Environmental determinants of child mortality in rural china: A competing risks approach, Vol. 1 of 1

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Environmental determinants of child mortality in rural china: A competing risks approach

Author:	Jacoby, Hanan; Wang, Limin;	Collection Title:	Policy, Research working paper ; no. WPS 3241
Country:	China;	Date Stored:	2004/04/14
Document Date:	2004/03/01	Document Type:	Policy Research Working Paper
Language:	English	Region:	East Asia and Pacific
Report Number:	WPS3241	SubTopics:	Demographics; Town Water Supply and Sanitation; Disease Control & Prevention; Health Monitoring & Evaluation; Health Economics & Finance; Public Health Promotion; Early Child and Children's Health; Decentralization
Volume No:	1 of 1

Summary: 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.


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File Type		Description	File Size (mb)

	PDF 26 pages	Official version*	1.82 (approx.)
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	PDF 26 pages	WPS3241	0.26

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