Document Detail


Analysis of geographic differentials in infant mortality rates. The Or Yehuda community.
MedLine Citation:
PMID:  3381828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Comprehensive evaluation of matched infant death certificate data and livebirth certificate data for 1977-1980 was performed for two areas in Israel: Or Yehuda, a small, low socioeconomic status community which had an infant mortality rate of 19.1 per 1,000, and the rest of Ramat Gan district, which had an infant mortality rate of 10.3 per 1,000. A method is presented which illuminates the role of statistical models in analyzing small area data, in evaluating twofold observed differences in crude and factor-specific mortality rates in two areas, in assessing heterogeneity in population stratum-specific mortality rate ratios, and in identifying causes for inter-area differences in infant mortality rate. Identical logistic models were fitted to each of the areas independently, and these were used to investigate effects due to birth weight, sex, parity, maternal age and education, and parental occupation. The differences in the distribution of risk level (number of risk factors) present in each population (or the proportion of multi-problem families) were identified as a single factor that can explain most of the disparity between the areas. The direction and magnitude of the relation between risk level and infant mortality rate were similar in both communities: the greater the number of risk factors, the higher the rate. Identification of a target population for intervention through only one or two specific risk factors would be unprofitable in reducing the overall community infant mortality rate since too many families with multiple risk would be excluded, and too many with single risk factors would be included.
Authors:
V Barell; Y Wax; A Ruder
Related Documents :
8635808 - A comprehensive index for longitudinal monitoring of child health status.
12675778 - Reliability of maternal recall and reporting of child births and deaths in rural egypt.
7807618 - Has primary health care reduced infant mortality in east bhutan? the effects of primary...
19748168 - Inequality in individual mortality and economic conditions earlier in life.
9386708 - Detrimental effects of cardiopulmonary bypass in cyanotic infants: preventing the reoxy...
23731288 - Four-month-old infants' visual investigation of cats and dogs: relations with pet exper...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of epidemiology     Volume:  128     ISSN:  0002-9262     ISO Abbreviation:  Am. J. Epidemiol.     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1988-07-26     Completed Date:  1988-07-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7910653     Medline TA:  Am J Epidemiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  218-30     Citation Subset:  IM    
Affiliation:
Health Services Research Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Educational Status
Epidemiologic Methods*
Fathers
Female
Geography
Humans
Infant Mortality*
Infant, Low Birth Weight
Infant, Newborn
Israel
Male
Models, Theoretical
Mothers
Occupations
Pregnancy
Regression Analysis
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The evaluation of the data collection process for a multicenter, population-based, case-control desi...
Next Document:  On sample-size and power calculations for studies using confidence intervals.