conference_paper1_AlkemaL_IUSSP2013.pdf (953.16 kB)
Download file

Gender differences in infant and child mortality: Estimation and identification of countries with outlying levels or trends

Download (953.16 kB)
conference contribution
posted on 31.05.2020, 10:58 authored by Leontine Alkema, Fengqing ChaoFengqing Chao, Cheryl Chriss Sawyer
This conference paper was presented on Aug 30th, 2013, in the XXVII IUSSP International Population Conference, Busan, Republic of Korea.

Under natural circumstances, the ratio of the male to female under-five mortality rate is greater than one. However, deprivation of girls’ access to health care or proper nutrition could lead to distorted ratios of under-five mortality. Monitoring of mortality by sex is challenging because of issues with data availability and quality. Moreover, the sex ratio is expected to vary with under-five mortality, which makes it challenging to define “expected levels”. We present a Bayesian model to estimate the sex ratio of under-five mortality for all countries. In addition, we estimate the relative difference between national sex ratios and expected sex ratios based on the global relation between mortality and sex ratios. All estimates include an uncertainty assessment to enable assessments of whether differences between countries or within countries over time are significant or highly uncertain.


This work was supported by a research grant from the National University of Singapore and UNICEF.