ဖော်ပြချက်/အကြောင်းအရာ:
Background: Case reports of human rights violations have focused on individuals? experiences. Populationbased
quantification of associations between rights indicators and health outcomes is rare and has not been
documented in eastern Burma...
Objective: We describe the association between mortality and morbidity and the household-level experience
of human rights violations among internally displaced persons in eastern Burma...
Methods: Mobile health workers in conflict zones of eastern Burma conducted 1834 retrospective household
surveys in 2004. Workers recorded data on vital events, mid-upper arm circumference of young children,
malaria parasitaemia status of respondents and household experience of various human rights violations
during the previous 12 months...
Results: Under-5 mortality was 218 (95% confidence interval 135 to 301) per 1000 live births. Almost onethird
of households reported forced labour (32.6%). Forced displacement (8.9% of households) was
associated with increased child mortality (odds ratio = 2.80), child malnutrition (odds ratio = 3.22) and
landmine injury (odds ratio = 3.89). Theft or destruction of the food supply (reported by 25.2% of households)
was associated with increased crude mortality (odds ratio = 1.58), malaria parasitaemia (odds ratio = 1.82),
child malnutrition (odds ratio = 1.94) and landmine injury (odds ratio = 4.55). Multiple rights violations
(14.4% of households) increased the risk of child (incidence rate ratio = 2.18) and crude (incidence rate
ratio = 1.75) mortality and the odds of landmine injury (odds ratio = 19.8). Child mortality risk was increased
more than fivefold (incidence rate ratio = 5.23) among families reporting three or more rights violations...
Conclusions: Widespread human rights violations in conflict zones in eastern Burma are associated with
significantly increased morbidity and mortality. Population-level associations can be quantified using
standard epidemiological methods. This approach requires further validation and refinement elsewhere.
ရင်းမြစ်:
J. Epidemiol. Community Health 2007;61;908-914
Date of Publication:
2007-09-00
Date of entry:
2008-12-21
Grouping:
- Individual Documents
အကြောင်းအရာ/အမျိုးအစား:
Language:
English
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