Infant mortality in the European Union: A time trend analysis of the 1994---2015 period
Background: Infant mortality is an indicator of child health, and an explanatory variable to reflect the socioeconomic development of a country. We aimed to examine the changes and trends of infant mortality in the European Union (EU) and its 28 member states in the 1994-2015 period. Methods: We...
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| Format: | info:eu-repo/semantics/article |
| Language: | eng |
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Elsevier BV
2021
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| Online Access: | https://hdl.handle.net/10171/61975 |
| _version_ | 1793400112527966208 |
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| author | Onambele, L. (Luc) San-Martín-Rodríguez, L. (Leticia) Niu, H. (Hao) Álvarez-Álvarez, I. (Ismael) Arnedo-Pena, A. (Alberto) Guillen-Grima, F. (Francisco) Aguinaga-Ontoso, I. (Inés) |
| author_facet | Onambele, L. (Luc) San-Martín-Rodríguez, L. (Leticia) Niu, H. (Hao) Álvarez-Álvarez, I. (Ismael) Arnedo-Pena, A. (Alberto) Guillen-Grima, F. (Francisco) Aguinaga-Ontoso, I. (Inés) |
| author_sort | Onambele, L. (Luc) |
| collection | DSpace |
| description | Background: Infant mortality is an indicator of child health, and an explanatory variable to reflect the socioeconomic development of a country. We aimed to examine the changes and trends of infant mortality in the European Union (EU) and its 28 member states in the 1994-2015 period.
Methods: We extracted data of deaths in children aged less than one year between 1994 and 2015 from the Eurostat database. We analysed secular variation in the EU overall, by country and by geographical region using joinpoint regression analysis. We conducted additional analyses to examine neonatal and early neonatal mortality trends.
Results: Infant mortality in the EU has declined significantly from 8,3 to 3,6 per 1,000 live births (annual percent change=-3,8%; 95% confidence interval, -4,1 to -3,6). Among EU countries, we found the highest mortality rates throughout the study period in Romania and Bulgaria, and the lowest rates in Scandinavian countries (Finland, Sweden). There were significant decreasing trends in every country of the EU, which were most pronounced in former Soviet Baltic states and Eastern European countries, and least pronounced in Western European countries. Mortality rates have increased significantly in Greece in the last years, and plateaued in the United Kingdom and Ireland.
Conclusions: Our findings, which are based on official data, provide consistent evidence that infant mortality has declined steadily in the EU and its member states in the past decades, most markedly in Eastern European countries and former Soviet Baltic states. However, rates have risen or levelled off in some western countries in the past few years. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-61975 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2021 |
| publisher | Elsevier BV |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-619752021-09-10T11:09:47Z Infant mortality in the European Union: A time trend analysis of the 1994---2015 period Onambele, L. (Luc) San-Martín-Rodríguez, L. (Leticia) Niu, H. (Hao) Álvarez-Álvarez, I. (Ismael) Arnedo-Pena, A. (Alberto) Guillen-Grima, F. (Francisco) Aguinaga-Ontoso, I. (Inés) Materias Investigacion::Ciencias de la Salud::Medicina preventiva Infant Mortality Trends Europe Infantil Mortalidad Tendencias Europa Background: Infant mortality is an indicator of child health, and an explanatory variable to reflect the socioeconomic development of a country. We aimed to examine the changes and trends of infant mortality in the European Union (EU) and its 28 member states in the 1994-2015 period. Methods: We extracted data of deaths in children aged less than one year between 1994 and 2015 from the Eurostat database. We analysed secular variation in the EU overall, by country and by geographical region using joinpoint regression analysis. We conducted additional analyses to examine neonatal and early neonatal mortality trends. Results: Infant mortality in the EU has declined significantly from 8,3 to 3,6 per 1,000 live births (annual percent change=-3,8%; 95% confidence interval, -4,1 to -3,6). Among EU countries, we found the highest mortality rates throughout the study period in Romania and Bulgaria, and the lowest rates in Scandinavian countries (Finland, Sweden). There were significant decreasing trends in every country of the EU, which were most pronounced in former Soviet Baltic states and Eastern European countries, and least pronounced in Western European countries. Mortality rates have increased significantly in Greece in the last years, and plateaued in the United Kingdom and Ireland. Conclusions: Our findings, which are based on official data, provide consistent evidence that infant mortality has declined steadily in the EU and its member states in the past decades, most markedly in Eastern European countries and former Soviet Baltic states. However, rates have risen or levelled off in some western countries in the past few years. Introducción: La mortalidad infantil es un indicador de la salud infantil y una variable explicativa del desarrollo socioeconómico. Nuestro objetivo fue examinar los cambios y tendencias de la mortalidad infantil en la Unión Europea (UE) y sus 28 países miembros en el período 1994-2015. Métodos: Se recopilaron datos de muertes de niños menores de un año entre 1994 y 2015 de la base de datos Eurostat. Estudiamos las tendencias en la UE, por países y regiones, utilizando el análisis de regresión joinpoint. Se condujeron análisis adicionales para estudiar las tendencias de mortalidad neonatal y neonatal precoz. Resultados: La mortalidad infantil en la UE ha disminuido significativamente de 8.3 a 3.6 por 1.000 (porcentaje de cambio anual = −3.8%, intervalos de confianza del 95% −4.1; −3.6). Las tasas de mortalidad más altas se registraron en Rumanía y Bulgaria, y las tasas más bajas en países escandinavos (Finlandia, Suecia). Se encontraron tendencias descendentes significativas en los países de la UE, más pronunciadas en los países bálticos exsoviéticos y países de Europa oriental, mientras que los países de Europa occidental mostraron los descensos menos pronunciados. La mortalidad infantil ha aumentado significativamente en Grecia en los últimos años, mientras que en el Reino Unido e Irlanda las tasas se han estabilizado. Conclusiones: La mortalidad infantil ha disminuido en la UE y sus países en las últimas décadas, más pronunciadamente en los países de Europa oriental y los países bálticos exsoviéticos, mientras que en varios países de Europa occidental las tasas aumentaron o se han estabilizado en los últimos anos. 2021-09-09T11:54:37Z 2021-09-09T11:54:37Z 2019 info:eu-repo/semantics/article https://hdl.handle.net/10171/61975 eng 10.1016/j.anpede.2019.03.002 info:eu-repo/semantics/openAccess application/pdf Elsevier BV |
| spellingShingle | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Infant Mortality Trends Europe Infantil Mortalidad Tendencias Europa Onambele, L. (Luc) San-Martín-Rodríguez, L. (Leticia) Niu, H. (Hao) Álvarez-Álvarez, I. (Ismael) Arnedo-Pena, A. (Alberto) Guillen-Grima, F. (Francisco) Aguinaga-Ontoso, I. (Inés) Infant mortality in the European Union: A time trend analysis of the 1994---2015 period |
| title | Infant mortality in the European Union: A time trend analysis of the 1994---2015 period |
| title_full | Infant mortality in the European Union: A time trend analysis of the 1994---2015 period |
| title_fullStr | Infant mortality in the European Union: A time trend analysis of the 1994---2015 period |
| title_full_unstemmed | Infant mortality in the European Union: A time trend analysis of the 1994---2015 period |
| title_short | Infant mortality in the European Union: A time trend analysis of the 1994---2015 period |
| title_sort | infant mortality in the european union: a time trend analysis of the 1994---2015 period |
| topic | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Infant Mortality Trends Europe Infantil Mortalidad Tendencias Europa |
| url | https://hdl.handle.net/10171/61975 |
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