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Table 2 Malaria mortality in children under 5 years of age, Western Kenya

From: Public health determinants of child malaria mortality: a surveillance study within Siaya County, Western Kenya

Variable

Hazard ratio (95% CI)

Mortality rate per 1000 person years (95% CI)

Age

 29– < 1

6.07 (5.10–7.22)*

16.1 (15.1–17.1)

 1

5.30 (4.45–6.31)*

13.6 (12.8–14.5)

 2

2.85 (2.36–3.43)*

7.2 (6.6–7.9)

 3

1.60 (1.31–1.97)*

4.0 (3.5–4.5)

 4

1 (ref)

2.4 (2.0–2.8)

Calendar year

 2003

1 (ref)

11.1 (9.8–12.6)

 2004

1.26 (1.05–1.52)*

14.0 (12.5–15.6)

 2005

0.89 (0.73–1.09)

9.9 (8.7–11.3)

 2006

0.64 (0.52–0.79)*

7.8 (6.7–9.0)

 2007

0.34 (0.27–0.43)*

4.9 (4.1–5.8)

 2008

1.04 (0.87–1.23)

14.9 (13.7–16.2)

 2009

0.77 (0.64–0.93)*

10.8 (9.8–11.9)

 2010

0.54 (0.44–0.66)*

7.7 (6.8–8.6)

 2011

0.43 (0.34–0.53)*

5.7 (4.9–6.5)

 2012

0.45 (0.36–0.56)*

4.9 (4.3–5.7)

 2013

0.46 (0.37–0.57)*

5.6 (4.9–6.5)

Sex

 Female

1 (ref)

8.5 (8.0–8.9)

 Male

1.04 (0.96–1.12)

8.8 (8.4–9.3)

Distance to health care

 0–1 km

1 (ref)

6.4 (5.8–7.0)

 1–2 km

1.35 (1.21–1.51)*

8.9 (8.3–9.5)

 2 + km

1.44 (1.29–1.60)*

9.5 (9.0–10.0)

Maternal education

 None

3.91 (1.86–8.22)*

11.0 (8.4–14.3)

 Primary

3.31 (1.65–6.65)*

9.7 (9.3–10.1)

 Secondary

2.20 (1.09–4.47)*

6.0 (5.2–6.8)

 Higher

1 (ref)

2.3 (1.2–4.6)

Mother´s age

  < 20

1 (ref)

8.1 (7.5–8.8)

 20–30

1.11 (1.00–1.22)*

9.0 (8.6–9.5)

  > 30

1.05 (0.94–1.18)

8.6 (8.0–9.3)

Socioeconomic status

 Most poor

1.44 (1.26–1.64)*

11.3 (10.4–12.2)

 Very poor

1.30 (1.14–1.48)*

9.8 (9.0–10.6)

 Poor

1.16 (1.01–1.33)*

8.6 (7.8–9.3)

 Less poor

1.15 (1.00–1.32)*

8.1 (7.4–8.9)

 Least poor

1 (ref)

7.1 (6.4–7.8)

Household size

 1–2

1 (ref)

9.0 (8.4–9.6)

 3–4

1.02 (0.91–1.13)

8.6 (8.1–9.2)

 5 + 

1.05 (0.94–1.16)

8.7 (8.2–9.3)

ITN ownership

 None

1.11 (0.99–1.25)

11.8 (10.8–12.9)

 1 or more

1 (ref)

10.5 (9.7–11.3)

  1. Hazard ratios and mortality rates in relation to health determinants. The reference group for each health determinant is indicated in brackets (ref)
  2. *Statistically significant