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The European Journal of Public Health Advance Access published online on March 8, 2006
The European Journal of Public Health, doi:10.1093/eurpub/ckl009
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© The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
Received May 22, 2005
Accepted November 23, 2005

Article

Persistent geographical disparities in infant mortality rates in Italy (1999-2001): comparison with France, England, Germany, and Portugal

Maria Pia Fantini 1 *, Elisa Stivanello 1, Laura Dallolio 1, Marzia Loghi 2, and Elena Savoia 3

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; Department of Medicine and Public Health, Alma Mater Studiorum University of Bologna, Italy

* To whom correspondence should be addressed.
Maria Pia Fantini, E-mail: mariapia{at}med.unibo.it


  Abstract

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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