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  1. Excess female mortality in rural Somalia : Is inequality in the household a risk factor ?

    Article - En anglais

    Gender differences in mortality risks in rural Somali communities were studied to assess their relation to literacy, marital status and family economy between January 1987 and December 1989.

    In all, 6947 person-years form the basis for the demographic analysis and estimations of mortality rates and survival.

    Both sexes showed similar mortality risks in infancy and early childhood, but females demonstrated a greater risk of dying during their reproductive life than males.

    Respiratory symptoms, diarrhoea, fever and jaundice dominated the symptoms prior to death.

    Illiteracy in women considerably increased the risk of dying from 15 years and onwards particularly when living with literate men.

    The life expectancy from 15 years was 58 for a literate male but only 42 years for an illiterate woman living with a literate head of household.

    Multivariate analyses showed after adjustment for marital status and literacy that an excess female mortality from 15 years, but especially from 45 years, was associated to a household situation, where the woman did not subside on farming but on other, mainly commercial, activities.

    This vulnerability of females was associated to the recession of the economy in the pre-war situation in Somalia, a backlash hitting women trying to earn their living. (...)

    Mots-clés Pascal : Mortalité, Femme, Homme, Somalie, Afrique, Milieu rural, Epidémiologie, Sexe, Inégalité, Niveau étude, Statut conjugal, Revenu, Milieu familial

    Mots-clés Pascal anglais : Mortality, Woman, Human, Somali Republic, Africa, Rural environment, Epidemiology, Sex, Inequality, Education level, Marital status, Tempering, Family environment

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0240171

    Code Inist : 002B30A01A2. Création : 11/06/1997.