Logistic Regression and Multiple Classification Analyses to Explore Risk Factors of Under-5 Mortality in Bangladesh

Logistic Regression and Multiple Classification of Under-5 Mortality in Bangladesh

Authors

  • Kakoli Rani Bhowmik Shahjalal University of Science & Technology, Sylhet, Bangladesh
  • Sabina Islam Shahjalal University of Science & Technology, Sylhet, Bangladesh

Keywords:

Neonatal, post-neonatal, child mortality, logistic regression analysis, multiple classification analysis, priority index

Abstract

Logistic regression (LR) analysis is the most common statistical methodology to find out the determinants of childhood mortality. However, the significant predictors cannot be ranked according to their influence on the response variable. Multiple classification (MC) analysis can be applied to identify the significant predictors with a priority index which helps to rank the predictors.
The main objective of the study is to find the socio-demographic determinants of childhood mortality at neonatal, post-neonatal, and post-infant period by fitting LR model as well as to rank those through MC analysis. The study is conducted using the data of Bangladesh Demographic and Health Survey 2007 where birth and death information of children were collected from their mothers. Three dichotomous response variables are constructed from children age at death to fit the LR and MC models. Socio-economic and demographic variables significantly associated with the response variables separately are considered in LR and MC analyses. Both the LR and MC models identified the same significant predictors for specific childhood mortality. For both the neonatal and child mortality, biological factors of children, regional settings, and parents’ socio-economic status are found as 1st
,2nd , and 3rd significant groups of predictors respectively. Mother’s education and household’s environment are detected as major significant predictors of post-neonatal mortality. This study shows that MC analysis with or without LR analysis can be applied to detect determinants with rank which help the policy makers taking initiatives on a priority basis.

References

UNICEF. Young Child Survival and Development. UNICEF, New York, USA (2015). http://www.unicef.org/childsurvival/.

NIPORT (National Institute of Population Research and Training). Bangladesh Demographic and Health Survey 2011.

NIPORT, Mitra and Associates, Dhaka, Bangladesh and ORC Macro, Calverton, Maryland, USA (2013).

Garde, M. & N. Sabina. Inequalities in Child Survival: Looking at Wealth and Other Socioeconomic Disparities in Developing Countries.

Save the Children, London, UK (2010).

Al-Kabir, A. Effects of Community Factors on Infant and Child Mortality in Rural Bangladesh. World Fertility Survey (WFS) Scientific Report No. 55. International Statistical Institute, Voorburg (1984).

Kabir, A., M.S. Islam, M.S. Ahmed & K. Barbhuiya. Factors influencing infant and child mortality in Bangladesh. The Sciences 1(5):

-295 (2001).

DaVanzo, J., A. Razzaque, M. Rahman, L. Hale, K. Ahmed, M.A. Khan, G. Mustafa & K. Gausia. The Effects of Birth Spacing on Infant

and Child Mortality, Pregnancy Outcomes, and Maternal Morbidity and Mortality in Matlab, Bangladesh. RAND Labor and Population

(WR-198), RAND Corporation, Santa Monica, California, USA (2004).

Chowdhury, Q.H., R. Islam & K. Hossain.Socio-economic determinants of neonatal, postnatal, infant and child mortality.

International Journal of Sociology and Anthropology 2(6): 118-125 (2010).

Kamal, S.M.M., M. Ashrafuzzaman & S.A. Nasreen. Risk factors of neonatal mortality in Bangladesh. Journal of Nepal Paediatric

Society 32(1): 37-46 (2012).

Islam, R., M. Hossain, M. Rahman & M. Hossain. Impact of socio-demographic factors on child mortality in Bangladesh: An Multivariate Approach. International Journal of Psychology and Behavioral Sciences 3(1): 34-39 (2013).

Rahman, M., B. Wojtyniak, M.M. Rahaman & K.M.S. Aziz. Impact of environmental sanitation and crowding on infant mortality in

rural Bangladesh. The Lancet 326(8445): 28-30(1985).

Kabir, M.A., A.Q. Al-Amin, G.M. Alam & M.A. Matim. Early childhood mortality and affecting factors in developing countries: An

experience from Bangladesh. International Journal of Pharmacology 1-7 (2011).

Andrews, F.M., J.N. Morgan, J.A. Sonquist & L. Klem. Multiple Classification Analysis: A Report on a Computer Program for Multiple

Regression Using Categorical Predictors, 2nd ed. Institute for Social Research, University of Michigan, Michigan, USA (1973).

Menard, S. Applied Logistic Regression Analysis. 2nd ed. Sage Publications, California, USA (2002).

Hosmer, D.W. & S. Lemeshow. Applied Logistic Regression, 2nd ed. John Wiley & Sons, New Jersey, USA (2000).

