Recent historic increase of infant mortality in France: A time-series analysis, 2001 to 2019

Trinh, Nhung T H; Visme, Sophie de; Cohen, Jérémie F.; Bruckner, Tim A.; Lelong, Nathalie; Adnot, Pauline; Rozé, Jean‐Christophe; Blondel, Béatrice; Goffinet, François; Rey, Grégoire; Ancel, Pierre–Yves; Zeitlin, Jennifer

doi:10.1016/j.lanepe.2022.100339

Cited by 12 publications

(10 citation statements)

References 34 publications

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“… 30 Regarding perinatal mortality, social determinants affect maternal pregnancy and postpartum well-being, which in turn will affect perinatal mortality. 26 33 34 A cohort study reported that the regional deprivation index correlated with the IMR in Korea, and metropolitan areas had negative excess mortality and negative deprivation indices compared to local provinces. 35 In a Japanese study that analyzed trends in perinatal mortality, the reduction in perinatal mortality in Japan was largely attributed to the reduction in early neonatal mortality, which was explained by improved NICU capacity, effective interventions to save neonates, and improved quality of treatment.…”

Section: Discussionmentioning

confidence: 99%

Regional Disparities in the Infant Mortality Rate in Korea Between 2001 and 2021

Woo,

Kim

2023

J Korean Med Sci

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Background The infant mortality rate (IMR) has been considered an important indicator of the overall public health level. Despite improvements in recent decades, regional inequalities in the IMR have been reported worldwide. However, there are no Korean epidemiological studies on regional disparities in the IMR. Methods We extracted causes of death data from the Statistics Korea through the Korean Statistical Information Service database between 2001 and 2021. The total and regional IMRs were calculated to determine regional disparities. Based on causes of death and using Seoul as a reference, the excess infant deaths and population attributable fractions (PAFs) were calculated for 15 other metropolitan cities and provinces. The average annual percent changes by region from 2001 to 2021 were obtained using a joinpoint regression program. To assess inequities in IMR trends, the rate ratios (RRs) and rate differences (RDs) of the 15 regions were calculated by dividing the study period into period 1 (2001–2007), period 2 (2008–2014), and period 3 (2015–2021). Results The overall IMR in Korea was 3.64 per 1,000 live births, and the IMRs in the 14 regions were relatively higher than that in Seoul, with RRs ranging from 1.15 (95% confidence interval [CI], 1.04, 1.27) in Jeju-do to 1.62 (95% CI, 1.54, 1.71) in Daegu, over the total study period. Significant differences in infant deaths by region were observed for all causes of death, with PAFs ranging from 2.2% (95% CI, 1.7, 2.6) in Gyeonggi-do to 38.4% (95% CI, 38.1, 38.6) in Daegu. The leading cause of excess infant deaths was perinatal problems. The IMR disparities in the relative and absolute measures decreased from 1.44 (1.34, 1.54) to 1.21 (1.10, 1.31) for RRs and from 0.79 (0.63, 0.96) to 0.30 (0.15, 0.45) for RDs between periods 1 and 2, followed by an increase from 1.21 (1.10, 1.31) to 1.36 (1.21, 1.53) for RRs and from 0.30 (0.15, 0.45) to 0.51(0.36, 0.67) for RDs between period 2 and 3. Conclusion Infant death is associated with place of residence and regional gaps have recently widened again in Korea. An in-depth investigation of the causes of regional disparities in infant mortality is required for effective governmental policies to achieve equality in infant health.

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Section: Discussionmentioning

confidence: 99%

Regional Disparities in the Infant Mortality Rate in Korea Between 2001 and 2021

Woo,

Kim

2023

J Korean Med Sci

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“…Plusieurs pays renseignent l'âge gestationnel et le poids à la naissance sur le certificat de décès, mais ces informations ne sont pas enregistrées en France, alors même qu'elles sont déterminantes pour comprendre le rôle des conditions de la grossesse dans la résistance à la baisse de la mortalité des premiers jours. De même, les caractéristiques de la mère, tant en matière de situation sociale (niveau d'éducation ou de revenu par exemple) que de comportement (tabagisme ou consommation d'alcool) ou d'état de santé (obésité, diabète, hypertension) ne sont pas disponibles de façon routinière, rendant (72) Les chiffres des paragraphes ci-dessous concernent uniquement la mortalité infantile en France métropolitaine, dans la mesure où les indicateurs correspondants ne sont publiés par l'Insee pour les départements d'outre-mer que depuis 1994. très difficile l'analyse de l'influence de ces facteurs de risque sur la mortalité des jeunes enfants (Blondel et al, 2019 ;Claris, 2022 ;Trinh et al, 2022). Les disparités géographiques des niveaux et tendances de la mortalité infantile sont toutefois considérables, comme pour la mortalité générale.…”

Section: La Pandémie N'a Pas Modifié La Position De La France En Europeunclassified

