scholarly journals Evolution of Infant Mortality in Ecuador: A Spatial Analysis From 2010 to 2019

2021 ◽  
Author(s):  
Karina Lalangui Vivanco ◽  
Karina Rivadeneira Maya ◽  
Christian Sánchez-Carrillo ◽  
Gersain Sosa Cortéz ◽  
Emmanuelle Quentin
Keyword(s):  
Infant Mortality ◽  
Infant Health ◽  
Spatial Association ◽  
Infant Mortality Rate ◽  
Infant Deaths ◽  
Key Indicator ◽  
Level Data ◽  
Big Picture ◽  
One Year ◽  
Health Situation

Abstract The health situation of children is fundamental for the big picture of public health in a country. Particularly, the death of children under one year of age, calculated through the infant mortality rate is still a key indicator, especially in Latin America where the overall rate has been constantly decreasing down to 13.9 infant deaths per 1000 live births. But this global figure encompasses geographical and temporal disparities within the same country. This is why it is interesting to analyze this evolution through a geomatic method of spatial prioritization. By combining hotspots detection (Local Indicators of Spatial Association, LISA) and time trend over 20 years (Mann-Kendall) at municipal level data from Ecuador, a country with infant mortality similar to the regional average, we obtain the most critical townships that should receive special attention with respect to maternal and infant health.

scholarly journals Smoke-free legislation and neonatal and infant mortality in Brazil: longitudinal quasi-experimental study

2019 ◽  
pp. tobaccocontrol-2019-054923 ◽  
Author(s):  
Thomas Hone ◽  
Andre Salem Szklo ◽  
Filippos T Filippidis ◽  
Anthony A Laverty ◽  
Isabela Sattamini ◽  
...  
Keyword(s):  
Experimental Study ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Fixed Effects ◽  
Infant Health ◽  
Infant Mortality Rate ◽  
Infant Deaths ◽  
Quasi Experimental ◽  
Fixed Effects Regression

ObjectiveTo examine the associations of partial and comprehensive smoke-free legislation with neonatal and infant mortality in Brazil using a quasi-experimental study design.DesignMonthly longitudinal (panel) ecological study from January 2000 to December 2016.SettingAll Brazilian municipalities (n=5565).ParticipantsInfant populations.InterventionSmoke-free legislation in effect in each municipality and month. Legislation was encoded as basic (allowing smoking areas), partial (segregated smoking rooms) or comprehensive (no smoking in public buildings). Associations were quantified by immediate step and longer term slope/trend changes in outcomes.Statistical analysesMunicipal-level linear fixed-effects regression models.Main outcomes measuresInfant and neonatal mortality.ResultsImplementation of partial smoke-free legislation was associated with a −3.3 % (95% CI −6.2% to −0.4%) step reduction in the municipal infant mortality rate, but no step change in neonatal mortality. Comprehensive smoke-free legislation implementation was associated with −5.2 % (95% CI −8.3% to −2.1%) and −3.4 % (95% CI −6.7% to −0.1%) step reductions in infant and neonatal mortality, respectively, and a −0.36 (95% CI −0.66 to−0.06) annual decline in the infant mortality rate. We estimated that had all smoke-free legislation introduced since 2004 been comprehensive, an additional 10 091 infant deaths (95% CI 1196 to 21 761) could have been averted.ConclusionsStrengthening smoke-free legislation in Brazil is associated with improvements in infant health outcomes—particularly under comprehensive legislation. Governments should accelerate implementation of comprehensive smoke-free legislation to protect infant health and achieve the United Nation’s Sustainable Development Goal three.

Infant Mortality

2021 ◽  
Keyword(s):  
Preterm Birth ◽  
Child Health ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Infant Mortality Rate ◽  
First Year ◽  
Long Term Effects ◽  
Development Goal ◽  
Infant Deaths ◽  
One Year

A child younger than one year of age (i.e., birth to twelve months) is termed an infant. Nearly 5.2 million children less than five died in 2019, with close to 75 percent dying in the first year. The infant mortality rate (IMR) is the probability of dying between birth and exactly one year of age expressed per one thousand live births and remains a key indicator to track child health and survival. Globally, infant deaths have markedly decreased during the Millennium Development Goal (MDG) period and beyond. The IMR is closely linked to the neonatal period as the greatest risk of mortality in the first year is during the first twenty-eight days of life. Out of the 3.9 million infants who died in 2019, nearly 2.4 million (61.5 percent) died in the first month. Globally, the leading causes of neonatal mortality are complications from preterm birth, intrapartum-related neonatal events, and neonatal infections. Preterm birth complications, the leading cause of under-five and infant deaths, account for nearly 35 percent of all neonatal deaths. Addressing causes of neonatal mortality is critical in reducing global infant mortality and achieving the Sustainable Development Goal (SDG) 3.2. With the COVID-19 pandemic and its predicted long-term effects on maternal and child health, health systems, and food security this challenge is all the greater.

