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  1. International rankings of infant mortality and the United States'vital statistics natality data collecting system : failure and success.

    Article - En anglais

    Background

    International rankings of infant mortality rates have been consistently lower for the US than other industrialized countries, and this ranking has been falling.

    This study examines the influence of birth registrations among very low birthweight infants on these international rankings.

    Methods

    Birth rates of infants weighing<1500 g reported by Japan, Sweden, the Netherlands, France, the UK and Canada were compared to the rates of infants of this weight born in the US, and these rates were correlated with the infant mortality rates reported by these countries.

    Also, deaths in the first 24 hours after birth were correlated with the reported mortality rates.

    Results

    Countries with the lowest infant mortality rates tended to have the lowest incidence of births<500 g and of births 500-999 g. When white and black newborns in the US were reported separately, the correlation coefficients were 0.96 and 0.97 for these weights.

    Conclusion

    Differences in birth registration practices for infants weighing<1500 g are primarily responsible for the poor, deteriorating performance by the US in the international rankings of neonatal mortality rates.

    Mots-clés Pascal : Mortalité, Nourrisson, Registre, Etats Unis, Poids naissance faible, Natalité, Etude comparative, International, Statistique sanitaire, Homme, Amérique du Nord, Amérique, Gestation pathologie, Prématurité, Nouveau né pathologie

    Mots-clés Pascal anglais : Mortality, Infant, Register, United States, Low birth weight, Natality, Comparative study, International, Sanitary statistics, Human, North America, America, Pregnancy disorders, Prematurity, Newborn diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0365613

    Code Inist : 002B30A01A2. Création : 01/03/1996.