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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
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© The Author 2005. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

European Perspectives

Persistent geographical disparities in infant mortality rates in Italy (1999–2001): 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 (1999–2000), and Italy (1990–2001). Mortality rates including 95% CIs and time-trends were computed. Results: IMR was 4.5 per 1000 live births in 1999–2001. Between 1999–2001 and 1990–1992 both neonatal and post-neonatal mortality rates declined (P < 0.05) but not the North/South ratio. In 1999–2000 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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