Lardelli P, Blanco J I, Delgado-Rodríguez M, Bueno A, de Dios Luna J, Gálvez R
Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Spain.
J Epidemiol Community Health. 1993 Aug;47(4):260-4. doi: 10.1136/jech.47.4.260.
This study aimed to analyse the influence of social, economic, and health development on infant and perinatal mortality in Spain between 1975 and 1986, and to identify possible changes in these relationships over time.
Study of the association between mortality and a range of variables.
50 Spanish provinces.
Mean infant and perinatal mortality were estimated for two periods--1975-8 and 1983-6. Social, economic, and health care indicators were collected as independent variables for these two periods. The rates of variation between periods were estimated for each variable. Multiple linear regression models were used to define the association between infant and perinatal mortality and their respective rate of variation with the former indicators. Mean familial income was the main predictive factor for infant and perinatal mortality in the first period but in the second period health care indicators were more relevant.
The reduction in Spanish infant and perinatal mortality over the period can be attributed mainly to the improvement in prenatal and neonatal health care in Spain in recent years, while economic factors seem less important.
本研究旨在分析1975年至1986年间社会、经济和健康发展对西班牙婴儿及围产期死亡率的影响，并确定这些关系随时间可能发生的变化。
死亡率与一系列变量之间的关联研究。
西班牙50个省份。
对两个时期——1975 - 1978年和1983 - 1986年——的婴儿及围产期平均死亡率进行了估计。收集了这两个时期的社会、经济和医疗保健指标作为自变量。估计了每个变量在不同时期之间的变化率。使用多元线性回归模型来确定婴儿及围产期死亡率与其各自变化率与上述指标之间的关联。家庭平均收入是第一时期婴儿及围产期死亡率的主要预测因素，但在第二时期医疗保健指标更为相关。
该时期西班牙婴儿及围产期死亡率的下降主要归因于近年来西班牙产前和新生儿医疗保健的改善，而经济因素似乎不太重要。
