Document Detail


Infant and perinatal mortality in Spain 1981-1991: interprovincial variations in Autonomous Communities with extreme economic levels.
MedLine Citation:
PMID:  10555616     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aims of the present study were to describe and compare infant, neonatal, postneonatal and perinatal mortality in aggregates of Spanish Autonomous Communities (AC) with higher and lower income, as well as to describe and compare their respective inequalities among the provinces constituting AC with similar (high or low) and with extreme economic levels, over the period from 1981 to 1991. The coefficient of variation (weighted by the number of births) has been used as the measure of interprovincial inequalities in mortality within each aggregate of AC and time trends in the average mortality rates and in their coefficients of variation have been analyzed using simple linear regression. The results of the study confirmed that the four mortality rates were all higher in the aggregate of AC of lower income than in that of higher income, and have fallen in both in a similar manner. Thus the perinatal mortality rates for the lower and higher income aggregates of AC respectively were 17.3 and 12.5 per 1000 births in 1981, and 8.3 and 6.8 in 1991. The inequality in postneonatal mortality was dominant in the group of AC with a lower economic level whereas geographical inequalities in perinatal mortality predominated in the higher income group. The predominance of interprovincial inequalities in perinatal mortality when all the AC (with extreme economic levels) were considered suggest that economic factors are closely related to perinatal mortality.
Authors:
M F Domínguez-Berjón; J Benach; M D García-Arcal; C Borrell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of epidemiology     Volume:  15     ISSN:  0393-2990     ISO Abbreviation:  Eur. J. Epidemiol.     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-11-30     Completed Date:  1999-11-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508062     Medline TA:  Eur J Epidemiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  723-9     Citation Subset:  IM    
Affiliation:
Escuela Nacional de Sanidad, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Humans
Income
Infant
Infant Mortality*
Socioeconomic Factors
Spain / epidemiology

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