@article{MAKHILLIJTM20127119833, title = {Area-Based Socioeconomic Conditions and Urban Malaria and Diarrhea Mortalities in Accra, Ghana}, journal = {International Journal of Tropical Medicine}, volume = {7}, number = {1}, pages = {6-16}, year = {2012}, issn = {1816-3319}, doi = {ijtmed.2012.6.16}, url = {https://makhillpublications.co/view-article.php?issn=1816-3319&doi=ijtmed.2012.6.16}, author = {Julius,Wibke Loag,Norbert Schwarz,Frederick Rodrigues,Christian G. Meyer,Alexander Kraemer and}, keywords = {Accra,area-based SES,SE-quintiles,health inequalities,proportional mortality ratio,Germany}, abstract = {Health inequalities are linked to inequalities in Socioeconomic Status (SES). While infant malaria/diarrhea mortality is widely studied, not very much is known about the influence of area-based measures of SES and all age urban malaria and diarrhea mortalities. To assess the relationship between area-based SES and malaria/diarrhea mortalities and whether these differed across SE-classes in an urban area in a low income country. Proportional mortality rates, computed from 24716 reported death records, collected from Accra over the period 1998-2002 were compared with area-based socioeconomic data in multivariate linear regression analyses in an ecological study design. While malaria mortality showed strong evidence of significant differences across the SE-quintiles (Mean PMRfd = 0.030; 95% CI = 0.010 0.049 p = 0.0008), no such differences in diarrhea mortality were observed (Mean PMRfd = 0.027; 95% CI = 0.014 0.040; p = 0.288). Analyses showed weaker associations between area-based SE-conditions and diarrhea mortality than that observed for malaria mortality. We conclude that all age urban malaria mortalities were more sensitive to changing area-based SE-conditions than diarrhea mortalities suggesting perhaps that social interventions were more effective in diarrhea control compared to malaria.} }