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The large contribution of twins to neonatal and post-neonatal mortality in The Gambia, a 5-year prospective study
http://hdl.handle.net/10069/37385
http://hdl.handle.net/10069/373851c2646ce-d043-4512-ae24-708026a290d6
名前 / ファイル | ライセンス | アクション |
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BMCPed16_39.pdf (502.9 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-05-30 | |||||
タイトル | ||||||
タイトル | The large contribution of twins to neonatal and post-neonatal mortality in The Gambia, a 5-year prospective study | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | HDSS | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Mortality | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Neonatal | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Post-neonatal | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Risk factors | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Twins | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Miyahara, Reiko
× Miyahara, Reiko× Jasseh, Momodou× Mackenzie, Grant Austin× Bottomley, Christian× Hossain, M. Jahangir× Greenwood, Brian M× D’Alessandro, Umberto× Roca, Anna |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: A high twinning rate and an increased risk of mortality among twins contribute to the high burden of infant mortality in Africa. This study examined the contribution of twins to neonatal and post-neonatal mortality in The Gambia, and evaluated factors that contribute to the excess mortality among twins. Methods: We analysed data from the Basse Health and Demographic Surveillance System (BHDSS) collected from January 2009 to December 2013. Demographic and epidemiological variables were assessed for their association with mortality in different age groups. Results: We included 32,436 singletons and 1083 twins in the analysis (twining rate 16.7/1000 deliveries). Twins represented 11.8 % of all neonatal deaths and 7.8 % of post-neonatal deaths. Mortality among twins was higher than in singletons [adjusted odds ratio (AOR) 4.33 (95 % CI: 3.09, 6.06) in the neonatal period and 2.61 (95 % CI: 1.85, 3.68) in the post-neonatal period]. Post-neonatal mortality among twins increased in girls (P for interaction = 0.064), being born during the dry season (P for interaction = 0.030) and lacking access to clean water (P for interaction = 0.042). Conclusion: Mortality among twins makes a significant contribution to the high burden of neonatal and post-neonatal mortality in The Gambia and preventive interventions targeting twins should be prioritized. | |||||
書誌情報 |
BMC Pediatrics 巻 16, p. 39, 発行日 2016-03-15 |
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出版者 | ||||||
出版者 | BioMed Central Ltd. | |||||
EISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 14712431 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1186/s12887-016-0573-2 | |||||
権利 | ||||||
権利情報 | c 2016 Miyahara et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | BMC Pediatrics, 16, 39; 2016 |