The European Journal of Public Health Advance Access originally published online on March 8, 2006
The European Journal of Public Health 2006 16(4):429-432; doi:10.1093/eurpub/ckl009
European Perspectives |
Persistent geographical disparities in infant mortality rates in Italy (19992001): comparison with France, England, Germany, and Portugal
Maria Pia Fantini1, Elisa Stivanello1, Laura Dallolio1, Marzia Loghi2 and Elena Savoia3,4
1 Department of Medicine, Public Health, Alma Mater Studiorum University of Bologna, Italy
2 Istat, National Institute for Statistics, Rome, Italy
3 Division of Public Health Practice, Harvard School of Public Health, Boston, MA, USA
4 Department of Medicine and Public Health, Alma Mater Studiorum University of Bologna, Italy
Correspondence: Professor Maria Pia Fantini, Dipartimento di Medicina e Sanità Pubblica, Alma Mater Studiorum Università di Bologna, Via San Giacomo 12, Bologna, Italy, tel: +39 051 2094836, fax: +39 051 2094839, e-mail: mariapia{at}med.unibo.it
Background: Infant mortality rate (IMR) is used as a population health indicator. We provide an updated description of temporal and geographical trends of IMR in Italy. Methods: Regional data on infant deaths and live births were available for France, Germany, England, Portugal (19992000), and Italy (19902001). Mortality rates including 95% CIs and time-trends were computed. Results: IMR was 4.5 per 1000 live births in 19992001. Between 19992001 and 19901992 both neonatal and post-neonatal mortality rates declined (P < 0.05) but not the North/South ratio. In 19992000 the regional variability in IMR was higher in Italy than in other European countries. Conclusion: Despite progresses in reducing IMR, geographical disparities persist within Italy.
Keywords: Europe, infant mortality, Italy, vital statistics
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