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  1. Human development index as a predictor of infant and maternal mortality rates.

    Article - En anglais

    Objective 

    The United Nations Human Development Index (HDI) is a composite index of life expectancy, literacy, and per capita gross domestic product that measures the socioeconomic development of a country.

    We estimated infant and maternal mortality rates in the world and assessed how well the HDI and its individual components predicted infant and maternal mortality rates for individual countries.

    Materials 

    Data on mortality rates and values for HDI components were obtained from the United Nations and the World Bank.

    Results 

    For the 1987 to 1990 period, approximately 9 million infant deaths and 349,000 maternal deaths occurred in the world annually, yielding global infant and maternal mortality rates of 67 per 1000 and 250 per 100,000 live births, respectively.

    HDI is a powerful predictor of both infant and maternal mortality rates.

    It accounts for 85% to 92% of the variation in infant mortality rates, and 82% to 85% of the variation in maternal mortality rates among countries.

    Each component of HDI is also strongly correlated with both infant and maternal mortality rates (significance of all values for r, p<0.001), and eliminating life expectancy from HDI does not decrease significantly the predictive power of HDI for infant or maternal mortality rates.

    Conclusion 

    HDI is not only a useful measure for socioeconomic development, but also a powerful predictor of infant and maternal mortality rates for individual countries.

    Mots-clés Pascal : Marqueur épidémiologique, Niveau vie, Prédiction, Mortalité, Mère, Nourrisson, Homme, Nouveau né, Monde

    Mots-clés Pascal anglais : Epidemiological marker, Standard of living, Prediction, Mortality, Mother, Infant, Human, Newborn, World

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

    Cote : 98-0001016

    Code Inist : 002B30A01A2. Création : 17/04/1998.