Time-trends in infant mortality rates in the southern Europe

Antão, Celeste; Teixeira, Cristina

Publication

Time-trends in infant mortality rates in the southern Europe

2016Conference object

dc.contributor.author	Antão, Celeste
dc.contributor.author	Teixeira, Cristina
dc.date.accessioned	2016-10-11T15:05:41Z
dc.date.available	2016-10-11T15:05:41Z
dc.date.issued	2016
dc.description.abstract	Infant Mortality Rate (IMR) has been considered an important health indicator in monitoring quality of health care. Objectives: To examine trends in IMR in Southern Europe (SE) over the last two decades. Methods: Number of live births and infant deaths reported for SE (Portugal, Italy, Greece and Spain) between 1990 and 2013 were abstracted from World Health Organization Database. Annual IMR per 1,000 live births was computed for each country and for SE as a whole. Joinpoint regression models were used to estimate average annual percent change (AAPC) in IMR and respective 95% Conidence Interval (95% CI) and to identify points in time when signiicant changes in trend occurred (joinpoints). Results: Between 1990 and 2013, IMR signiicantly decreased from 9.2 to 3.4 in SE and the highest decrease was observed from 1992 to 1998 (AAPC = -6.1%; 95%CI: -6.5%; -5.8%). Signiicant decline in IMR was observed in all countries but the pattern was different across countries. IMR varied across countries between 11.5 and 8.3 and between 3.1 and 3.8 in 2013; highest IMR were observed in Portugal for 1990 and in Greece for 2013. Most notable decreases in IMR were observed from 1990 to 1995 in Portugal (AAPC = -8.4% 95%CI: -8.8; -8.1), from 1993 to 1997 in Italy (AAPC = -6.6% 95%CI: -7.8; -5.5) from 1998 to 2006 in Greece (AAPC = -6.8% 95%CI: -7.0; -6.5), and from 1993 to 1996 in Spain (AAPC = -7.3% 95%CI: -9.0; -5.6). Decreases in IMR were signiicant during all time period in Italy and Greece but in Portugal and Spain IMR became unchangeable after 2010-2011. Conclusions: Decrease in IMR in countries of SE suggests steadily improvement in the quality of health care. However differences in the pattern of decrease across countries during the last years deserve particular attention.	pt_PT
dc.identifier.citation	Antão, Celeste; Teixeira, Cristina (2016). Time-trends in infant mortality rates in the southern Europe. Revista Atención Primaria. ISSN 0212-6567. 48 (espec. cong 1), p. 34-34	pt_PT
dc.identifier.issn	0212-6567
dc.identifier.uri	http://hdl.handle.net/10198/13390
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	Elsevier	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	pt_PT
dc.subject	Time-trends	pt_PT
dc.subject	Infant mortality	pt_PT
dc.subject	Rates	pt_PT
dc.subject	Southern Europe	pt_PT
dc.title	Time-trends in infant mortality rates in the southern Europe	pt_PT
dc.type	conference object
dspace.entity.type	Publication
oaire.citation.conferencePlace	Viseu	pt_PT
oaire.citation.endPage	34	pt_PT
oaire.citation.startPage	34	pt_PT
oaire.citation.title	Atención Primaria	pt_PT
oaire.citation.volume	48	pt_PT
person.familyName	Antão
person.familyName	Teixeira
person.givenName	Celeste
person.givenName	Cristina
person.identifier	X-5933-2018
person.identifier.ciencia-id	D31A-8175-5254
person.identifier.ciencia-id	6E12-F2A0-568F
person.identifier.orcid	0000-0003-1721-5836
person.identifier.orcid	0000-0001-5194-5141
person.identifier.rid	O-2296-2013
person.identifier.scopus-author-id	55207402700
rcaap.rights	openAccess	pt_PT
rcaap.type	conferenceObject	pt_PT
relation.isAuthorOfPublication	2e510c58-f864-4ebf-98cd-f58ceacbb012
relation.isAuthorOfPublication	9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isAuthorOfPublication.latestForDiscovery	2e510c58-f864-4ebf-98cd-f58ceacbb012