| Perinatal mortality in an English health region: geographical distribution and association with socio-economic factors. | |
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MedLine Citation:
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PMID: 9690262 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although the international and regional variability of perinatal mortality rates have been widely studied, less is known about the variability at the small-area level. The geographical distribution of perinatal mortality in the former North-West Thames Health Region, England, during 1981-90, and its association with small-area socio-economic factors, as measured by the Carstairs index of deprivation, were studied. Recently developed methods of analysis, including use of Bayesian statistics, were applied to obtain descriptive results and maps, and for fitting regression models that allowed for the presence of unmeasured risk factors. Significant heterogeneity (P < 0.001) of perinatal mortality across census wards and districts was found. The 5% of wards with the highest mortality experienced a risk more than 1.7 times that of the 5% with lowest mortality. Significant, positive association between deprivation and perinatal mortality was also found. Assuming causality, social differentials at the small-area level accounted for between 1.3% and 14.1% of all perinatal deaths, depending on which level of the Carstairs index was selected as reference. Although a proportion of such variability might be explained by social characteristics, a better understanding of the nature of the association is necessary. |
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Authors:
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M Martuzzi; C Grundy; P Elliott |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Paediatric and perinatal epidemiology Volume: 12 ISSN: 0269-5022 ISO Abbreviation: Paediatr Perinat Epidemiol Publication Date: 1998 Jul |
Date Detail:
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Created Date: 1998-10-05 Completed Date: 1998-10-05 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8709766 Medline TA: Paediatr Perinat Epidemiol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 263-76 Citation Subset: IM |
Affiliation:
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International Agency for Research on Cancer, Lyon, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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England
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epidemiology Geography Humans Infant Mortality* Infant, Newborn Risk Factors Socioeconomic Factors* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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