Paternal Social Determinants of Childhood Mortality in Zimbabwe
Introduction: In Zimbabwe, studies have mainly focused on child and maternal factors contributing to under-5-year mortality, and little has been published concerning the paternal social determinants, which are also important. Aim: The goal of this paper is to investigate the paternal social determin...
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Ubiquity Press
2024-12-01
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| Series: | Annals of Global Health |
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| Online Access: | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4591 |
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| author | Laston Gonah Dumisani Sibanda Sibusiso C Nomatshilla |
| author_facet | Laston Gonah Dumisani Sibanda Sibusiso C Nomatshilla |
| author_sort | Laston Gonah |
| collection | DOAJ |
| description | Introduction: In Zimbabwe, studies have mainly focused on child and maternal factors contributing to under-5-year mortality, and little has been published concerning the paternal social determinants, which are also important. Aim: The goal of this paper is to investigate the paternal social determinants of infant and childhood mortality in Zimbabwe. Methods: The study analyzed cross-sectional secondary data from the Zimbabwe Demographic Health Survey (ZDHS) 2015 to investigate paternal determinants of infant and child mortality. Multivariate logistic regression and Cox regression were conducted for separate analyses of infant and child data to determine the odds and risk of death informed by paternal factors. Kaplan–Meier survival curves were used to determine the importance of paternal factors in determining under-five survival. Results: Younger paternal age, lower level of education, lower wealth index, unemployment, and rural geographical location are important contributing factors for childhood mortality, and these factors were found to be interconnected and interrelated in producing the observed outcomes. Conclusion: Paternal characteristics are important contributing factors for child survival, but not alone. The interaction between child characteristics, household (paternal and maternal), community, and public/global-policy-level factors is important in shaping observed childhood mortality outcomes. Social determinants for child survival are interlinked and interdependent on each other in producing the observed childhood mortality outcomes, and no one factor is more important than the other. Each factor represents an important component but not one that is individually sufficient to produce an outcome. |
| format | Article |
| id | doaj-art-b44573e2aa57470591fdbc22d7139301 |
| institution | Kabale University |
| issn | 2214-9996 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Annals of Global Health |
| spelling | doaj-art-b44573e2aa57470591fdbc22d71393012025-01-08T07:52:56ZengUbiquity PressAnnals of Global Health2214-99962024-12-01901818110.5334/aogh.45914591Paternal Social Determinants of Childhood Mortality in ZimbabweLaston Gonah0https://orcid.org/0000-0001-6070-2176Dumisani Sibanda1Sibusiso C Nomatshilla2https://orcid.org/0000-0003-4130-0707Department of Public Health, Faculty of Medicine and Health Sciences, Walter Sisulu UniversityDepartment of Public Health, Faculty of Medicine and Health Sciences, Walter Sisulu UniversityDepartment of Public Health, Faculty of Medicine and Health Sciences, Walter Sisulu UniversityIntroduction: In Zimbabwe, studies have mainly focused on child and maternal factors contributing to under-5-year mortality, and little has been published concerning the paternal social determinants, which are also important. Aim: The goal of this paper is to investigate the paternal social determinants of infant and childhood mortality in Zimbabwe. Methods: The study analyzed cross-sectional secondary data from the Zimbabwe Demographic Health Survey (ZDHS) 2015 to investigate paternal determinants of infant and child mortality. Multivariate logistic regression and Cox regression were conducted for separate analyses of infant and child data to determine the odds and risk of death informed by paternal factors. Kaplan–Meier survival curves were used to determine the importance of paternal factors in determining under-five survival. Results: Younger paternal age, lower level of education, lower wealth index, unemployment, and rural geographical location are important contributing factors for childhood mortality, and these factors were found to be interconnected and interrelated in producing the observed outcomes. Conclusion: Paternal characteristics are important contributing factors for child survival, but not alone. The interaction between child characteristics, household (paternal and maternal), community, and public/global-policy-level factors is important in shaping observed childhood mortality outcomes. Social determinants for child survival are interlinked and interdependent on each other in producing the observed childhood mortality outcomes, and no one factor is more important than the other. Each factor represents an important component but not one that is individually sufficient to produce an outcome.https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4591social determinants of healthpaternal determinantsunder-five-year mortalitychild mortalityinfant mortalitysurvival analysiszimbabwe |
| spellingShingle | Laston Gonah Dumisani Sibanda Sibusiso C Nomatshilla Paternal Social Determinants of Childhood Mortality in Zimbabwe Annals of Global Health social determinants of health paternal determinants under-five-year mortality child mortality infant mortality survival analysis zimbabwe |
| title | Paternal Social Determinants of Childhood Mortality in Zimbabwe |
| title_full | Paternal Social Determinants of Childhood Mortality in Zimbabwe |
| title_fullStr | Paternal Social Determinants of Childhood Mortality in Zimbabwe |
| title_full_unstemmed | Paternal Social Determinants of Childhood Mortality in Zimbabwe |
| title_short | Paternal Social Determinants of Childhood Mortality in Zimbabwe |
| title_sort | paternal social determinants of childhood mortality in zimbabwe |
| topic | social determinants of health paternal determinants under-five-year mortality child mortality infant mortality survival analysis zimbabwe |
| url | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4591 |
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