Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach

We use a competing risk model to analyze environmental determinants of child mortality using the 1992 China National Health Survey, which collects information on cause of death. Our primary question is whether taking into account of cause of death...

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Main Authors: Jacoby, Hanan, Wang, Limin
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2004/03/3162244/environmental-determinants-child-mortality-rural-china-competing-risks-approach-environmental-determinants-child-mortality-rural-china-competing-risks-approach
http://hdl.handle.net/10986/15622
id okr-10986-15622
recordtype oai_dc
spelling okr-10986-156222021-04-23T14:03:20Z Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach Jacoby, Hanan Wang, Limin ACCESS TO SAFE DRINKING WATER ACCESS TO SAFE WATER ACCIDENTS AIR AIR POLLUTION ARI BASIC SANITATION BIRTHS CAUSES OF DEATH CENSUS CHILD DEATHS CHILD HEALTH CHILD MORBIDITY CHILD MORTALITY CHILD MORTALITY RATES CHILD SURVIVAL CHILD SURVIVAL PROGRAMS CLINICS COMMUNITY HEALTH DEATH RATE DIAGNOSTICS DIARRHEA DIARRHEAL DISEASE ECONOMIC DEVELOPMENT ECONOMIC REVIEW ECONOMICS ENVIRONMENTAL HEALTH EPIDEMIOLOGY FAMILY PLANNING HEALTH CONDITIONS HEALTH OUTCOMES HEALTH POLICY HOUSEHOLDS HOUSING HYGIENE INCOME INFANT MORTALITY INFANT MORTALITY RATES INFANTS INFECTION INFECTIOUS DISEASES INTERVENTION LIVE BIRTHS LOW INCOME LOW-INCOME COUNTRIES MEDICAL ATTENTION MIGRATION MORBIDITY MORTALITY MOTHERS NEONATAL TETANUS NUTRITION POLICY RESEARCH POPULATION LABORATORIES PREGNANCY RISK FACTORS SAFE DRINKING WATER SANITATION SANITATION SANITATION FACILITIES SELECTION BIAS SOCIAL SERVICES TETANUS URBAN AREAS WATER WATER INFRASTRUCTURE WATER QUALITY WATER SERVICE WATER SERVICES WATER SOURCES We use a competing risk model to analyze environmental determinants of child mortality using the 1992 China National Health Survey, which collects information on cause of death. Our primary question is whether taking into account of cause of death using a competing risk model, compared with a simple model of all-cause mortality, affects conclusions about the effectiveness of policy interventions. There are two potential analytical advantages in using cause of death information: (1) obtaining more accurate estimates and (2) validating causal relationships. Although, we do not find significant differences between estimates obtained from the competing risk model and those from simpler hazard models, we do find evidence supporting the causal interpretations of the effect of access to safe water on child mortality. Our analysis also suggests that a respondent-based health survey can be used to collect relatively reliable information on cause of death. Modifying future demographic and health survey (DHS) instruments to collect cause of death information inexpensively may be worthwhile for enhancing the analytical strength of the DHS. 2013-09-04T20:26:48Z 2013-09-04T20:26:48Z 2004-03 http://documents.worldbank.org/curated/en/2004/03/3162244/environmental-determinants-child-mortality-rural-china-competing-risks-approach-environmental-determinants-child-mortality-rural-china-competing-risks-approach http://hdl.handle.net/10986/15622 English en_US Policy Research Working Paper;No. 3241 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research East Asia and Pacific China
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ACCESS TO SAFE DRINKING WATER
ACCESS TO SAFE WATER
ACCIDENTS
AIR
AIR POLLUTION
ARI
BASIC SANITATION
BIRTHS
CAUSES OF DEATH
CENSUS
CHILD DEATHS
CHILD HEALTH
CHILD MORBIDITY
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD SURVIVAL
CHILD SURVIVAL PROGRAMS
CLINICS
COMMUNITY HEALTH
DEATH RATE
DIAGNOSTICS
DIARRHEA
DIARRHEAL DISEASE
ECONOMIC DEVELOPMENT
ECONOMIC REVIEW
ECONOMICS
ENVIRONMENTAL HEALTH
