother at birth, NGO membership of mother, and mother’s education level are for the mortality due to other causes. Conclusion Female participation in the education programs needs to be increased because of the improvement of child health and government should arrange family and social awareness programs as well as health related programs for women so that they are aware of their child health. Keywords Competing risk – Cumulative incidence function – Hazard function – Under-five mortality – Sub-distribution hazard ratio