Document Detail

Life expectancy and infant mortality in Latin America.
MedLine Citation:
PMID:  8511625     Owner:  NLM     Status:  MEDLINE    
Life expectancy and infant mortality in Latin America vary extremely on the national level as for example from 20 per thousand and less in Cuba and Chile up to 100 per thousand and more in Haiti and Bolivia. The range of these rates is even greater considering the regional level within the countries. Case studies from Costa Rica and Chile do not only show the contrast between rural and urban areas, but also give an example how regional differences can be diminished in the course of a rapid mortality decline. The development of primary and secondary health care, especially when applied to rural and marginal urban population turned out to be the most important factor for this reduction. In Costa Rica 75% of the decrease of infant mortality can be attributed to these measures. In addition to reforms in the public health system improvements of sanitary conditions have been proven to be very efficient in the fight against infant mortality in Chile. But the level of mortality remains relatively high in those countries where endogenous factors of mortality decline have not been added to the exogenous ones to a great extent. A close connection between social stratification and level of mortality is quite evident in Brazil, where difficult living conditions in rural areas as well as in a big part of the cities prevent a reduction of mortality rates.
J Bähr; R Wehrhahn
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  36     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-07-15     Completed Date:  1993-07-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1373-82     Citation Subset:  IM    
Department of Geography, University of Kiel, Germany.
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MeSH Terms
Brazil / epidemiology
Chile / epidemiology
Costa Rica / epidemiology
Delivery of Health Care / trends
Infant Mortality / trends*
Infant, Newborn
Latin America / epidemiology
Life Expectancy / trends*
Primary Health Care
Rural Population
Socioeconomic Factors
Urban Population

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

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