EPIDEMIOLOGY
FAMILY PLANNING
HEALTH CONDITIONS
HEALTH OUTCOMES
HEALTH POLICY
HOUSEHOLDS
HOUSING
HYGIENE
INCOME
INFANT MORTALITY
INFANT MORTALITY RATES
INFANTS
INFECTION
INFECTIOUS DISEASES
INTERVENTION
LIVE BIRTHS
LOW INCOME
LOW-INCOME COUNTRIES
MEDICAL ATTENTION
MIGRATION
MORBIDITY
MORTALITY
MOTHERS
NEONATAL TETANUS
NUTRITION
POLICY RESEARCH
POPULATION LABORATORIES
PREGNANCY
RISK FACTORS
SAFE DRINKING WATER
SANITATION
SANITATION
SANITATION FACILITIES
SELECTION BIAS
SOCIAL SERVICES
TETANUS
URBAN AREAS
WATER
WATER INFRASTRUCTURE
WATER QUALITY
WATER SERVICE
WATER SERVICES
WATER SOURCES
spellingShingle ACCESS TO SAFE DRINKING WATER
ACCESS TO SAFE WATER
ACCIDENTS
AIR
AIR POLLUTION
ARI
BASIC SANITATION
BIRTHS
CAUSES OF DEATH
CENSUS
CHILD DEATHS
CHILD HEALTH
CHILD MORBIDITY
CHILD MORTALITY
CHILD MORTALITY RATES
CHILD SURVIVAL
CHILD SURVIVAL PROGRAMS
CLINICS
COMMUNITY HEALTH
DEATH RATE
DIAGNOSTICS
DIARRHEA
DIARRHEAL DISEASE
ECONOMIC DEVELOPMENT
ECONOMIC REVIEW
ECONOMICS
ENVIRONMENTAL HEALTH
EPIDEMIOLOGY
FAMILY PLANNING
HEALTH CONDITIONS
HEALTH OUTCOMES
HEALTH POLICY
HOUSEHOLDS
HOUSING
HYGIENE
INCOME
INFANT MORTALITY
INFANT MORTALITY RATES
INFANTS
INFECTION
INFECTIOUS DISEASES
INTERVENTION
LIVE BIRTHS
LOW INCOME
LOW-INCOME COUNTRIES
MEDICAL ATTENTION
MIGRATION
MORBIDITY
MORTALITY
MOTHERS
NEONATAL TETANUS
NUTRITION
POLICY RESEARCH
POPULATION LABORATORIES
PREGNANCY
RISK FACTORS
SAFE DRINKING WATER
SANITATION
SANITATION
SANITATION FACILITIES
SELECTION BIAS
SOCIAL SERVICES
TETANUS
URBAN AREAS
WATER
WATER INFRASTRUCTURE
WATER QUALITY
WATER SERVICE
WATER SERVICES
WATER SOURCES
Jacoby, Hanan
Wang, Limin
Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach
geographic_facet East Asia and Pacific
China
relation Policy Research Working Paper;No. 3241
description We use a competing risk model to analyze environmental determinants of child mortality using the 1992 China National Health Survey, which collects information on cause of death. Our primary question is whether taking into account of cause of death using a competing risk model, compared with a simple model of all-cause mortality, affects conclusions about the effectiveness of policy interventions. There are two potential analytical advantages in using cause of death information: (1) obtaining more accurate estimates and (2) validating causal relationships. Although, we do not find significant differences between estimates obtained from the competing risk model and those from simpler hazard models, we do find evidence supporting the causal interpretations of the effect of access to safe water on child mortality. Our analysis also suggests that a respondent-based health survey can be used to collect relatively reliable information on cause of death. Modifying future demographic and health survey (DHS) instruments to collect cause of death information inexpensively may be worthwhile for enhancing the analytical strength of the DHS.
format Publications & Research :: Policy Research Working Paper
author Jacoby, Hanan
Wang, Limin
author_facet Jacoby, Hanan
Wang, Limin
author_sort Jacoby, Hanan
title Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach
title_short Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach
title_full Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach
title_fullStr Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach
title_full_unstemmed Environmental Determinants of Child Mortality in Rural China : A Competing Risks Approach
title_sort environmental determinants of child mortality in rural china : a competing risks approach
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2004/03/3162244/environmental-determinants-child-mortality-rural-china-competing-risks-approach-environmental-determinants-child-mortality-rural-china-competing-risks-approach
http://hdl.handle.net/10986/15622
_version_ 1764430112573358080