Mortality Rate of Japanese Twins and Triplets III. Infant Deaths of Triplets After Birth to One Year of Age

1981 ◽  
Vol 30 (4) ◽  
pp. 281-284 ◽  
Author(s):  
Yoko Imaizumi ◽  
Eiji Inouye ◽  
Akio Asaka
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Gestational Age ◽  
Infant Mortality Rate ◽  
Infant Deaths ◽  
The Third ◽  
Monthly Expenditure ◽  
Males And Females ◽  
The Difference ◽  
One Year

The rate of infant mortality of triplet individuals (deaths under one year of age) was computed using 34 sets of triplets born in the first half of 1974. The rates were 8.82%, 9.68%, and 10.34% for the first-, second-, and the third-born triplets, respectively. For males and females the rates were 8.33% and 10.34%, respectively, and the difference was not significant. The rate decreased with gestational age up to 32-35 weeks. For those with heavier weight at birth (≤2,000 g) the rate was lower (0%) than for those with lighter weight (<2,000 g, 8.16%), but the difference is not significant (P = 0.087). Infant mortality rate of triplets decreased with increased monthly expenditure of the household.

A Dreadful Childhood: The Excess Mortality of American Slaves

1986 ◽  
Vol 10 (4) ◽  
pp. 427-465 ◽  
Author(s):  
Richard H. Steckel
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Excess Mortality ◽  
Census Data ◽  
Infant Mortality Rate ◽  
First Year ◽  
Infant Deaths ◽  
The Past ◽  
One Year ◽  
Height Data

Mortality rates in early childhood are widely regarded as a sensitive index of the health and living standards of a population (United Nations, 1973: 138-139; Williamson, 1981; Haines, 1985). The debate over the health and treatment of American slaves has led scholars to investigate various data and methods to construct these measures. Early work based on plantation records placed the infant mortality rate (the proportion of live births that die within one year of birth) at 152.6 per thousand (Postell, 1951: 158). Using census data and indirect techniques, estimates of the infant mortality rate climbed from 182.7 per thousand by Evans (1962: 212) to 274 to 302 per thousand by Farley (1970: 33) and 246 to 275 per thousand by Eblen (1972; 1974). Recent work based on height data and indirect techniques places the infant mortality rate in the neighborhood of 350 per thousand and total losses before the end of the first year (stillbirths plus infant deaths) at nearly 50% (Steckel, 1986a). Thus, measurements over the past four decades have gravitated toward the judgment of southern planter Thomas Afflick (1851: 435) who wrote, “Of those born, one half die under one year.”

PUBLIC HEALTH, NURSING AND MEDICAL SOCIAL WORK

PEDIATRICS ◽  
1949 ◽  
Vol 3 (5) ◽  
pp. 722-728
Keyword(s):  
Public Health ◽  
United States ◽  
Infant Mortality ◽  
Relative Frequency ◽  
The United States ◽  
Mortality Rates ◽  
Infant Mortality Rate ◽  
First Year ◽  
Infant Deaths ◽  
One Year

