Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis

Objectives Considering the consequences generated by armed conflict in terms of public health, especially those related to communicable diseases, we aimed to explore infant mortality from acute respiratory infections (ARI) and its relationship with the armed conflict in Colombia. Methods We retrospe...

Full description

Autores:
Alvis-Zakzuk, NJ
Diaz-Jimenez, D
Tipo de recurso:
Article of journal
Fecha de publicación:
2018
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
eng
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/4714
Acceso en línea:
https://hdl.handle.net/11323/4714
https://repositorio.cuc.edu.co/
Palabra clave:
Conflictos armados
Salud pública
Enfermedades transmisibles
Mortalidad infantil por infecciones respiratorias agudas
Armed conflicts
Public health
Communicable diseases
Infant mortality due to acute respiratory infections
Rights
openAccess
License
Attribution-NonCommercial-ShareAlike 4.0 International
id RCUC2_88564599d194169ec4de000e3bdbaee0
oai_identifier_str oai:repositorio.cuc.edu.co:11323/4714
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.spa.fl_str_mv Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
dc.title.translated.spa.fl_str_mv Mortalidad infantil por infecciones respiratorias agudas y conflicto armado: un análisis exploratorio
title Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
spellingShingle Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
Conflictos armados
Salud pública
Enfermedades transmisibles
Mortalidad infantil por infecciones respiratorias agudas
Armed conflicts
Public health
Communicable diseases
Infant mortality due to acute respiratory infections
title_short Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
title_full Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
title_fullStr Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
title_full_unstemmed Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
title_sort Infant mortality from acute respiratory infections and armed conflict: an exploratory analysis
dc.creator.fl_str_mv Alvis-Zakzuk, NJ
Diaz-Jimenez, D
dc.contributor.author.spa.fl_str_mv Alvis-Zakzuk, NJ
Diaz-Jimenez, D
dc.subject.spa.fl_str_mv Conflictos armados
Salud pública
Enfermedades transmisibles
Mortalidad infantil por infecciones respiratorias agudas
Armed conflicts
Public health
Communicable diseases
Infant mortality due to acute respiratory infections
topic Conflictos armados
Salud pública
Enfermedades transmisibles
Mortalidad infantil por infecciones respiratorias agudas
Armed conflicts
Public health
Communicable diseases
Infant mortality due to acute respiratory infections
description Objectives Considering the consequences generated by armed conflict in terms of public health, especially those related to communicable diseases, we aimed to explore infant mortality from acute respiratory infections (ARI) and its relationship with the armed conflict in Colombia. Methods We retrospectively conducted a descriptive analysis. Mortality data were extracted from death certificates of the National Administrative Department of Statistics, using ICD-10 codes related to ARI. We estimated municipality mortality rates related to IRA (MR-IRA) by sex, in children under-five. Also, we calculated for 1998-2003, 2004-2009 and 2010-2015 the average annual mortality rate by quintiles of armed conflict intensity (ACI) at municipal level, following the ACI index built by the National Institute of Health of Colombia. Rate ratios were estimated to evaluate relative gaps between the MR-ARI of quintiles with greater ACI index and the MR-ARI of those ones with less intensity. Results MR-ARI in children under-five were higher in boys than in girls, for all the analyzed periods. Excluding the first ACI quintile (because this one showed a paradoxical relationship between ACI and MR-ARI), we observed a gradient pattern between the ACI quintiles and the MR-ARI, with higher mortality rates in the quintiles with the greatest impact due to the conflict. For 1998-2003, in boys, the MR-ARI related to the quintile with the highest ACI was 1.34 times greater than the rate of quintile 2. For 2010-2015, this gap increased to 1.5 times. In girls, for 1998-2003 the relative difference was 1.36 and for 2010-2015 there was no change in this gap. Conclusions Our estimations suggest that, with exception of quintile 1, the MR-ARI was higher in the quintiles with greater armed conflict, as we can expect. Additionally, relative gaps by sex increased in boys and remained constant in girls.
