1983年至1986年瑞典婴儿死亡率按死因划分的社会差异。
Social differences in Swedish infant mortality by cause of death, 1983 to 1986.
作者信息
Nordström M L, Cnattingius S, Haglund B
机构信息
Department of Social Medicine, Uppsala University, Sweden.
出版信息
Am J Public Health. 1993 Jan;83(1):26-30. doi: 10.2105/ajph.83.1.26.
OBJECTIVE
We sought to investigate social differences in Swedish infant mortality by cause of death.
METHODS
All live single births in Sweden between 1983 and 1986 to mothers 15 to 44 years old with Nordic citizenship were studied. The causes of death were classified into six major groups. Mother's education was used as a social indicator. Logistic regression analysis was used with identical models for all groups of causes of death.
RESULTS
There were 355,601 births and 2012 infant deaths. Only for sudden infant death syndrome were significant social differences found, with crude odds ratios of 2.6 for mothers with less than 10 years of education and of 1.9 for mothers with 10 to 11 years, compared with 1.0 for mothers with 15 years or more. After adjusting for age, parity, and smoking habits, these ratios were no longer significant.
CONCLUSIONS
The social differences obtained could be explained by the fact that mothers with less education smoke more, are younger, and have higher parity than those with more education.
目的
我们试图按死因调查瑞典婴儿死亡率的社会差异。
方法
对1983年至1986年间在瑞典出生的、母亲为15至44岁且拥有北欧公民身份的所有单胎活产进行研究。死因分为六大类。母亲的教育程度用作社会指标。对所有死因组均使用相同模型进行逻辑回归分析。
结果
共出生355,601例，婴儿死亡2012例。仅在婴儿猝死综合征方面发现了显著的社会差异，受教育年限不足10年的母亲的粗略比值比为2.6，受教育年限为10至11年的母亲为1.9，而受教育年限为15年及以上的母亲为1.0。在对年龄、产次和吸烟习惯进行调整后，这些比值比不再显著。
结论
所观察到的社会差异可以用以下事实来解释，即受教育程度较低的母亲比受教育程度较高的母亲吸烟更多、年龄更小且产次更高。
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