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Patterns of Infant Mortality from 1993 to 2007 in Belgrade (Serbia)

Abstract  

The population of the Republic of Serbia has been exposed to radical changes in living standards and employment status and
inequalities in utilization of health-care services. Given that infant mortality rates (IMR) reflect general community health,
we evaluated the trends and mortality structure of Belgrade’s infant population for a 15-year period (1993–2007). Data were
collected from published and unpublished materials of the Municipal Institute of Statistics in Belgrade. Records were based
on official notifications of live-born infants and death certificates. A linear regression equation was used to estimate mortality
trends over time, while an F test was performed to assess the significance of the linear regression coefficient. The average IMR was 11.3 [95 % confidence
interval (CI) 9.4, 13.2] per 1,000 live births for both sexes with a higher average rate observed for male infants. Throughout
the whole period, a statistically significant declining trend (y = 17.072 − 0.721x, p = 0.001) was noted. The most common causes of death were conditions occurring during the perinatal period, with an average
annual mortality rate of 7.7 [95 % CI 6.4, 8.9] per 1,000, arising mainly from respiratory distress of the newborns. Regarding
congenital anomalies, deformations of the heart and aortic and mitral valves were most frequently found. A statistically significant
inverse correlation was observed between average net salary and IMR for each sex separately (for males r = −0.727, p = 0.002, for females r = −0.721, p = 0.002) and for both sexes jointly (r = −0.759, p = 0.001). A decline in infant mortality in Belgrade has been observed. However, further promotion of health-related activities,
as well as continuous surveillance of IMR, is required.

  • Content Type Journal Article
  • Pages 1-8
  • DOI 10.1007/s10995-012-1039-2
  • Authors
    • Tatjana Gazibara, Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Visegradska 26A, 11000 Belgrade, Serbia
    • Darija Kisic-Tepavcevic, Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Visegradska 26A, 11000 Belgrade, Serbia
    • Jelena Dotlic, Faculty of Medicine, Institute for Obstetrics and Gynecology, Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia
    • Bojana Matejic, Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia
    • Anita Grgurevic, Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Visegradska 26A, 11000 Belgrade, Serbia
    • Tatjana Pekmezovic, Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Visegradska 26A, 11000 Belgrade, Serbia
    • Journal Maternal and Child Health Journal
    • Online ISSN 1573-6628
    • Print ISSN 1092-7875
Posted in: Journal Article Abstracts on 05/22/2012 | Link to this post on IFP |
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