THE infant mortality rate in 1947 was the lowest on record, according to figures released by the National Office of Vital Statistics of the Public Health Service, Federal Security Agency. The number of deaths under one year recorded in the United States during 1947 was 119,173, or 8,110 more than the number (111,063) reported in 1946. However, this increase reflects the tremendous increase in the number of births during 1947 and not a rise in infant mortality. The relative frequency of infant deaths as [SEE TABLE 1,2 and 3 IN SOURCE PDF] measured by the infant mortality rate decreased from 33.8 per 1,000 live births in 1946 to 32.2 in 1947. Provisional figures indicate a further decline in 1948 to an estimated rate of 31.8. The five leading causes of infant deaths in 1947 and the infant mortality rates for each are: premature birth, 11.1 ; congenital malformations, 4.6; pneumonia and influenza, 3.6; injury at birth, 3,5; and asphyxia and atelectasis, 1.6. These leading causes accounted for 75.7% of all the infant deaths in 1947. This was the first year that asphyxia and atelectasis ranked among the five leading causes of infant deaths and that diarrhea, enteritis and ulceration of the intestines has not been in this group. The number of deaths [See Table 4 in source pdf] under one you and infant mortality rates for selected causes in the United States during 1946 and 1947 are presented in Table 2. The relative frequency of deaths under one year is greatest for the under one day age group and decreases steadily with age. Mortality is higher among nonwhite than white infants deaths and among male than female infants. The number of infants deaths and infant mortality rates in the United States for 1947 by subdivisions of the first year of life, race, and sex, are shown in Table 1.

Mortality Rate of Japanese Twins and Triplets II. Socioeconomic Factors Influencing Infant Deaths of Twins After Birth to One Year of Age

1981 ◽  
Vol 30 (4) ◽  
pp. 275-280 ◽  
Author(s):  
Yoko Imaizumi ◽  
Eiji Inouye ◽  
Akio Asaka
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Socioeconomic Factors ◽  
Infant Mortality Rate ◽  
Paid Work ◽  
Infant Deaths ◽  
Monthly Expenditure ◽  
The Difference ◽  
One Year ◽  
Mz Twins

The rates of infant mortality of twin individuals were 4.38% and 7.76% for mothers healthy and nonhealthy after delivery, respectively, and the difference is significant at the 0.01 level. The lowest infant mortality rate was seen in the mothers with paid work during pregnancy (4.56%), followed by the mothers engaged only in housekeeping (4.72%) and by those self-employed during the pregnancy (4.99%). Infant mortality rate for MZ twins decreased with increased monthly expenditure of the household, whereas the rate for DZ twins remained constant with expenditure. Socioeconomic factors still affect the infant mortality of twins, and the infant mortality rate can be improved.

A Participatory, State–Community–Academic Model to Improve Pregnancy Outcomes in Texas: The Healthy Families Initiative

2020 ◽  
pp. 109019812097715
Author(s):  
Divya A. Patel ◽  
Meliha Salahuddin ◽  
Melissa Valerio ◽  
Nagla Elerian ◽  
Krystin J. Matthews ◽  
...  
Keyword(s):  
Infant Mortality ◽  
Pregnancy Outcomes ◽  
Stakeholder Engagement ◽  
Infant Health ◽  
Secondary Data ◽  
Health Indicators ◽  
Infant Mortality Rate ◽  
State Agency ◽  
Missed Opportunities ◽  
Community Factors

Background While the Texas infant mortality rate (IMR) is below the Healthy People 2020 objective (5.7 per 1,000 live births), stark differences in IMR are seen across Texas communities. Health indicators for the state suggest important missed opportunities for improving maternal and infant outcomes. The Healthy Families initiative was a collaboration between a Texas state agency, community partners, and academic institutions to understand how evidence-based interventions could be identified, adapted, and implemented to address community priorities and reduce disparities in pregnancy outcomes. Method The Healthy Families initiative included two Texas counties, one with low utilization of prenatal care and one with persistent disparities in infant mortality. The model served to (1) identify community factors influencing IMR and maternal morbidity through stakeholder engagement and secondary data, (2) build community capacity to link pregnant women with existing and newly developed services, and (3) develop partnerships within the community and clinics to improve access to and sustainability of services. Results A community-based participatory approach focused on stakeholder engagement was used to identify, design, and adapt strategies to address community-identified priorities. Conclusions The Healthy Families initiative is a unique state–community–academic partnership aimed at improving pregnancy outcomes in vulnerable communities, with a focus on promotion of capacity building, maintenance, and sustainability of maternal and infant health programs.

