Maternal socioeconomic characteristics and infant mortality from injuries in the Czech Republic 1989-92
Language English Country England, Great Britain Media print
Document type Journal Article
PubMed
11003184
PubMed Central
PMC1730628
DOI
10.1136/ip.6.3.195
Knihovny.cz E-resources
- MeSH
- Gestational Age MeSH
- Cohort Studies MeSH
- Infant MeSH
- Infant Mortality * trends MeSH
- Humans MeSH
- Logistic Models MeSH
- Marital Status statistics & numerical data MeSH
- Mothers * psychology MeSH
- Infant, Newborn MeSH
- Parity MeSH
- Birth Weight MeSH
- Predictive Value of Tests MeSH
- Cause of Death MeSH
- Wounds and Injuries etiology mortality prevention & control MeSH
- Registries MeSH
- Risk Factors MeSH
- Birth Certificates MeSH
- Sex Distribution MeSH
- Socioeconomic Factors MeSH
- Educational Status MeSH
- Population Surveillance MeSH
- Death Certificates MeSH
- Maternal Age MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Infant, Newborn MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic epidemiology MeSH
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.
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