Rip M R, Keen C S, Kibel M A
S Afr Med J. 1986 Sep 27;70(7):399-403.
An infant's weight at birth as well as its socio-economic environment are recognized as constituting two of the major risk factors associated with perinatal mortality. Spatial analyses of birth weight, socio-economic status and perinatal mortality in Metropolitan Cape Town for the year 1982 are presented in an attempt to assess the relationship between these variables at the suburb (or community) level. Variations in perinatal mortality for each suburb were found to be highly correlated with variations in the distribution of low birth weights. Overall, it would appear that the geography of the interrelationship between low birth weight and perinatal mortality tends, in part, to mirror long-standing gradients in socio-economic status--particularly for those coloured communities which show high perinatal death rates. To what extent these variations are associated with available antenatal and infant health care services can only be postulated. Points for possible community intervention are suggested.
婴儿出生时的体重及其社会经济环境被认为是围产期死亡率的两个主要风险因素。本文呈现了1982年开普敦都会区出生体重、社会经济地位和围产期死亡率的空间分析，以试图评估这些变量在郊区（或社区）层面的关系。发现每个郊区的围产期死亡率变化与低出生体重分布的变化高度相关。总体而言，低出生体重与围产期死亡率之间的相互关系的地理分布似乎在一定程度上反映了社会经济地位的长期梯度差异——特别是对于那些围产期死亡率高的有色人种社区。这些差异在多大程度上与现有的产前和婴儿保健服务相关，只能进行推测。文中还提出了可能进行社区干预的要点。
