TY  - JOUR
T1  - Area-Based Socioeconomic Conditions and Urban Malaria and Diarrhea Mortalities in Accra, Ghana
AU - N. Fobil, Julius AU - , Wibke Loag AU - , Norbert Schwarz AU - , Frederick Rodrigues AU - , Christian G. Meyer AU - , Alexander Kraemer AU - , Juergen May 
JO  - International Journal of Tropical Medicine
VL  - 7
IS  - 1
SP  - 6
EP  - 16
PY  - 2012
DA  - 2001/08/19
SN  - 1816-3319
DO  - ijtmed.2012.6.16
UR  - https://makhillpublications.co/view-article.php?doi=ijtmed.2012.6.16
KW  - Accra
KW  -area-based SES
KW  -SE-quintiles
KW  -health inequalities
KW  -proportional mortality ratio
KW  -Germany
AB  - Health inequalities are linked to inequalities in Socioeconomic Status (SES). While infant malaria/diarrhea mortality is widely studied, not very much is known about the influence of area-based measures of SES and all age urban malaria and diarrhea mortalities. To assess the relationship between area-based SES and malaria/diarrhea mortalities and whether these differed across SE-classes in an urban area in a low income country. Proportional mortality rates, computed from 24716 reported death records, collected from Accra over the period 1998-2002 were compared with area-based socioeconomic data in multivariate linear regression analyses in an ecological study design. While malaria mortality showed strong evidence of significant differences across the SE-quintiles (Mean PMR<SUB>fd</SUB> = 0.030; 95% CI = 0.010 0.049 p = 0.0008), no such differences in diarrhea mortality were observed (Mean PMR<SUB>fd</SUB> = 0.027; 95% CI = 0.014 0.040; p = 0.288). Analyses showed weaker associations between area-based SE-conditions and diarrhea mortality than that observed for malaria mortality. We conclude that all age urban malaria mortalities were more sensitive to changing area-based SE-conditions than diarrhea mortalities suggesting perhaps that social interventions were more effective in diarrhea control compared to malaria.
ER  -