corruption kills estimating the global impact of corruption on children deaths腐败杀死估计全球腐败对儿童死亡的影响.pdfVIP

Corruption Kills: Estimating the Global Impact of Corruption on Children Deaths 1,2 1,2 1 1 1,2 Matthieu Hanf *, Astrid Van-Melle , Florence Fraisse , Amaury Roger , Bernard Carme , Mathieu Nacher1,2 ´ 1 Centre d’Investigation Clinique Epidemiologie Clinique Antilles Guyane CIC-EC INSERM CIE 802, Cayenne General Hospital, Cayenne, French Guiana, 2 Team EA 3593, ´ Department of Parasitology and Mycology, Universite des Antilles et de la Guyane, Cayenne, French Guiana Abstract Background: Information on the global risk factors of children mortality is crucial to guide global efforts to improve survival. Corruption has been previously shown to significantly impact on child mortality. However no recent quantification of its current impact is available. Methods: The impact of corruption was assessed through crude Pearson’s correlation, univariate and multivariate linear models coupling national under-five mortality rates in 2008 to the national ‘‘perceived level of corruption’’ (CPI) and a large set of adjustment variables measured during the same period. Findings: The final multivariable model (adjusted R2 = 0.89) included the following significant variables: percentage of people with improved sanitation (p.value,0.001), logarithm of total health expenditure (p.value = 0.006), Corruption Perception Index (p.value,0.001), presence of an arid climate on the national territory (p = 0.006), and the dependency ratio (p.value,0.001). A decrease in CPI of one point (i.e. a more important perceived corruption) was associated with an increase in t