Inequalities in mortality of infants under one year of age according to foetal causes and maternal age in rural and urban areas in Poland, 2004–2013

Agnieszka Genowska 1, Magdalena Zalewska 1, Jacek Jamiołkowski 1, Urszula Stepaniak 2, Andrzej Szpak 3, Elżbieta Maciorkowska 4, Jarosław Pinkas 5
1 - Department of Public Health, Medical University of Bialystok, Poland
2 - Department of Epidemiology and Population Studies, Jagiellonian University Medical College, Krakow, Poland
3 - Institute of Rural Health, Lublin, Poland
4 - Department of Developmental Medicine and Pediatric Nursing, Medical University of Bialystok, Poland
5 - School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland
Ann Agric Environ Med
2016; 23 (2):
ICID: 1203892
Article type: Original article
 
 
Introduction. European countries are characterized by low mortality during the infancy period compared to other areas of the world. However, there are significant disparities in the state of infant health which are related to socio-economic conditions and place of residence.
Objective. Analysis of mortality in Poland from foetal and maternal causes (length of gestation, birth weight, maternal age) in the neonatal and post-neonatal period depending on place of residence (rural and urban areas) in 2004–2013.
Materials and method. Data on mortality during the neonatal and infancy period in 2004–2013 was obtained from the Central Statistical Office. Diagnosed cases of deaths in rural and urban areas were analyzed, taking into account the causes of death according to ICD-10, the duration of pregnancy in weeks, birth weight, and maternal age. Trend analysis and comparison of mortality between rural and urban areas were performed using the Poisson regression model.
Results. In rural areas, neonatal and post-neonatal death rates due to congenital malformations were siginificantly higher than in urban areas. The mortality rate was also higher in rural areas in children born to women aged 20–34 years, and children born after 37 weeks gestation with low birth weight. In the cities, higher post-neonatal mortality was due to respiratory diseases, and in children born after 37 weeks gestation to mothers under the age of 20 years. A decrease in the mortality of newborns and infants was observed, but in rural areas neonatal mortality decreased significantly more slowly.
Conclusions. The results indicate the need to intensify programmes aimed at improving access to prenatal and maternity care, especially among women in rural areas.
DOI: 10.5604/12321966.1203892
PMID 27294634 - click here to show this article in PubMed
  FULL TEXT STATS

Recommend this article to:

Name:
E-mail:
From:
Language:


Related articles in IndexCopernicus™
     mortality trends [0 related records]
     urban area [31 related records]
     rural area [64 related records]
     congenital malformations [30 related records]
     post-neonatal period [0 related records]
     neonatal period [8 related records]



 

Related articles

, ,
DEMOGRAPHICAL VIEW OF BARANAGAR MUNICIPALITY FROM ...
The present study is focused on the demographic scenario of Baranagar Municipality over the two decades and its related problems. Once the seat of high religious customs and testimony to diverse cultural activities, the century old municipality int...
ABSTRACT

Geospatial clustering of gastroschisis in Poland: ...
Objectives: The aims of this study were: to evaluate the prevalence of abdominal wall defects in the Polish population, to analyze temporal trends in the prevalence, to identify areas (clusters) of high risk of abdominal wall defects, and to characte...
ABSTRACT
 Yılmaz, Y Kaplan,
Gebelikte topikal isotretinoin maruziyeti konjenit...
Akne tedavisi nedeniyle kendisine reçete edilen topikal isotretinoin + eritromisin kullanırken 7 haftalık gebe olduğunu öğrenen 34 yaşındaki hasta, İzmir Kâtip Çelebi Üniversitesi Teratojenite Bilgi Servisi'ne başvurmuştur. Sistemik kul...
ABSTRACT