Bronfman M
El Colegio de México, Centro de Estudios Sociológicos, DF Mexico.
Int J Health Serv. 1992;22(1):157-67. doi: 10.2190/FEQP-8CRB-GVQF-3TEX.
Data derived from the Encuesta Nacional de Fecundidad y Salud (ENFES) confirm that overall levels of infant mortality in Mexico have been steadily declining. However, a more specific analysis furnishes evidence that this decline has occurred at varying rates within different social groups, reflecting an increase in social inequalities. The analytical strategy used in this article leads to three basic conclusions: (1) the impact of the economic crisis on infant mortality is reflected not in a reversal of the declining trend but an increase in social inequalities; (2) certain variables universally accepted as determinants of infant mortality, such as mother's education, seem nonsignificant for some social sectors; and (3) certain biodemographic characteristics assumed to have a uniform mortality-related behavior vary among sectors, suggesting that even these constants are determined by social factors.
来自全国生育与健康调查(ENFES)的数据证实,墨西哥的婴儿死亡率总体水平一直在稳步下降。然而,一项更具体的分析提供了证据,表明这种下降在不同社会群体中以不同的速度发生,反映出社会不平等现象的加剧。本文所采用的分析策略得出了三个基本结论:(1)经济危机对婴儿死亡率的影响并非体现在下降趋势的逆转上,而是社会不平等现象的加剧;(2)某些普遍被认为是婴儿死亡率决定因素的变量,如母亲的教育程度,对某些社会部门似乎并不重要;(3)某些被认为具有统一死亡率相关行为的生物人口特征在不同部门之间存在差异,这表明即使是这些常量也是由社会因素决定的。