publishDate 2018
dc.date.issued.none.fl_str_mv 2018
dc.date.accessioned.none.fl_str_mv 2019-05-27T13:57:45Z
dc.date.available.none.fl_str_mv 2019-05-27T13:57:45Z
dc.type.spa.fl_str_mv Artículo de revista
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/ART
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
format http://purl.org/coar/resource_type/c_6501
status_str acceptedVersion
dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/4714
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
url https://hdl.handle.net/11323/4714
https://repositorio.cuc.edu.co/
identifier_str_mv Corporación Universidad de la Costa
REDICUC - Repositorio CUC
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartof.spa.fl_str_mv https://doi.org/10.1016/j.jval.2018.04.896
dc.rights.spa.fl_str_mv Attribution-NonCommercial-ShareAlike 4.0 International
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Attribution-NonCommercial-ShareAlike 4.0 International
http://creativecommons.org/licenses/by-nc-sa/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.publisher.spa.fl_str_mv Value in health 21
institution Corporación Universidad de la Costa
bitstream.url.fl_str_mv https://repositorio.cuc.edu.co/bitstreams/4de2d38b-d004-4e30-9669-b43536e56229/download
https://repositorio.cuc.edu.co/bitstreams/fbf995ce-1fb0-4216-b4df-9c66770a098d/download
https://repositorio.cuc.edu.co/bitstreams/d3706bca-edf3-4e25-bc06-d444cfef0e1e/download
https://repositorio.cuc.edu.co/bitstreams/2042a6c3-c82e-4814-a278-08810551e617/download
https://repositorio.cuc.edu.co/bitstreams/bb387ea1-ae56-40fd-b027-f5c52ec9ef42/download
bitstream.checksum.fl_str_mv 92def8712af11cfe6845926e49ebb6ba
934f4ca17e109e0a05eaeaba504d7ce4
8a4605be74aa9ea9d79846c1fba20a33
17634657e339387ad89d24d27bff043d
d2908736fca03df78ea0a32aa8557f92
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio de la Universidad de la Costa CUC
repository.mail.fl_str_mv repdigital@cuc.edu.co
_version_ 1811760784423780352
spelling Alvis-Zakzuk, NJDiaz-Jimenez, D2019-05-27T13:57:45Z2019-05-27T13:57:45Z2018https://hdl.handle.net/11323/4714Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Objectives Considering the consequences generated by armed conflict in terms of public health, especially those related to communicable diseases, we aimed to explore infant mortality from acute respiratory infections (ARI) and its relationship with the armed conflict in Colombia. Methods We retrospectively conducted a descriptive analysis. Mortality data were extracted from death certificates of the National Administrative Department of Statistics, using ICD-10 codes related to ARI. We estimated municipality mortality rates related to IRA (MR-IRA) by sex, in children under-five. Also, we calculated for 1998-2003, 2004-2009 and 2010-2015 the average annual mortality rate by quintiles of armed conflict intensity (ACI) at municipal level, following the ACI index built by the National Institute of Health of Colombia. Rate ratios were estimated to evaluate relative gaps between the MR-ARI of quintiles with greater ACI index and the MR-ARI of those ones with less intensity. Results MR-ARI in children under-five were higher in boys than in girls, for all the analyzed periods. Excluding the first ACI quintile (because this one showed a paradoxical relationship between ACI and MR-ARI), we observed a gradient pattern between the ACI quintiles and the MR-ARI, with higher mortality rates in the quintiles with the greatest impact due to the conflict. For 1998-2003, in boys, the MR-ARI related to the quintile with the highest ACI was 1.34 times greater than the rate of quintile 2. For 2010-2015, this gap increased to 1.5 times. In girls, for 1998-2003 the relative difference was 1.36 and for 2010-2015 there was no change in this gap. Conclusions Our estimations suggest that, with exception of quintile 1, the MR-ARI was higher in the quintiles with greater armed conflict, as we can expect. Additionally, relative gaps by sex increased in boys and remained constant in girls.Los objetivos Teniendo en cuenta las consecuencias generadas por los conflictos armados en términos de salud pública, especialmente