Author/Authors :
Chaman، Reza نويسنده Department of Epidemiology, Faculty of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran Chaman, Reza , Alami، Ali نويسنده Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran , , Emamian، Mohammad Hassan نويسنده Department of Epidemiology and Biostatistics, School of Public Health, Shahroud University of Medical Sciences, Shahroud , , Holakouie Naieni، Kourosh نويسنده Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran , , Mirmohammadkhani، Majid نويسنده , , Ahmadnezhad، Elham نويسنده , , Entezarmahdi، Rasool نويسنده Department of Epidemiology & Biostatistics, Tehran University of Medical Sciences, Tehran , , Shati، Mohsen نويسنده Tehran University of Medical Scinces (TUMS), Tehran , , Shariati، Mohammad نويسنده Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran ,
Abstract :
Background: The aim of the study was to evaluate potential risk
factors of children mortality between 1?59 months of age.
Methods: This nested case-control study was conducted among
children born from June 1999 to March 2009 in rural areas of
Shahroud, located in the central region of Iran using health care visit
reports and follow?up data available in household health records.
Results: Mortality was significantly associated with breastfeeding
duration (OR: 0.87, 95% CI: 0.81?0.93), total health care visits (OR:
0.90, 95% CI: 0.83?0.98) and low birth weight (LBW) (OR: 7.38,
95% CI: 1.37-39.67).
Conclusion: In our study, a longer breastfeeding period and
more frequent health care visits were two important protective
factors, while LBW was an important risk factor for 1?59 month
child mortality. It seems, that complex and multiple factors may be
involved in mortality of under 5?year?old children, so combined
efforts would be necessary to improve child health indicators.