L’évolution démographique récente de la France

Breton¹,

Belliot²,

Barbiéri³

et al. 2023

Population

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Le 1 er janvier 2022, la France comptait 67,8 millions d’habitants soit 187 000 de plus qu’au 1 er janvier 2021. Les nombres de naissances, d’IVG et de mariages en 2021 ont augmenté par comparaison à 2020, sans retrouver les niveaux observés avant la crise sanitaire (2019). Il en est même pour les décès dont le nombre a diminué, mais reste encore supérieur à celui observé en 2019. En 2021, la France fait partie des 9 pays européens parmi les 27 dont le solde naturel est positif. Son solde migratoire l’est également et, en 2021, est supérieur au solde naturel. Au total, la population de la France continue d’augmenter, mais à un rythme plus faible qu’avant la pandémie. En 2020, les flux d’entrées de personnes venant de pays tiers avec un titre de séjour ont très fortement diminué du fait de la crise sanitaire. Ce sont les titres pour raison professionnelle qui ont le plus baissé. Les demandes se concentrent en Île-de-France. En 2021, l’indice conjoncturel de fécondité augmente très légèrement (1,83 enfant par femme), principalement du fait de la hausse des taux entre 30 et 39 ans. Le profil par âge varie selon les régions. Le recours à l’avortement est plutôt stable entre 2020 et 2021, mais la part des IVG réalisées par la méthode médicamenteuse augmente d’année en année (77 % en 2021), surtout celles pratiquées en cabinet de ville. Cependant, on observe d’importantes différences territoriales, du fait d’une offre de soins inégale au niveau local. En 2021, le rattrapage des mariages qui n’ont pu être célébrés en 2020 n’a été que partiel. Pour la première fois en 2020, le nombre de pacs dépasse celui des mariages. Les mariages sont plus fréquents sur le flanc est du pays et les pacs sur la façade atlantique et dans le Sud-Ouest. Le nombre de décès reste important en 2021 malgré une amélioration par rapport à 2020. L’espérance de vie en 2021 reste inférieure de 4,6 mois pour les hommes par rapport à 2019, et de 1,4 mois pour les femmes. La surmortalité est estimée à 6,3 % en 2021 après avoir été de 7,5 % en 2020. Les régions les plus touchées ne sont pas nécessairement celles où la mortalité était initialement forte.

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“…4,5 The Pakistan Demographic Health Survey (PDHS) noted that the neonatal mortality rate in the country in 1991 was 49 per 1000 live births, which increased to 47-55 per 1000 live births between 2009 to 2013 and stood at 42 per 1000 live births in 2018, these figures are well over the stated goal, with minimal visible improvement; Urgent attention needs to be given to address the situation if this goal is to be met on time. 6,7,8 In order to meet the objectives set by SDG-3 for reductions in neonatal mortality, the health services of Pakistan need to take urgent measures to manage risk factors for mortality in the neonatal period. However, these risk factors need to be identified before specific measures can be planned or adopted.…”

Section: Introductionmentioning

confidence: 99%

Factors Leading to Morbidity and Mortality in Neonates Presenting to Pak Emirates Military Hospital, Rawalpindi

Aslam

Ahmed²,

Zaman³

et al. 2022

PAFMJ

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Objective: To determine the frequency and association of different risk factors for morbidity and mortality in neonates. Study Design: Case-control study. Place and Duration of Study: Department of Paediatrics, Pak-Emirates Military Hospital, Rawalpindi, Nov 2021 to Apr 2022. Methodology: A total of 332 patients (166 cases and 166 controls) admitted in the neonatal intensive care setting were includedin our study. Patients who were stillborn or had incomplete records were excluded. All patients were followed up till discharge or death and were documented for various risk factors. Results: The mean age of our study population was 11.52 ± 6.45 days, with 176 (53.0%) males. Risk factors such as low birthweight (2.06 [95% Cl 1.20-3.54]), multiple gestations (2.09 [95% Cl 1.87-2.35]), premature delivery (1.61 [95% Cl 1.01-2.57]),male gender (1.62 [95% Cl 1.05-2.51]) and lack of antenatal care (1.61 [95% Cl 1.01-2.57]) showed an association with mortality.Early-onset neonatal sepsis (1.78 [95% Cl 0.98-3.22]), hypoxic ischaemic encephalopathy (3.01 [95% Cl 1.55-5.82]), meconiumaspiration syndrome (2.42 [95% Cl 0.97-6.05]), congenital anomalies (4.15 [95% Cl 0.87 – 19.85]) and inborn errors of metabolism (7.26 [95% Cl 0.88-59.71]) were all associated with an increase in mortality. Conclusion: Increased risk for mortality in critically ill neonates is multifactorial and requires intervention at multiple levels to reduce mortality at all phases of gestation.

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Recent historic increase of infant mortality in France: A time-series analysis, 2001 to 2019

Cited by 12 publications

References 34 publications

Regional Disparities in the Infant Mortality Rate in Korea Between 2001 and 2021

Regional Disparities in the Infant Mortality Rate in Korea Between 2001 and 2021

L’évolution démographique récente de la France

Factors Leading to Morbidity and Mortality in Neonates Presenting to Pak Emirates Military Hospital, Rawalpindi

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