Family-level Clustering of Childhood Mortality Risk in Northeast Brazil

1997/11/01 by Narayan Sastry · 131 citations
Health Professions · Mathematics · Social Sciences · #Cluster analysis #Demography #Econometrics #Economics #Global Health Care Issues #Health disparities and outcomes #Insurance, Mortality, Demography, Risk Management #Mathematics #Multilevel model #Population #Socioeconomic status #Sociology #Standard error #Statistics #Variance (accounting)

paper · doi:10.1080/0032472031000150036

published in Population Studies 51(3), 245-261 (Taylor & Francis)

openalex publication_date 1997/11/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

The clustering of childhood mortality risk by family in Northeast Brazil is investigated. The extent of family clustering is estimated before and after controlling for observed child and family demographic reproductive and socioeconomic characteristics and unobserved community characteristics. The study also investigates the extent to which the coefficient estimates and standard errors are altered with better controls for unobserved heterogeneity at the family level and at the community level....The variance of family frailty is overstated by a factor of four when unobserved community effects are omitted. The family-level variance is not statistically significant in the multilevel model although it is highly significant in the model that includes only the family frailty effect. Furthermore ignoring the full design effects results in systematic bias in parameter estimates and standard errors. (EXCERPT)

Citations

• A model for association in bivariate life tables and its application in epidemiological studies of familial tendency in chronic disease incidence

Cited by

• Does inbreeding lead to decreased human fertility?
• Ethnic differentials in under-five mortality in Nigeria. [europepmc]
• Trend of determinants of birth interval dynamics in Bangladesh. [europepmc]
• Global burden of maternal bereavement: indicators of the cumulative prevalence of child loss. [europepmc]
• Differential in infant, childhood and under-five death clustering among the empowered and non-empowered action group regions in India. [europepmc]
• Preceding child survival status and its effect on infant and child mortality in India: An evidence from National Family Health Survey 2015-16. [europepmc]
• Examining infant and child death clustering among families in the cross-sectional and nationally representative Bangladesh Demographic and Health Survey 2017-2018. [europepmc]
• Risk of recurrent stillbirth and neonatal mortality: mother-specific random effects analysis using longitudinal panel data from Indonesia (2000 - 2014). [europepmc]
• Infant Death Clustering in the Quarter of a Century in India: A Decomposition Analysis. [europepmc]
• The Socio-Environmental Determinants of Childhood Malnutrition: A Spatial and Hierarchical Analysis. [europepmc]
• Clustering of hypertension and clustering of diabetes within households across districts of India: A cross-sectional analysis using a nationally representative household survey. [europepmc]
• Clustering of hypertension and clustering of diabetes at the household level and variations in disease awareness within households in India: findings from a nationally representative household survey. [europepmc]

Related

• Measuring Within and Between Group Inequality in Early-Life Mortality Over Time: A Bayesian Approach with Application to India
• Bayesian local clustering of age-period mortality surfaces across multiple countries
• Clustering country-level all-cause mortality data: a review
• Explaining the Decline of Child Mortality in 44 Developing Countries: A Bayesian Extension of Oaxaca Decomposition Methods
• Harmonizing Child Mortality Data at Disparate Geographic Levels