Abstract
the infant mortality gradient by maternal education is a good indicator of the health impact of the social inequalities that prevail in Chile.to propose a systematic method of analysis, using simple epidemiological measures, for the comparison of differential health risks between social groups that change over time.data and statistics on births and infant deaths, obtained from the Ministry of Health, were used. Five strata of maternal schooling were defined and various measures were calculated to compare infant mortality, according to maternal education in the periods 1998-2001 and 2001-2003.of particular interest is the distinction between a measure of effect, Relative Risk (RR), which indicates the size of the gap between socioeconomic extremes and the etiological strength of low maternal schooling on infant mortality, and a measure of global impact, the Population Attributable Risk (PAR%), which takes into account the whole socioeconomic distribution and permits comparisons over time independently of the variability in the proportions of the different social strata. The comparison of these measures in the two periods studied, reveals an increase in the infant mortality gap between maternal educational extremes measured by the RR, but a stabilization in the population impact of low maternal schooling.these results can be explained by a decline in the proportion of mothers in the lowest educational level and an increase in the proportion in the highest group.
Highlights
The infant mortality gradient by maternal education is a good indicator of the health impact of the social inequalities that prevail in Chile
El primer objetivo de impacto asociado a este desafío es “Reducir la brecha de mortalidad infantil entre grupos educacionales extremos; siendo su meta reducir en un 10% el diferencial de mortalidad infantil entre hijos de madres de grupos educacionales extremos” (1:227)
Reducir en 10% esta diferencia significaba llegar a un Relative Risk (RR) de 2,34
Summary
Results: Of particular interest is the distinction between a measure of effect, Relative Risk (RR), which indicates the size of the gap between socioeconomic extremes and the etiological strength of low maternal schooling on infant mortality, and a measure of global impact, the Population Attributable Risk (PAR%), which takes into account the whole socioeconomic distribution and permits comparisons over time independently of the variability in the proportions of the different social strata. Algunos estudios han examinado las desigualdades en la mortalidad infantil en Chile por grupos de educación materna, estatus ocupacional y geográficos, usando el RR5,6, pero no se ha reportado un análisis con una medida de resumen del impacto de la gradiente social en la tasa poblacional. El análisis ilustra algunas consideraciones metodológicas y conceptuales importantes para el estudio de desigualdades en salud[7]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
