Document Detail


Maternal socioeconomic characteristics and infant mortality from injuries in the Czech Republic 1989-92.
MedLine Citation:
PMID:  11003184     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Infant and childhood mortality from injuries in Central and Eastern Europe is high but little is known about its determinants. This study examined whether maternal socioeconomic characteristics predict infant mortality from injuries in the Czech Republic. METHODS: Data on all live births registered in the Czech Republic 1989-91 (n=387 496) were linked with the national death register, 1989-92, using the unique national identification number. Effects of maternal socioeconomic characteristics, birth weight and gestational age, recorded in the birth register, on the risk of death from external causes (ICD-9 800-999) were estimated using logistic regression. RESULTS: Of the 195 linked infant deaths from external causes (rate 50/100000 live births), 73% were from suffocation. After controlling for other factors, the risk of death was higher in boys, declined with increasing maternal education (odds ratio for primary v university education 3.5, 95% confidence interval 1.5 to 8.6), maternal age, birth weight and gestational age, and was increased in infants of unmarried mothers and of mothers with higher parity. The effect of education appeared stronger in married mothers and in mothers of low parity. CONCLUSION: The risk of infant death from external causes in this population was strongly associated with maternal and family characteristics.
Authors:
M Bobak; H Pikhart; I Koupilová
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention     Volume:  6     ISSN:  1353-8047     ISO Abbreviation:  Inj. Prev.     Publication Date:  2000 Sep 
Date Detail:
Created Date:  2000-12-27     Completed Date:  2001-01-18     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9510056     Medline TA:  Inj Prev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  195-8     Citation Subset:  IM    
Affiliation:
International Centre for Health and Society, Department of Epidemiology and Public Health, University College London, UK. martinb@public-health.ucl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Birth Certificates
Birth Weight
Cause of Death
Cohort Studies
Czech Republic / epidemiology
Death Certificates
Educational Status
Female
Gestational Age
Humans
Infant
Infant Mortality* / trends
Infant, Newborn
Logistic Models
Male
Marital Status / statistics & numerical data
Maternal Age
Mothers* / psychology
Parity
Population Surveillance
Predictive Value of Tests
Registries
Risk Factors
Sex Distribution
Socioeconomic Factors
Wounds and Injuries / etiology*,  mortality*,  prevention & control
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