Determinants of Child Morbidity in Latin America : A Pooled Analysis of Interactions Between Parental Education and Economic Status  

Oleh:

Hatt, Laurel E. ; Waters, Hugh R.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 2 (Jan. 2006), page 375-386.
Topik: PARENTAL EDUCATION; latin america; socioeconomic status; education; interaction; diarrhea; respitatory illness

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Diarrhea and respiratory infections account for more than two fifths of all deaths among children under five. Parental education and economic status are well known risk factors for child morbidity, but little is known about whether education and economic status operate synergistically or independently to influence children's health. Confirming the presence and direction of such interactions is improtant to better target education and development policies. Our objective is to test for interactions between parental education and economic status in predicting the risk of diarrhea and repirator illness among children under five, before adjusting for key proximate risk factors. We pool 12 demographic and health surveys (DHS) and nine living standards measurement surveys (LSMS) from latin america, creating two large databases. Quintiles of economic status are constructed from principal components asset indices. We use logistic regression to analyze episodes of diarrhea and repiratory illness and interactions between economic quintile and maternal and paternal education are evaluated via likelihood ratio tests. We find that mother's education and quintile interact synergistically in the DHS data, while results are inconclusive in the LSMS data. The effect of increasing maternal education appears to be more protective for children in wealthy families than for children in poor families. Conservly, improvements in economic status reduce health risks more for children whose mothers are better education. Father's education is protective and operates independently of economic status. Our findings imply that poverty alleviation efforts occuring in concert with program to educate women and girls will be more effective for improving children's health than either approach alone.

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