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Titolo:
The Matthew effect: Infant mortality in Canada and internationally
Autore:
Dzakpasu, S; Joseph, KS; Kramer, MS; Allen, AC;
Indirizzi:
Lab Ctr Dis Control, Bur Reprod & Child Hlth, Ottawa, ON K1A 0L2, Canada Lab Ctr Dis Control Ottawa ON Canada K1A 0L2 , Ottawa, ON K1A 0L2, Canada Dalhousie Univ, Dept Obstet & Gynecol, Perinatal Epidemiol Res Unit, Halifax, NS, Canada Dalhousie Univ Halifax NS Canada Epidemiol Res Unit, Halifax, NS, Canada Dalhousie Univ, Dept Pediat, Perinatal Epidemiol Res Unit, Halifax, NS, Canada Dalhousie Univ Halifax NS Canada Epidemiol Res Unit, Halifax, NS, Canada McGill Univ, Fac Med, Dept Pediat, Montreal, PQ, Canada McGill Univ Montreal PQ Canada ac Med, Dept Pediat, Montreal, PQ, Canada McGill Univ, Fac Med, Dept Epidemiol & Biostat, Montreal, PQ, Canada McGill Univ Montreal PQ Canada Epidemiol & Biostat, Montreal, PQ, Canada
Titolo Testata:
PEDIATRICS
fascicolo: 1, volume: 106, anno: 2000,
pagine: NIL_49 - NIL_53
SICI:
0031-4005(200007)106:1<NIL_49:TMEIMI>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRENDS; REGISTRATION; RATES;
Keywords:
infant mortality; Canada; health status; industrialized countries; international;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Dzakpasu, S Lab Ctr Dis Control, Bur Reprod & Child Hlth, Tunneys Pasture AL 0701D, Ottawa, ON K1A 0L2, Canada Lab Ctr Dis Control Tunneys Pasture AL0701D Ottawa ON Canada K1A 0L2
Citazione:
S. Dzakpasu et al., "The Matthew effect: Infant mortality in Canada and internationally", PEDIATRICS, 106(1), 2000, pp. NIL_49-NIL_53

Abstract

Objective. To examine whether the magnitude of improvement in the health status of a population over time is dependent on the previous health status of that population. Design and Setting. A study of infant mortality rates in Canada's 12 provinces and territories between the periods 1961-1965 and 1991-1995, and of infant mortality rates in 133 countries between 1960 and 1995. Main Outcome Measures. Spearman's rank correlations, relative risks, and risk differences to measure the relationship between infant mortality in the1960s and changes in infant mortality between the 1960s and 1990s. Results. In Canada, regional rankings based on infant mortality rates in 1961-1965 were strongly correlated (inversely) with rankings based on the percent change in infant mortality between 1961-1965 and 1991-1995 (correlation coefficient = -.85). In contrast, internationally, rankings based on infant mortality rates in 133 countries in 1960 were positively correlated with percent change between 1960 and 1995 (correlation coefficient = .56). Regional differences in infant mortality rates, measured using relative risks,declined in Canada (highest relative risk: 4.2, compared with Ontario in the 1960s; highest relative risk: 2.2, compared with Ontario in the 1990s) but increased globally (highest relative risk: 5.0, compared with industrialized countries in 1960; highest relative risk: 15.1, compared with industrialized countries in 1995). Conclusions. Canadian regions with higher infant mortality rates in 1961-1965 achieved larger improvements compared with regions with initially lowerinfant mortality rates. The pattern observed within Canada is unlike the pattern observed internationally.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 07:34:40