Increasing social variation in birth outcomes in the Czech Republic after 1989
Language English Country United States Media print
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
9736874
PubMed Central
PMC1509095
DOI
10.2105/ajph.88.9.1343
Knihovny.cz E-resources
- MeSH
- Adult MeSH
- Fertility MeSH
- Infant Mortality trends MeSH
- Humans MeSH
- Marital Status MeSH
- Infant, Newborn MeSH
- Odds Ratio MeSH
- Birth Weight * MeSH
- Reproducibility of Results MeSH
- Data Collection MeSH
- Social Class MeSH
- Educational Status MeSH
- Population Surveillance MeSH
- Pregnancy MeSH
- Pregnancy Outcome epidemiology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic epidemiology MeSH
OBJECTIVES: This study investigated social variation in birth outcome in the Czech Republic after the political changes of 1989. METHODS: Routinely collected records on singleton live births in 1989, 1990, and 1991 (n = 380,633) and 1994, 1995, and 1996 (n = 286,907) were individually linked to death records. RESULTS: Mean birthweight fell from 3,323 g to 3,292 g (P < .001) between 1989 and 1991 and then increased to 3,353 g by 1996. The gap in mean birthweight between mothers with a primary education and those with a university education, adjusted for age, parity, and sex of infants, widened from 182 g (95% confidence interval [CI] = 169, 19) in 1989 to 256 g (95% CI = 240, 272) in 1996. Similar trends were found for preterm births. Postneonatal mortality declined most among the better educated and the married. The odds ratio for postneonatal death for infants of mothers with a primary (vs university) education, adjusted for birthweight, increased from 1.99 (95% CI = 1.52, 2.60) in 1989 through 1991 to 2.39 (95% CI = 1.55, 3.70) in 1994 through 1995. CONCLUSIONS: Despite general improvement in the indices of fetal growth and infant survival in the most recent years, social variation in birth outcome in the Czech Republic has increased.
See more in PubMed
Demografie. 1996;38(2):77-89 PubMed
J R Soc Med. 1991 May;84(5):257-60 PubMed
Lancet. 1991 Aug 17;338(8764):428-31 PubMed
Paediatr Perinat Epidemiol. 1998 Jan;12(1):7-24 PubMed
Epidemiol Rev. 1993;15(2):414-43 PubMed
Soc Sci Med. 1994 Nov;39(9):1203-10 PubMed
J Epidemiol Community Health. 1997 Jun;51(3):272-7 PubMed
BMJ. 1992 Sep 19;305(6855):687-91 PubMed
Outdoor air pollution, low birth weight, and prematurity
