Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia

被引:46
作者
Rosicova, Katarina [1 ,2 ,3 ]
Geckova, Andrea Madarasova [2 ,3 ]
van Dijk, Jitse P. [2 ,6 ]
Kollarova, Jana [4 ]
Rosic, Martin [5 ]
Groothoff, Johan W. [6 ]
机构
[1] Kosice Self Governing Reg, Dept Reg Dev & Land Use Planning, Kosice, Slovakia
[2] Safarik Univ, Kosice Inst Soc & Hlth, Grad Sch, Kosice, Slovakia
[3] Safarik Univ, Hlth Psychol Unit, Inst Publ Hlth, Fac Med, Kosice, Slovakia
[4] Reg Publ Hlth Author Kosice, Dept Hlth Promot, Kosice, Slovakia
[5] Univ Presov, Fac Humanities & Nat Sci, Presov, Slovakia
[6] Univ Groningen, Univ Med Ctr Groningen, Dept Social Med, Groningen, Netherlands
关键词
Infant mortality; Regional differences; Roma population; Socioeconomic indicators; PERINATAL-MORTALITY; HEALTH; ROMA; INEQUALITY; DISPARITIES; DISCRIMINATION; DETERMINANTS; CHILDREN; GYPSIES; ENGLAND;
D O I
10.1007/s00038-010-0199-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective Exploring the associations of regional differences in infant mortality with selected socioeconomic indicators and ethnicity could offer important clues for designing public health policy measures. Methods Data included perinatal and infant mortality in the 79 districts of the Slovak population in 2004. Linear regression was used to analyse the contribution of education, unemployment, income and proportion of Roma population on regional differences in perinatal and infant mortality rates. Results All the explored socioeconomic indicators and ethnicity individually contributed significantly to both perinatal and infant mortality, with the exception of income. In the model exploring the influence of all these variables together on perinatal and infant mortality, only the effect of the proportion of Roma population remained significant. This model explained 34.9% of the variance for perinatal and 36.4% of the variance for infant mortality. Conclusions Living in Roma settlements indicates an accumulation of socioeconomic disadvantage. Health literacy, health-related behaviour and many other factors might contribute to the explanation of the differences in infant mortality, and a better understanding of these processes might help us to design tailored interventions.
引用
收藏
页码:523 / 531
页数:9
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