Engle, R.F. Wald, likelihood ratio, and Lagrange multiplier tests in econometrics. In:Griliches Z. and M.D. Intriligator (Ed.).

Handbook of Econometrics, Volume II. Elsevier Science Publishers, North Holland, p. 775-826(1984).

Agresti, A. Categorical Data Analysis, 2nd ed. John Wiley & Sons, New Jersey, USA (2002).

Suits, D.B. Use of dummy variables in regression equations. Journal of the American Statistical Association 52(280): 548-551(1957).

Melichar, E. least squares analysis of economic survey data. In: Proceedings of the Business and Economic Statistics Section. American

Statistical Association, p. 373-385 (1965).

Nagpaul, P.S. Chapter Five - Multiple egression and multiple classification analysis. In: Guide to Advanced Data Analysis using

IDAMS Software. Division of Information and Informatics, UNESCO, New Delhi, India (2001).

http://www.unesco.org/webworld/idams/advguide/TOC.htm.

Susel, A. Multiple classification analysis:Theory and application to demography. In: Acta Universitatis Lodziensis. Folia Oeconomica 255 Methodological Aspects of Multivariate Statistical Analysis: Statistical Models and Applications, p. 183-189 (2011).

Bachman, J.G. The Impact of Family Background and Intelligence on Tenth-Grade Boys. Youth in Transition. Volume II, Institute

for Social Research, the Michigan University, Michigan, USA (1970).

NIPORT (National Institute of Population Research and Training). Bangladesh Demographic and Health Survey 2007. NIPORT, Mitra and Associates, Dhaka, Bangladesh and ORC Macro, Calverton, Maryland, USA (2009).

United Nations. Sex Differentials in Childhood Mortality. Department of Economic and Social Affairs, Population Division, United Nations, New York, USA (2011).

NIPORT (National Institute of Population Research and Training). Bangladesh Demographic and Health Survey 1999-2000.

NIPORT, Mitra and Associates, Dhaka, Bangladesh and ORC Macro, Calverton, Maryland, USA (2001).

NIPORT (National Institute of Population Research and Training). Bangladesh Demographic and Health Survey 2004.

NIPORT, Mitra and Associates, Dhaka, Bangladesh and ORC Macro, Calverton, Maryland, USA (2005).

Pongou, R. Why is infant mortality higher in boys than in girls? A New Hypothesis Based On Preconception Environment and Evidence

from a Large Sample of Twins. Demography 50 (2): 421-444 (2013).

Hong, R. Effect of Multiple Birth on Infant Mortality in Bangladesh. Journal of Paediatrics and Child Health 42 (10): 630-635 (2006).

Koenig, M.A., J.F. Phillips, O.M. Campbell & S. D'Souza. Birth intervals and childhood mortality in rural Bangladesh. Demography

(2): 251-265 (1990).

Miller, J.E., J. Trussell, A.R. Pebley & B. Vaughan. Birth spacing and child mortality in Bangladesh and the Philippines. Demography

(2): 305-318 (1992).

Rutstein, S.O. Further Evidence of the Effects of Preceding Birth Intervals on Neonatal Infant and Under-Five-Years Mortality and

Nutritional Status in Developing Countries: Evidence from the Demographic and Health Surveys. DHS Working Papers No. 41. Macro

International, Calverton, Maryland, USA (2008).

Mondal, M.N.I., M.K. Hossain & M.D. Ali. Factors influencing infant and child mortality: A Case study of Rajshahi district, Bangladesh.

Journal of Human Ecology 26(1): 31-39 (2009).

Das, S., M.Z. Hossain, & M.A. Islam (2008). Predictors of child chronic malnutrition in Bangladesh. Proceedings of Pakistan Academy of

Sciences 45(3), 137-155.

Brinda, E.M., A.P. Rajkumar & U. Enemark. Association between gender inequality index and child mortality rates: A cross-national study of 138 countries. BMC Public Health 15(1): 97(2015).

Bbaale, E. & F. Buyinza. Micro‐analysis of mother's education and child mortality: Evidence from Uganda. Journal of International Development 24(S1): S138-S158(2012).

Published

2016-03-18

How to Cite

Bhowmik, K. R., & Islam, S. (2016). Logistic Regression and Multiple Classification Analyses to Explore Risk Factors of Under-5 Mortality in Bangladesh: Logistic Regression and Multiple Classification of Under-5 Mortality in Bangladesh. Proceedings of the Pakistan Academy of Sciences: B. Life and Environmental Sciences, 53(1), 21–34. Retrieved from http://ppaspk.org/index.php/PPAS-B/article/view/367

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Section

Research Articles