Document Detail


Changing socioeconomic inequality in infant mortality in Cumbria.
MedLine Citation:
PMID:  15665169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To investigate infant deaths in Cumbria, 1950-93, in relation to individual and community level socioeconomic status. METHODS: Retrospective birth cohort study of all 283,668 live births and 4889 infant deaths in Cumbria, 1950-93. Community deprivation (Townsend score) and individual social class were used to estimate socioeconomic status. Logistic regression was used to investigate risk of infant death (early neonatal, neonatal, and postneonatal) in relation to social class and Townsend deprivation score, adjusting for year of birth, birth order, multiple births, and stratified by time period, 1950-65, 1966-75, 1976-85, 1986-93. RESULTS: The risk of infant death in all categories was higher in the lower social classes and more deprived communities, although inequality in risk of neonatal death declined after 1975 to such an extent that there was no significant difference in neonatal death rates by socioeconomic status in the most recent time period. By contrast, there was no narrowing in socioeconomic inequality in postneonatal death risk over the study period. Community deprivation was associated with a significant increased risk of postneonatal death after adjusting for individual level socioeconomic status. CONCLUSIONS: Postneonatal deaths remain higher in the most deprived communities and in the more disadvantaged social classes. The social, lifestyle, and environmental determinates of adverse health outcomes for children need to be fully understood, and interventions should be designed and targeted at the more socially deprived sectors of our community.
Authors:
T J B Dummer; L Parker
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  90     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-01-24     Completed Date:  2005-02-09     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  England    
Other Details:
Languages:  eng     Pagination:  157-62     Citation Subset:  AIM; IM    
Affiliation:
School of Social Science, Liverpool John Moores University, Liverpool, UK.
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MeSH Terms
Descriptor/Qualifier:
England / epidemiology
Fathers
Humans
Infant
Infant Mortality / trends*
Infant, Newborn
Mothers
Psychosocial Deprivation
Retrospective Studies
Risk Factors
Rural Health
Social Class
Socioeconomic Factors
Comments/Corrections

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