PUBLIC HEALTH, NURSING AND MEDICAL SOCIAL WORK

PEDIATRICS ◽  
1952 ◽  
Vol 9 (4) ◽  
pp. 515-516
Keyword(s):  
Public Health ◽  
Infant Mortality ◽  
Birth Rate ◽  
The United States ◽  
Vital Statistics ◽  
Infant Mortality Rate ◽  
National Office ◽  
History Of ◽  
Health Nursing ◽  
One Year

ON THE basis of provisional data it appears that infant mortality in the United States has continued to improve in 1951, despite the fact that the birth rate has gone up again. The National Office of Vital Statistics, Public Health Service, has published in the Monthly Vital Statistics Bulletin for February 1952 an analysis of the telegraphic reports received from the various states for the year 1951. While the data are subject to correction [See Figure 1. in Source PDF.] and final figures will almost surely result in slight revisions, previous experience indicates that the general trend is quite accurate. Figure 1 presents the month by month comparison, throughout the year, for birth rate, death rate, and infant mortality rate. Marriage license rate is shown through November 1951. It will be noted that in every month of the year the birth rate was higher than in the corresponding month of 1950. The annual rate was 24.5 per 1000 population, 4.3% higher than in 1950 but 5% lower than the peak birth rate reached in 1947. Taking into account an estimate for births which were not reported it is thought that 3,833,000 births took place in 1951. This is the greatest number of births in one year in the history of our country.

Infant Mortality Among Singletons and Twins in Japan During 1999–2008 on the Basis of Risk Factors

2013 ◽  
Vol 16 (2) ◽  
pp. 639-644 ◽  
Author(s):  
Yoko Imaizumi ◽  
Kazuo Hayakawa
Keyword(s):  
Infant Mortality ◽  
Maternal Age ◽  
Survival Rates ◽  
Mortality Rates ◽  
Vital Statistics ◽  
Infant Mortality Rate ◽  
Age Group ◽  
Neonatal Deaths ◽  
Infant Deaths ◽  
Live Births

The infant mortality rate (IMR) among single and twin births from 1999 to 2008 was analyzed using Japanese Vital Statistics. The IMR was 5.3-fold higher in twins than in singletons in 1999 and decreased to 3.9-fold in 2008. The reduced risk of infant mortality in twins relative to singletons may be related, partially, to survival rates, which improved after fetoscopic laser photocoagulation for twin — twin transfusion syndrome. The proportion of neonatal deaths among total infant deaths was 54% for singletons and 74% for twins. Thus, intensive care of single and twin births may be very important during the first month of life to reduce the IMR. The IMR decreased as gestational age (GA) rose in singletons, whereas the IMR in twins decreased as GA rose until 37 weeks and increased thereafter. The IMR was significantly higher in twins than in singletons from the shortest GA (<24 weeks) to 28 weeks as well as ≥38 weeks, whereas the IMR was significantly higher in singletons than in twins from 30 to 36 weeks. As for maternal age, the early neonatal and neonatal mortality rates as well as the IMR in singletons were significantly higher in the youngest maternal age group than in the oldest one, whereas the opposite result was obtained in twins. The lowest IMR in singletons was 1.1 per 1,000 live births for ≥38 weeks of gestation and heaviest birth weight (≥2,000 g), while the lowest IMR in twins was 1.8 at 37 weeks and ≥2,000 g.

On the Weak Mortality Returns of the Prison Boom: Comparing Infant Mortality and Homicide in the Incarceration Ledger

2017 ◽  
Vol 59 (1) ◽  
pp. 3-19 ◽  
Author(s):  
Michael T. Light ◽  
Joey Marshall
Keyword(s):  
Infant Mortality ◽  
Instrumental Variable ◽  
Prison Population ◽  
State Level ◽  
Mass Incarceration ◽  
Homicide Rates ◽  
Infant Deaths ◽  
Instrumental Variable Estimation ◽  
The Past ◽  
Level Data

The justifications for the dramatic expansion of the prison population in recent decades have focused on public safety. Prior research on the efficacy of incarceration offers support for such claims, suggesting that increased incarceration saves lives by reducing the prevalence of homicide. We challenge this view by arguing that the effects of mass incarceration include collateral infant mortality consequences that call into question the number of lives saved through increased imprisonment. Using an instrumental variable estimation on state-level data from 1978 to 2010, this article simultaneously considers the effects of imprisonment on homicide and infant mortality to examine two of the countervailing mortality consequences of mass incarceration. Results suggest that while incarceration saves lives by lowering homicide rates, these gains are largely offset by the increases in infant mortality. Adjusted figures that count the number of increased infant deaths attributable to incarceration suggest that the mortality benefits of imprisonment over the past three decades are 82% lower than previously thought.

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