The objective of the project is to provide a statistical model for the analysis of longitudinal studies of infant and toddler mortality in order to better estimate the effects of specific health interventions in the presence of multiple dependent causes of death and heterogeneity (in terms of socio-economic status, measured biological frailty and unobserved heterogeneity). The work will decompose mortality into disease incidence and case fatality since interventions for specific diseases often target on or the other of these. The methods will expand statistical work on random effects and generalized estimating equation models to the case of multinomial outcomes. An important outcome will be means to quantify disease dependence. The work will draw heavily on the verbal autopsy questionnaire that has been recently developed. The theoretical work will be applied to a longitudinal data set on infant and toddler morbidity and mortality in Cebu, The Philippines.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
1R01HD027139-01
Application #
3328686
Study Section
Social Sciences and Population Study Section (SSP)
Project Start
1990-08-01
Project End
1992-07-31
Budget Start
1990-08-01
Budget End
1991-07-31
Support Year
1
Fiscal Year
1990
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Type
Schools of Public Health
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Becker, S; Peters, D H; Gray, R H et al. (1993) The determinants of use of maternal and child health services in Metro Cebu, the Philippines. Health Transit Rev 3:77-89