Abstract
The ability of infant mortality and health indicators to monitor health conditions in early infancy, and their broader use as indicators of the general level of socio-economic development are discussed from three points of view. These are: (i) the increasing impact of differences in legal definitions of live and stillbirths on the comparability of the infant mortality figures produced by vital statistics; (ii) the validity of mortality measures to monitor health; (iii) the comparability of social inequalities in infant health and mortality over time and across countries.
Résumé
La validité de la mesure de la mortalité infantile comme indicateur de développement économique et social est remise en question dans le contexte de la situation actuelle en Europe. Trois axes de réflexion sont envisagés: l'impact croissant de différences dans les critères légaux de définition des naissances viràntes et des naissances d'enfants mort-nés sur les niveaux de mortalité infantile fournis par les statistiques d'état civil; la pertinence de mesures de mortalité comme indicateurs de santé infantile; la comparabilité dans le temps et dans l'espace des inégalités sociales de santé et mortalité infantile.
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Abramson, J.H., Gofin, R., Habib, J., Pridan, H. and Gofin, J., 1982. A comparative appraisal of measures for use in epidemiological studies. Social Science and Medicine 16: 1739–1746.
Adamchak, D.J., 1979. Emerging trends in the relationship between infant mortality and socioeconomic status. Social Biology 26(1): 16–29.
Agbonifo, 1983. The state of health as a reflexion of the level of development of a nation. Social Science and Medicine 17(24): 2003–2006.
Alexander, S. and Keirse, M.J.N.C., 1989. Formal risk scoring in pregnancy, in: I. Chalmers, M. Enkin, M.J.C.N. Keirse eds. Effective care in pregnancy and childbirth, Vol. I Oxford University Press, London 345–365.
Basch, P., 1990. Textbook of International Health. Oxford University Press, Oxford.
Bauer, R.A., 1966. Social Indicators. The Massachussets institute of Technology Press, Massachussets.
Bicego, G.T. and Boerma, J.T., 1993. Maternal education and child survival: a comparative study of survey data from 17 countries. Social Science and Medicine 36(9): 1207–1227.
Blaxter, M., 1981. The health of the children. Review of research on the place of health in cycles of disadvantage. Heinemann Educational Books, London.
Blondel, B., Kaminski, M., Du Mazaubrun, C., Rumeau-Rouquette, C., 1982. Surveillance prénatale et filières prénatales pendant la grossesse. Revue d'épidémiologie et de santé publique 30: 21–34.
Boltanski, L. 1969. Prime éducation et morale de classe. Mouton, Paris.
Botting, B.J. and Macfarlane, A.J., 1992. Relationship of cultural and social factors to pregnancy outcome in England and Wales, in: Proceedings of the international collaborative effort on perinatal and infant mortality, Volume III (National Center for Health Statistics, Hyattsville), IV43-IV55.
Brenner, M.H., 1973. Fetal, infant, and maternal mortality during periods of economic instability. International Journal of Health Services 3(2): 145–159.
Buekens, P., Kotelchuck, M., Blondel, B., Borlum-Kristensen, F., Jian-Hua Chen, Masuy-Stroobant, G., 1993. A comparison of prenatal care use in the United States and Europe. American Journal of Public Health 83(1): 31–36.
Caldwell, J.C., 1979. Education as a factor in mortality decline. An examination of Nigerian data. Population Studies 33(3): 395–413.
Carr-Hill, R., 1987. Problèmes méthodologiques, in: P. Aïach, R. Carr-Hill, S. Curtis, R. Illsley eds., Les inégalités sociales de santé en France et en Grande-Bretagne (INSERM, Paris), 121–140.
Carley, M., 1981. Social measurement and social indicators. Issues of policy and theory. George Allen and Unwin, London.
Cnattingius, S. and Haglund, B., 1992. Effects of socioeconomic factors on late fetal and infant mortality in Sweden, in: Proceedings of the international collaborative effort on perinatal and infant mortality, Volume III (National Center for Health Statistics, Hyattsville), IV38-IV42.
DaVanzo, J., 1985, Infant mortality and economic development: the case of Malaysia, in: International Population Conference of the International Union for the Scientific Study of Population, Florence 5–12 June 1985 (Ordina Editions, Liège), 79–90.
Dumoulin, M. and Gourbin, C., 1991. Validité des données d'état civil en épidémiologie périnatale en France et en Belgique, in S. Alexander, H. Grandjean, P. Leleux, G. Masuy-Stroobant, F. Puech, M. Ribourdouille eds. Bases de données périnatales et assurance de qualité, Audipog VI, Academia, Louvain-la-Neuvre: 69–83.
