Temporal and spatial pattern of infant mortality in Germany after unification


Nolte, E; Koupilova, I; McKee, M; (2001) Temporal and spatial pattern of infant mortality in Germany after unification. Sozial- und Praventivmedizin, 46 (5). pp. 303-10. ISSN 0303-8408

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Abstract

OBJECTIVES: After unification in 1990 the two parts of Germany underwent a complex process that has led to convergence of infant mortality. The pattern of change did, however, differ in east and west. This study investigates whether these differences conceal a complex pattern of heterogeneity at the regional level. METHODS: Examination of routine data on infant, neonatal and postneonatal mortality. Time trends in the 16 federal states of Germany (Länder) from 1991 to 1997 were studied using a log-linear model. RESULTS: In 1991, infant mortality was higher in almost all eastern Länder than in the west. By 1997, this east-west gap had disappeared. Over this period, infant mortality fell in all Länder but one. The decline was steepest in the east, ranging from 31% to 52%. Improvements were largely due to steep declines in both neonatal and postneonatal mortality. CONCLUSIONS: This study shows that, at the time of unification, there was an almost complete demarcation between east and west, a pattern that disappeared by 1997. There is, however, still a substantial regional variation in infant mortality that is largely determined by postneonatal mortality.

Item Type: Article
Keywords: Germany, Human, Infant, Infant Mortality/*trends, Infant, Newborn, *Politics, *Social Change, Socioeconomic Factors, Support, Non-U.S. Gov't, Topography, Medical, Germany, Human, Infant, Infant Mortality, trends, Infant, Newborn, Politics, Social Change, Socioeconomic Factors, Support, Non-U.S. Gov't, Topography, Medical
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 11759337
Web of Science ID: 172380900006
URI: http://researchonline.lshtm.ac.uk/id/eprint/16719

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