las relacionadas con enfermedades transmisibles, nuestro objetivo fue explorar la mortalidad infantil por infecciones respiratorias agudas (IRA) y su relación con el conflicto armado en Colombia. Los metodos Realizamos retrospectivamente un análisis descriptivo. Los datos de mortalidad se extrajeron de los certificados de defunción del Departamento Administrativo Nacional de Estadística, utilizando los códigos ICD-10 relacionados con ARI. Estimamos las tasas de mortalidad del municipio relacionadas con la IRA (MR-IRA) por sexo, en niños menores de cinco años. Además, calculamos para 1998-2003, 2004-2009 y 2010-2015 la tasa de mortalidad anual promedio por quintiles de intensidad de conflicto armado (ACI) a nivel municipal, siguiendo el índice ACI construido por el Instituto Nacional de Salud de Colombia. Se estimaron las relaciones de tasas para evaluar las brechas relativas entre el MR-ARI de los quintiles con mayor índice ACI y el MR-ARI de aquellos con menos intensidad. Resultados MR-ARI en niños menores de cinco años fue mayor en niños que en niñas, en todos los períodos analizados. Excluyendo el primer quintil ACI (porque este mostró una relación paradójica entre ACI y MR-ARI), observamos un patrón de gradiente entre los quintiles ACI y MR-ARI, con tasas de mortalidad más altas en los quintiles con el mayor impacto debido al conflicto. Para 1998-2003, en niños, el MR-ARI relacionado con el quintil con el ACI más alto fue 1.34 veces mayor que la tasa del quintil 2. Para 2010-2015, esta brecha aumentó a 1.5 veces. En las niñas, para 1998-2003 la diferencia relativa fue de 1.36 y para 2010-2015 no hubo cambios en esta brecha. Conclusiones Nuestras estimaciones sugieren que, con la excepción del quintil 1, el MR-ARI fue mayor en los quintiles con mayor conflicto armado, como podemos esperar. Además, las brechas relativas por sexo aumentaron en los niños y se mantuvieron constantes en las niñas.Alvis-Zakzuk, NJ-c00455f6-7d08-4c2a-be77-a48bac8ff64c-0Diaz-Jimenez, D-c374173a-6303-411b-9b39-0362158c1657-0engValue in health 21https://doi.org/10.1016/j.jval.2018.04.896Attribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Conflictos armadosSalud públicaEnfermedades transmisiblesMortalidad infantil por infecciones respiratorias agudasArmed conflictsPublic healthCommunicable diseasesInfant mortality due to acute respiratory infectionsInfant mortality from acute respiratory infections and armed conflict: an exploratory analysisMortalidad infantil por infecciones respiratorias agudas y conflicto armado: un análisis exploratorioArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/acceptedVersionPublicationORIGINALInfant Mortality from Acute Respiratory Infections and Armed.pdfInfant Mortality from Acute Respiratory Infections and Armed.pdfapplication/pdf96953https://repositorio.cuc.edu.co/bitstreams/4de2d38b-d004-4e30-9669-b43536e56229/download92def8712af11cfe6845926e49ebb6baMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81031https://repositorio.cuc.edu.co/bitstreams/fbf995ce-1fb0-4216-b4df-9c66770a098d/download934f4ca17e109e0a05eaeaba504d7ce4MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.cuc.edu.co/bitstreams/d3706bca-edf3-4e25-bc06-d444cfef0e1e/download8a4605be74aa9ea9d79846c1fba20a33MD53THUMBNAILInfant Mortality from Acute Respiratory Infections and Armed.pdf.jpgInfant Mortality from Acute Respiratory Infections and Armed.pdf.jpgimage/jpeg84163https://repositorio.cuc.edu.co/bitstreams/2042a6c3-c82e-4814-a278-08810551e617/download17634657e339387ad89d24d27bff043dMD55TEXTInfant Mortality from Acute Respiratory Infections and Armed.pdf.txtInfant Mortality from Acute Respiratory Infections and Armed.pdf.txttext/plain12704https://repositorio.cuc.edu.co/bitstreams/bb387ea1-ae56-40fd-b027-f5c52ec9ef42/downloadd2908736fca03df78ea0a32aa8557f92MD5611323/4714oai:repositorio.cuc.edu.co:11323/47142024-09-17 11:08:36.346http://creativecommons.org/licenses/by-nc-sa/4.0/Attribution-NonCommercial-ShareAlike 4.0 Internationalopen.accesshttps://repositorio.cuc.edu.coRepositorio de la Universidad de la Costa CUCrepdigital@cuc.edu.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