Escobar, G.J., Littenberg, B. and Petitti, D.P., 1991. Outcome among births surviving very low birthweight: a meta-analysis. Archives of Disease in Childhood 66: 204–211.
Fender, P., Bréart, G., 1981. La mortalité périnatale dans la C.E.E. et la Suède. Facteurs démographiques, politiques et socio-économiques. Journal de Gynécologie, Obstétrique et Biologie de la Reproduction 10: 329–335.
Fenton, A.C., Field, D.J., Mason, E., Clarke, M., 1990. Attitudes to viability of preterm infants and their effect on figures for perinatal mortality. British Medical Journal 300: 434–436.
Galtung, J. and Wirak, A., 1979. Les besoins de l'homme, les droits de l'homme et les théories du développement, in: Les indicateurs du changement économique et social et leurs applications (UNESCO, Rapports et documents des sciences sociales no. 37), 7–33.
Goldberg, M., 1979. Indicateurs de santé et ‘sanométrie’: les aspects conceptuels des recherches récentes sur la mesure de l'état de santé d'une population. Revue d'épidémiologie et de santé publique 27: 51–68.
Gourbin, C., 1991. Les Pratiques de déclaration des événements ‘naissance vivante’ et ‘mort-né’ en Belgique, 1990. Thèse de maîtrise en démographie, Institut de Démographie, Louvain-la-Neuve, 123 p.
Gourbin, C. and Masuy-Stroobant, G., 1993. Are live and stillbirths comparable all over Europe?. Working Paper no. 179, Institut de Démographie, Université Catholique de Louvain, Academia, Louvain-la-Neuve.
Herthoghe, L., De Wals, P., Piron, M., Bertrand, F., Lechat, M.-F., 1987. Quality of perinatal death registration. A study in Hainaut, Belgium. European Journal of Pediatrics 146: 473–476.
Hobcraft, J., 1993. Women's education, child welfare and child survival: a review of the evidence. Health Transition Review 3(2): 159–175.
Illsley, R., 1990. Comparative review of sources, methodology and knowledge. Social Science and Medicine 31(3): 229–236.
Kadin, M., 1982. Socioeconomic measurement in mortality research: an examination of U.S. data in the 20th Century. Research Reports no. 82-85, Population Studies Center, University of Michigan, Ann Arbor.
Keirse, M., 1984. Perinatal mortality rates do not contain what they purport to contain. The Lancet, May 26: 1166–1169.
Keirse, M., 1987. De Nederlandse perinatale sterfte in internationaal perspectief. Nederlandse Tijdschrift voor Geneeskunde, 131: 905–909.
Lesaëge-Dugied, A., 1972. La mortalité infantile dans le département du Nord de 1815 à 1914, in: M.-P. Buriez, C.-H. Dewaepenaere, N. Dombrowski, M. Engrand, C. Engrand, A. Lesaëge eds. L'homme, la vie et la mort dans le Nord au 19ème siècle (Université de Lille III-Editions Universitaires, Lille), 81–137.
Liberatos, P., Link, B. and Kelsey, J., 1988. The measurement of social class in epidemiology. Epidemiologic Reviews 10: 87–121.
Lindsay, E., 1985. The epidemiology of perinatal mortality. World Health Statistics Quarterly 38: 289–301.
Loriaux, M. and Remy, D., 1980. La mortalité des enfants et les indicateurs socio-économiques de développement: une vision mondiale, in: P.-M. Boulanger et D. Tabutin eds. La mortalité des enfants dans le monde et dans l'histoire (Ordina Editions, Liège), 287–386.
Masuy-Stroobant, G., 1983. Les déterminants de la mortalité infantile. La Belgique d'hier et d'aujourd'hui. Ciaco, Louvain-la-Neuve.
Masuy-Stroobant, G., 1988. Santé de l'enfant et inégalités sociales. Une enquête dans le Hainaut sur le comportement préventif des mères. Ciaco, Louvain-la-Neuve.
Masuy-Stroobant, G., 1989. Social inequalities in perinatal health. Biology of the Neonate 55: 42–49.
Masuy-Stroobant, G., 1990. Santé de l'enfant et inégalités sociales. Le cas des mères professionnellement inactives, in: L'enfant européen et son futur. Aspects démographiques et médico-sociaux (Editions de l'Ecole Nationale de Santé Publique, Rennes), 232–240.
