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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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Area-Based Socioeconomic Conditions and Urban Malaria and Diarrhea Mortalities in Accra, Ghana

Julius N. Fobil, Wibke Loag , Norbert Schwarz , Frederick Rodrigues , Christian G. Meyer , Alexander Kraemer and Juergen May
Page: 6-16 | Received 21 Sep 2022, Published online: 21 Sep 2022

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https://doi.org/10.36478/ijtmed.2012.6.16

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Abstract

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 PMRfd = 0.030; 95% CI = 0.010 0.049 p = 0.0008), no such differences in diarrhea mortality were observed (Mean PMRfd = 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.

How to cite this article:

Julius N. Fobil, Wibke Loag , Norbert Schwarz , Frederick Rodrigues , Christian G. Meyer , Alexander Kraemer and Juergen May . Area-Based Socioeconomic Conditions and Urban Malaria and Diarrhea Mortalities in Accra, Ghana.
DOI: https://doi.org/10.36478/ijtmed.2012.6.16
URL: https://www.makhillpublications.co/view-article/1816-3319/ijtmed.2012.6.16