An Ecological Study to Identify Census Blocks Supporting a Higher Burden of Disease: Infant Mortality in the Lille Metropolitan Area, France.
In France, reducing social health inequalities has become an explicit goal of health policies over the past few years, one of its objectives is specifically the reduction of the perinatal mortality rate. This study investigates the association between infant mortality and social deprivation categori...
| Published in: | Maternal & Child Health Journal Vol. 18; no. 1; pp. 171 - 180 |
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| Main Authors: | , , , , , |
| Format: | equations & formulas pictorial research tables/charts Journal Article |
| Published: |
Springer Nature
Jan2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104134489&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104134489 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jan2014 vid: 18 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104134489 93448696 10.1007/s10995-013-1251-8 NLM23479336 104134489 ppf: 171 ppct: 9 formats: fmt: @attributes: type: P tig: atl: An Ecological Study to Identify Census Blocks Supporting a Higher Burden of Disease: Infant Mortality in the Lille Metropolitan Area, France. aug: au: Padilla, Cindy Lalloué, Benoit Pies, Cheri Lucas, Emminarie Zmirou-Navier, Denis Séverine, Deguen affil: School of Public Health, University of California, Berkeley 94720 USA sug: subj: Infant Mortality Epidemiology Poverty Poverty Areas Social Determinants of Health Healthcare Disparities Socioeconomic Factors Funding Source France Ecological Research Census Urban Areas Social Environment Factor Analysis Income Educational Status Employment Status Residence Characteristics Family Characteristics Data Analysis Software Infant, Newborn Social Class Confidence Intervals Relative Risk Prenatal Care Female Pregnancy Health Services Accessibility Health Resource Utilization Human Infant, Newborn: birth-1 month Female ab: In France, reducing social health inequalities has become an explicit goal of health policies over the past few years, one of its objectives is specifically the reduction of the perinatal mortality rate. This study investigates the association between infant mortality and social deprivation categories at a small area level in the Lille metropolitan area, in the north of France, to identify census blocks where public authorities should prioritize appropriate preventive actions. We used census data to establish a neighbourhood deprivation index whose multiple dimensions encompass socioeconomic characteristics. Infant mortality data were obtained from the Lille metropolitan area municipalities to estimate a death rate at the census tract level. We used Bayesian hierarchical models in order to reduce the extra variability when computing relative risks (RR) and to assess the associations between infant mortality and deprivation. Between 2000 and 2009, 668 cases of infant death occurred in the Lille metropolitan area (4.2 per 1,000 live births). The socioeconomic status is associated with infant mortality, with a clear gradient of risk from the most privileged census blocks to the most deprived ones (RR = 2.62, 95 % confidence interval [1.87; 3.70]). The latter have 24.6 % of families who were single parents and 29.9 % of unemployed people in the labor force versus 8.5 % and 7.7 % in the former. Our study reveals socio-spatial disparities in infant mortality in the Lille metropolitan area and highlights the census blocks most affected by the inequalities. Fine spatial analysis may help inform the design of preventive policies tailored to the characteristics of the local communities. pubtype: Academic Journal doctype: equations & formulas pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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