Abstract
OBJECTIVE. We sought to investigate social differences in Swedish infant mortality by cause of death. METHODS. All live single births in Sweden between 1983 and 1986 to mothers 15 to 44 years old with Nordic citizenship were studied. The causes of death were classified into six major groups. Mother's education was used as a social indicator. Logistic regression analysis was used with identical models for all groups of causes of death. RESULTS. There were 355,601 births and 2012 infant deaths. Only for sudden infant death syndrome were significant social differences found, with crude odds ratios of 2.6 for mothers with less than 10 years of education and of 1.9 for mothers with 10 to 11 years, compared with 1.0 for mothers with 15 years or more. After adjusting for age, parity, and smoking habits, these ratios were no longer significant. CONCLUSIONS. The social differences obtained could be explained by the fact that mothers with less education smoke more, are younger, and have higher parity than those with more education.
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Selected References
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- Antonovsky A., Bernstein J. Social class and infant mortality. Soc Sci Med. 1977 May;11(8-9):453–470. doi: 10.1016/0037-7856(77)90022-1. [DOI] [PubMed] [Google Scholar]
- Balarajan R., Soni Raleigh V., Botting B. Sudden infant death syndrome and postneonatal mortality in immigrants in England and Wales. BMJ. 1989 Mar 18;298(6675):716–720. doi: 10.1136/bmj.298.6675.716. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cole S., Hartford R. B., Bergsjø P., McCarthy B. International collaborative effort (ICE) on birth weight, plurality, perinatal, and infant mortality. III: A method of grouping underlying causes of infant death to aid international comparisons. Acta Obstet Gynecol Scand. 1989;68(2):113–117. doi: 10.3109/00016348909009897. [DOI] [PubMed] [Google Scholar]
- Dollfus C., Patetta M., Siegel E., Cross A. W. Infant mortality: a practical approach to the analysis of the leading causes of death and risk factors. Pediatrics. 1990 Aug;86(2):176–183. [PubMed] [Google Scholar]
- Ericson A., Eriksson M., Westerholm P., Zetterström R. Pregnancy outcome and social indicators in Sweden. Acta Paediatr Scand. 1984 Jan;73(1):69–74. doi: 10.1111/j.1651-2227.1984.tb09900.x. [DOI] [PubMed] [Google Scholar]
- Ford R. P. Postneonatal mortality in Christchurch. N Z Med J. 1986 Dec 10;99(815):939–941. [PubMed] [Google Scholar]
- Haglund B., Cnattingius S. Cigarette smoking as a risk factor for sudden infant death syndrome: a population-based study. Am J Public Health. 1990 Jan;80(1):29–32. doi: 10.2105/ajph.80.1.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kleinman J. C., Kiely J. L. Postneonatal mortality in the United States: an international perspective. Pediatrics. 1990 Dec;86(6 Pt 2):1091–1097. [PubMed] [Google Scholar]
- Köhler L. Infant mortality: the Swedish experience. Annu Rev Public Health. 1991;12:177–193. doi: 10.1146/annurev.pu.12.050191.001141. [DOI] [PubMed] [Google Scholar]
- Malloy M. H., Kleinman J. C., Land G. H., Schramm W. F. The association of maternal smoking with age and cause of infant death. Am J Epidemiol. 1988 Jul;128(1):46–55. doi: 10.1093/oxfordjournals.aje.a114957. [DOI] [PubMed] [Google Scholar]
- Mehl A. J., Malcolm L. A. Epidemiological factors in postneonatal mortality in New Zealand. N Z Med J. 1990 Mar 28;103(886):127–129. [PubMed] [Google Scholar]
- Rooth G. Better perinatal health. Sweden. Lancet. 1979 Dec 1;2(8153):1170–1172. doi: 10.1016/s0140-6736(79)92395-x. [DOI] [PubMed] [Google Scholar]
- Semenciw R. M., Morrison H. I., Lindsay J., Silins J., Sherman G. J., Mao Y., Wigle D. T. Risk factors for postneonatal mortality: results from a record linkage study. Int J Epidemiol. 1986 Sep;15(3):369–372. doi: 10.1093/ije/15.3.369. [DOI] [PubMed] [Google Scholar]
- Shoham-Yakubovich I., Barell V. Maternal education as a modifier of the association between low birthweight and infant mortality. Int J Epidemiol. 1988 Jun;17(2):370–377. doi: 10.1093/ije/17.2.370. [DOI] [PubMed] [Google Scholar]
- Spurlock C. W., Hinds M. W., Skaggs J. W., Hernandez C. E. Infant death rates among the poor and nonpoor in Kentucky, 1982 to 1983. Pediatrics. 1987 Aug;80(2):262–269. [PubMed] [Google Scholar]
- VandenBerg M. Smoking during pregnancy and post-neonatal death. N Z Med J. 1985 Dec 25;98(793):1075–1078. [PubMed] [Google Scholar]