Chackiel J
Notas Poblacion. 1982 Apr;10(28):43-85.
The purpose of this paper is to analyze the differentials and detect factors affecting infant mortality on the basis of data obtained from the fertility surveys from those countries participating in the World Fertility Survey. In particular, this includes the surveys carried out in Colombia, Peru, Costa Rica, Panama, and the Dominican Republic. 3 types of explanatory variables may be considered from the information available: 1) context variables related to the mother's environment; 2) socioeconomic variables based on the educational and economic characteristics of the mother and her last husband; and 3) biological factors (from each woman's pregnancy history) such as mother's age at birth of the child, order of birth, interbirth interval, etc. The countries, whether high or low mortality, present great differences in child mortality in most of the variables considered. In Panama and Costa Rica there are population sectors with infant mortality rates of around 100/1000 live births, whereas in Peru these are over 150/1000 (children from mothers without education, low agricultural strata, etc.). Besides presenting the differentials, a methodological test is made through the application to Costa Rica and Peru of the Proportional Hazards Model which permits analysis of the effects of variables when acting simultaneously upon mortality in early childhood. The variables which show the highest disparity in mortality level are: natural region among the context variables, education of mother among the socioeconomic variables, and interbirth interval and maternal age at birth of their children among the biological ones.
本文旨在根据参与世界生育率调查的国家的生育率调查数据,分析影响婴儿死亡率的差异及相关因素。具体来说,这包括在哥伦比亚、秘鲁、哥斯达黎加、巴拿马和多米尼加共和国开展的调查。根据现有信息,可以考虑3类解释变量:1)与母亲环境相关的背景变量;2)基于母亲及其亡夫教育和经济特征的社会经济变量;3)生物学因素(来自每位女性的怀孕史),如孩子出生时母亲的年龄、生育顺序、生育间隔等。无论死亡率高低,这些国家在大多数所考虑的变量上,儿童死亡率都存在很大差异。在巴拿马和哥斯达黎加,有些人口群体的婴儿死亡率约为每1000例活产100例,而在秘鲁,这一比例超过每1000例活产150例(来自未受过教育、农业阶层较低的母亲所生的孩子等)。除了呈现差异外,还通过将比例风险模型应用于哥斯达黎加和秘鲁进行了一项方法测试,该模型允许分析变量同时作用于幼儿死亡率时的影响。在死亡率水平上差异最大的变量是:背景变量中的自然区域、社会经济变量中的母亲教育程度,以及生物学变量中的生育间隔和孩子出生时母亲的年龄。