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估算 2000 年至 2019 年期间拉丁美洲社会经济因素对婴儿死亡率的影响:面板数据分析。

Estimating the effect of socio-economic factors on infant mortality rates in Latin America between 2000 and 2019: a panel data analysis.

机构信息

Department of Demography, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

出版信息

Public Health. 2024 Feb;227:232-238. doi: 10.1016/j.puhe.2023.12.018. Epub 2024 Jan 19.

Abstract

OBJECTIVES

Infant mortality is a crucial indicator of socio-economic development, reflecting the conditions in which children are born and raised. Despite notable reductions in Latin America, infant mortality rates remain relatively high compared to other regions worldwide. By understanding the socio-economic factors that influence infant mortality, we not only uncover immediate causes of infant deaths but also shed light on broader socio-economic and healthcare disparities contributing to the burden of disease. This study analyzes the impact of socio-economic factors on infant mortality rates in Latin America from 2000 to 2019, estimating the speed and magnitude of the response of infant mortality rates to changes in specific socio-economic factors.

STUDY DESIGN

Longitudinal panel study.

METHODS

Panel data regression models were used to examine the influence of specific socio-economic factors on infant mortality rates in Latin America. Additionally, impulse response functions estimated by local projections were used to estimate the speed and magnitude of the impact of socio-economic factors on infant mortality rates.

RESULTS

The results highlight the importance of factors such as healthcare expenditure, female literacy, public expenditures on education, maternal mortality, physician density, total fertility rate, and tuberculosis incidence as significant determinants of infant mortality rates in the region.

CONCLUSION

This study adds to the existing literature by offering empirical evidence on the association between these socio-economic factors and infant mortality in Latin America. It also provides a foundation for future research that investigates specific cases within Latin America and examines the variations of these socio-economic factors within those countries.

摘要

目的

婴儿死亡率是社会经济发展的一个关键指标,反映了儿童出生和成长的环境。尽管拉丁美洲在这方面取得了显著进展,但与世界其他地区相比,婴儿死亡率仍然相对较高。通过了解影响婴儿死亡率的社会经济因素,我们不仅揭示了婴儿死亡的直接原因,还揭示了导致疾病负担的更广泛的社会经济和医疗保健差异。本研究分析了 2000 年至 2019 年拉丁美洲社会经济因素对婴儿死亡率的影响,估计了婴儿死亡率对特定社会经济因素变化的反应速度和幅度。

研究设计

纵向面板研究。

方法

使用面板数据回归模型来检验拉丁美洲特定社会经济因素对婴儿死亡率的影响。此外,还使用局部投影估计的脉冲响应函数来估计社会经济因素对婴儿死亡率的影响速度和幅度。

结果

结果强调了医疗保健支出、女性识字率、公共教育支出、孕产妇死亡率、医生密度、总生育率和结核病发病率等因素的重要性,这些因素是该地区婴儿死亡率的重要决定因素。

结论

本研究通过提供拉丁美洲这些社会经济因素与婴儿死亡率之间关联的实证证据,为现有文献做出了贡献。它还为未来的研究提供了基础,这些研究可以调查拉丁美洲内部的具体案例,并研究这些社会经济因素在这些国家内部的变化。

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