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.

• MeSH
• gestační stáří MeSH
• kohortové studie MeSH
• kojenec MeSH
• kojenecká mortalita * trendy   MeSH
• lidé MeSH
• logistické modely MeSH
• manželský stav statistika a číselné údaje   MeSH
• matky * psychologie   MeSH
• novorozenec MeSH
• parita MeSH
• porodní hmotnost MeSH
• prediktivní hodnota testů MeSH
• příčina smrti MeSH
• rány a poranění etiologie   mortalita   prevence a kontrola   MeSH
• registrace MeSH
• rizikové faktory MeSH
• rodné listy MeSH
• rozložení podle pohlaví MeSH
• socioekonomické faktory MeSH
• stupeň vzdělání MeSH
• surveillance populace MeSH
• úmrtní listy MeSH
• věk matky MeSH
• Check Tag
• kojenec MeSH
• lidé MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

AIMS: To investigate the effects of parental smoking, socioeconomic characteristics, and indoor environment on the risk of invasive meningococcal disease in children. METHODS: Population based case-control study. A total of 68 incident cases of invasive meningococcal disease in children less than 15 years old were compared with 135 controls selected from the same school and matched for year of birth, sex, and place of residence. Information on exposures was obtained in interviews with parents. RESULTS: Invasive meningococcal disease was strongly associated with parental smoking; rate ratios adjusted for socioeconomic factors were 3.5 (95% confidence interval 1.4-8.7) for smoking of mother, 3.2 (1.5-6.9) for smoking of father, and 2.7 (1.3-5.4) for every 20 cigarettes smoked at home on an average day. The risk of the disease was strongly inversely related to maternal education and, less strongly, to ownership of a car and of a weekend house, father's education, crowding, and the number of siblings, but these associations were reduced or eliminated in multivariate models. The type of heating and cooking (used as proxies for indoor air pollution) were not associated with the disease. CONCLUSION: The risk of invasive meningococcal disease in children is strongly influenced by parental smoking and unfavourable socioeconomic circumstances.

• MeSH
• charakteristiky rodiny MeSH
• dítě MeSH
• interval spolehlivosti MeSH
• kojenec MeSH
• lidé MeSH
• meningokokové infekce etiologie   MeSH
• mladiství MeSH
• multivariační analýza MeSH
• nahuštění v prostoru MeSH
• novorozenec MeSH
• předškolní dítě MeSH
• rizikové faktory MeSH
• rodiče MeSH
• socioekonomické faktory MeSH
• studie případů a kontrol MeSH
• stupeň vzdělání MeSH
• znečištění tabákovým kouřem škodlivé účinky   MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• znečištění tabákovým kouřem MeSH