Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015
Background: To estimate under-five mortality rate (U5MR), as one of the sustainable development goals, in rural and urban areas of Iran from 1990 to 2015. Methods: We used the data collected through two censuses and one Demographic and Health Surveys (DHS). We analyzed the Summary Birth History...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Tehran University of Medical Sciences
2020-04-01
|
Series: | Iranian Journal of Public Health |
Subjects: | |
Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/12967 |
id |
doaj-fe1450f9fa44415b9f544045c5310631 |
---|---|
record_format |
Article |
spelling |
doaj-fe1450f9fa44415b9f544045c53106312021-01-02T15:42:10ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932020-04-01494Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015Younes MOHAMMADI0Manoochehr KARAMI1Nasrin DERAKHSHANZADEH2Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran AND Social Determinants of Health Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran AND Modelling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, IranDepartment of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran AND Students Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran Background: To estimate under-five mortality rate (U5MR), as one of the sustainable development goals, in rural and urban areas of Iran from 1990 to 2015. Methods: We used the data collected through two censuses and one Demographic and Health Surveys (DHS). We analyzed the Summary Birth History (SBH) data via 2 approaches including Maternal Age Cohort (MAC) and Maternal Age Period (MAP) methods, and then, Gaussian Process Regression (GPR) was used to combine the three trends and with 95% uncertainty. Finally, Ratio of U5MR in rural to urban was calculated. Results: At the national level and in urban areas, U5MR in 1990, 2000, 2010, and 2015 was 66, 34, 18, and 13 per 1000 live births, respectively. Corresponding values in rural areas in 1990, 2000, 2010, and 2015 was 129, 64, 31, and 21 per 1000 live births, respectively. Accordingly, the ratio of U5MR in rural to urban at the national level was 1.93, 1.86, 1.72 and 1.63 in the same years. At the sub-national level, U5MR in urban areas ranged from 11.2 per 1000 live births in Isfahan to 18.2 per 1000 live births in Hormuzagn. U5MR in rural areas ranged from 14.1 per 1000 live births in Isfahan to 29.5 per 1000 live births in Sistan and Baluchistan Conclusion: There is still a gap between rural and urban areas, although it has decreased during the 25 years of the study. To alleviate this gap, health system authorities are advised to plan appropriate actions using multi-sectoral capacities. https://ijph.tums.ac.ir/index.php/ijph/article/view/12967Infant mortality/trend;Child mortality/trend;Rural health;Urban health;Iran |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Younes MOHAMMADI Manoochehr KARAMI Nasrin DERAKHSHANZADEH |
spellingShingle |
Younes MOHAMMADI Manoochehr KARAMI Nasrin DERAKHSHANZADEH Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015 Iranian Journal of Public Health Infant mortality/trend; Child mortality/trend; Rural health; Urban health; Iran |
author_facet |
Younes MOHAMMADI Manoochehr KARAMI Nasrin DERAKHSHANZADEH |
author_sort |
Younes MOHAMMADI |
title |
Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015 |
title_short |
Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015 |
title_full |
Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015 |
title_fullStr |
Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015 |
title_full_unstemmed |
Rural-Urban Disparity of Under-Five Mortality Rate in Iran from 1990 to 2015 |
title_sort |
rural-urban disparity of under-five mortality rate in iran from 1990 to 2015 |
publisher |
Tehran University of Medical Sciences |
series |
Iranian Journal of Public Health |
issn |
2251-6085 2251-6093 |
publishDate |
2020-04-01 |
description |
Background: To estimate under-five mortality rate (U5MR), as one of the sustainable development goals, in rural and urban areas of Iran from 1990 to 2015.
Methods: We used the data collected through two censuses and one Demographic and Health Surveys (DHS). We analyzed the Summary Birth History (SBH) data via 2 approaches including Maternal Age Cohort (MAC) and Maternal Age Period (MAP) methods, and then, Gaussian Process Regression (GPR) was used to combine the three trends and with 95% uncertainty. Finally, Ratio of U5MR in rural to urban was calculated.
Results: At the national level and in urban areas, U5MR in 1990, 2000, 2010, and 2015 was 66, 34, 18, and 13 per 1000 live births, respectively. Corresponding values in rural areas in 1990, 2000, 2010, and 2015 was 129, 64, 31, and 21 per 1000 live births, respectively. Accordingly, the ratio of U5MR in rural to urban at the national level was 1.93, 1.86, 1.72 and 1.63 in the same years. At the sub-national level, U5MR in urban areas ranged from 11.2 per 1000 live births in Isfahan to 18.2 per 1000 live births in Hormuzagn. U5MR in rural areas ranged from 14.1 per 1000 live births in Isfahan to 29.5 per 1000 live births in Sistan and Baluchistan
Conclusion: There is still a gap between rural and urban areas, although it has decreased during the 25 years of the study. To alleviate this gap, health system authorities are advised to plan appropriate actions using multi-sectoral capacities.
|
topic |
Infant mortality/trend; Child mortality/trend; Rural health; Urban health; Iran |
url |
https://ijph.tums.ac.ir/index.php/ijph/article/view/12967 |
work_keys_str_mv |
AT younesmohammadi ruralurbandisparityofunderfivemortalityrateiniranfrom1990to2015 AT manoochehrkarami ruralurbandisparityofunderfivemortalityrateiniranfrom1990to2015 AT nasrinderakhshanzadeh ruralurbandisparityofunderfivemortalityrateiniranfrom1990to2015 |
_version_ |
1724352678015795200 |