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Record W4411868801 · doi:10.1186/s12982-025-00731-2

Spatial analysis of under-five mortality in Africa using geographically weighted poisson regression

2025· article· en· W4411868801 on OpenAlexaff
Johnson Adedeji Olusola, Adedeji Adigun Oyinloye, Kemi Funlayo Akeju, Ropo Ebenezer Ogunsakin, Sibusiso Moyo

Bibliographic record

VenueDiscover Public Health · 2025
Typearticle
Languageen
FieldMedicine
TopicGlobal Maternal and Child Health
Canadian institutionsWestern University
FundersUppsala Universitet
KeywordsGeographically Weighted RegressionPoisson regressionGeographyStatisticsRegressionRegression analysisPoisson distributionCartographyMathematicsMedicineEnvironmental healthPopulation

Abstract

fetched live from OpenAlex

Child mortality remains a significant public health challenge in developing countries despite the global decline in under-five deaths. The disparities in child mortality rates can be attributed to socioeconomic and environmental inequalities across nations. While several studies have examined geographic variations in under-five mortality in Africa using economic and health indicators, few have applied spatial analysis to characterize these patterns. This study employs Geographically Weighted Poisson Regression (GWPR) to uncover spatially varying in effects of global indicators on under-five mortality across Africa, offering a detailed understanding not captured by conventional global models. Data on under-five mortality rates and economic and health indicators were obtained from the World Bank’s World Development Indicators (WDI) for 2022 across 54 African countries. A Poisson regression model and GWPR were applied to examine the associations between under-five mortality and various socioeconomic and environmental factors. The results indicate substantial spatial heterogeneity in child mortality across countries. The GWPR model (AICc = 221.25, Pseudo R 2 = 86.5%) outperformed the conventional Poisson regression model (AICc = 360.733, Pseudo R 2 = 58.4%), highlighting the benefits of incorporating spatial variability. Key findings revealed that under-five mortality was positively associated with open defecation and negatively associated with literacy, health expenditure, access to electricity, and basic sanitation. Additionally, the relationship between under-five mortality, gross national expenditure, and access to basic drinking water varied across regions. These findings emphasize the need for localized, evidence-based interventions to address child mortality more effectively in Africa.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.045
Threshold uncertainty score0.956

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.003
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.045
GPT teacher head0.362
Teacher spread0.318 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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