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  1. Fulltext. The relationship between structural and health services variables and state-level infant mortality in the United States.

    Article - En anglais

    Fulltext.

    Objectives

    This study compared the relative strength of the associations of a set of structural (social, economic, and political) variables and a set of health services variables with state-level infant, neonatal, and postneonatal mortality.

    It also examined whether health services mediate the relationships between structural variables and state-level infant, neonatal, and postneonatal mortality.

    Methods

    With the state as the unit of analysis, data for all 50 states were analyzed by means of multiple regression.

    Results

    Structural variables accounted for substantially more variance in infant, neonatal, and postneonatal mortality than health services variables, and health services were more strongly related to infant mortality than to neonatal or postneonatal mortality.

    When health services variables were controlled, the strenghts of the associations between the structural variables and infant, neonatal, and postneonatal mortality wer reduced but remained statistically significant.

    Conclusions

    A substantial portion of the variance in state-level infant mortality is accounted for by states'structural characteristics, which are partially mediated by health services.

    Mots-clés Pascal : Mortalité, Nourrisson, Nouveau né, Epidémiologie, Statut socioéconomique, Service santé, Organisation santé, Etats Unis, Homme, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Mortality, Infant, Newborn, Epidemiology, Socioeconomic status, Health service, Public health organization, United States, Human, North America, America

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

    Cote : 95-0202088

    Code Inist : 002B30A01A2. Création : 09/06/1995.