Document Detail


Recent trends in Canadian infant mortality rates: effect of changes in registration of live newborns weighing less than 500 g.
MedLine Citation:
PMID:  8873632     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To ascertain whether the increase in the crude infant mortality rate in Canada in 1993 was due to a recent increase in the registration of newborns weighing less than 500 g as live births. DESIGN: Ecological study, with Poisson regression analysis. SETTING: Canada. SUBJECTS: All live births and infant deaths in Canada between 1987 and 1993, as reported by Statistics Canada. Data from Newfoundland were excluded because they were incomplete for 4 years. OUTCOME MEASURES: Proportion of live births by low-birth-weight category; and annual crude and adjusted infant mortality rates. RESULTS: Over the study period the proportion of newborns weighing less than 500 g registered as live births increased significantly (chi 2 for trend = 71.26, p < 0.01). This trend was an isolated phenomenon rather than a general increase in all low-birth-weight categories (chi 2 for trend in the proportion of newborns weighing 500 to 2400 g registered as live births = 1.14, p = 0.28). The crude infant mortality rate per 1000 live births decreased from 6.4 in 1991 to 6.1 in 1992 and then increased to 6.3 in 1993. Poisson regression analysis revealed that the apparent increase in the infant mortality rate was caused by the increased registration of infants weighing less than 500 g as live births. The adjusted infant mortality estimate for 1993 was lower than that for 1992. CONCLUSIONS: The increased infant mortality rate in Canada in 1993 appears to be due to increased registration of infants weighing less than 500 g as live births. Comparisons of infant mortality rates by place and time should be adjusted for the proportion of such live births, especially if the comparisons involve recent years.
Authors:
K S Joseph; M S Kramer
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne     Volume:  155     ISSN:  0820-3946     ISO Abbreviation:  CMAJ     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-11-12     Completed Date:  1996-11-12     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9711805     Medline TA:  CMAJ     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1047-52     Citation Subset:  AIM; IM    
Affiliation:
Bureau of Reproductive and Child Health, Laboratory Centre for Disease Control, Tunney's Pasture, Ottawa ON.
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MeSH Terms
Descriptor/Qualifier:
Canada / epidemiology
Humans
Infant Mortality*
Infant, Newborn
Infant, Very Low Birth Weight*
Poisson Distribution
Registries*
Regression Analysis
Comments/Corrections
Comment In:
CMAJ. 1997 Jan 15;156(2):161-3   [PMID:  9012715 ]

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


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