Masuy-Stroobant, G., 1995. Santé et mortalité infantile, indicateurs et comparabilité, in: J. Duchene and G. Wunsch eds. Collecte et comparabilité des données démo-sociales en Europe, Chaire Quetelet 1991 (Académia, Louvain-la-Neuve) in press.
McCormick, M.C., 1985. The contribution of low birthweight to infant mortality and childhood morbidity. New England Journal of Medicine, Jan. 10: 82–90.
Milner, A.D. and Greenough A., 1988. Adaptation of the respiratory system. British Medical Bulletin 44: 894–908.
Moreau, K. and Rousseau, P., 1986. Le deuil périnatal. Bulletin Officiel de la Société Française de Psycho-Prophylaxie Obstétricale 106: 23–30.
Morris, J.N., Heady, J.A., 1955. Social and biological factors in infant mortality. V. Mortality in relation to the father's occupation. The Lancet, March 12: 554–559.
Newsholme, A., 1910. Report by the medical officer on child mortality. Supplement to the 30th annual report of the Local Government Board, London.
Peller, S., 1948. Mortality. Past and future. Population Studies 1: 405–456.
Pinnelli, A., 1984. Il record linkage per lo studio della mortalità infantile: aspetti riguardanti la qualità dei dati. Statistica XLIV(4): 675–686.
Reid, M., 1986. The persistence of social inequalities in perinatal statistics, in: E. Papiernik, G. Bréart, N. Spira eds., Prévention de la naissance prématurée — Prevention of preterm birth. (INSERM, Paris, Colloque Inserm 138), 47–66.
Rooth, G., 1980. Low birthweight revised. The Lancet, March 22: 639–642.
Saurel-Cubizolles, M.-J. and Kaminski, M., 1982a. Work in pregnancy: its evolving relationship with perinatal outcome. A review. Social Science and Medicine 22(4): 431–442.
Saurel-Cubizolles, M.-J., Kaminski, M., Rumeau-Rouquette, C., 1982b. Activité professionnelle des femmes enceintes, surveillance prénatale et issue de la grossesse. Journal de Gynécologie, Obstétrique et Biologie de la Reproduction 11: 959–967.
Sinclair, J.C., 1986. Increasing costs and effectiveness of neonatal care of very low birthweight infants, in: E. Papiernik, G. Bréart, N. Spira eds., Prévention de la naissance prématurée - Prevention of preterm birth. (INSERM, Paris, Colloque Inserm 138), 31–46.
Stewart, A., Reynolds, E., Lipscomb, A., 1981. Outcome for infants of Very Low Birthweight: survey of world literature. The Lancet, May 9: 1038–1040.
Stockwell, E.G., 1962. Infant mortality and socioeconomic status: A changing relationship. Milbank Memorial Fund Quarterly 40: 101–111.
Townsend, P. and Davidson N., (eds) 1988. Inequalities in health. The Black report. Penguin Books, Harmandsworth.
United Nations, 1953. Economic and social factors affecting mortality, in: The determinants and consequences of population trends. United Nations, New-York, 47–70.
Villermé, 1830. De la mortalité infantile dans Paris. Annales d'hygiène publique.
Wagstaff, A., Paci, P. and Van Doorslaer, E., 1991. On the measurement of inequalities in health. Social Science and Medicine 33(5): 541–577.
Wilcox, A.J. and Russel I., 1983. Perinatal mortality: standardizing for birthweight is biased. American Journal of Epidemiology 119(6): 857–864.
Wilcox, A.J. and Russel I., 1986. Birthweight and perinatal mortality: III Towards a new method of analysis. International Journal of Epidemiology 15(2): 188–196.
Woodbury, R.M., 1925. Causal factors in infant mortality. Department of Labor, Childrens Bureau, Publications No. 142, Government Printing Office, Washington D.C.
Working Group on the Very Low Birthweight Infant, 1990. European Community collaborative study of outcome of pregnancy between 22 and 28 weeks of gestation. The Lancet, September 29: 782–784.
World Health Organization, 1974. Health aspects of population trends and prospects. World Health Statistics Report 27(5): 200–229.
Yankauer, A., 1990. What infant mortality tells us. American Journal of Public Health 80(6): 653–654.
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Masuy-Stroobant, G., Gourbin, C. Infant health and mortality indicators. Eur J Population 11, 63–84 (1995). https://doi.org/10.1007/BF01264105
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DOI: https://doi.org/10.1007/BF01264105