Converging or diverging trajectories of mortality under one year of age in the Baltic States : a comparison with the European Union

Simple item page
dc.contributor.authorGenowska, Agnieszka
dc.contributor.authorStrukcinskiene, Birute
dc.contributor.authorVillerusa, Anita
dc.contributor.authorKonstantynowicz, Jerzy
dc.contributor.institutionDepartment of Public Health and Epidemiology
dc.contributor.institutionInstitute of Public Health
dc.date.accessioned2021-08-06T13:35:01Z
dc.date.available2021-08-06T13:35:01Z
dc.date.issued2021-05-13
dc.descriptionFunding Information: The present study was supported by the Medical University of Bialystok, Poland (Grant No. N/ST/ZB/18/002/3303). Publisher Copyright: © 2021, The Author(s).
dc.description.abstractBackground: Information about trends in perinatal and child health inequalities is scarce, especially in the Eastern Europe. We analyzed how mortality under 1 year of age has been changing in the Baltic States and the European Union (EU) over 25 years, and what associations occurred between changes in macroeconomic factors and mortality. Methods: Data on fetal, neonatal, infant mortality, and macroeconomic factors were extracted from WHO database. Joinpoint regression analysis was performed to analyze time trajectories of mortality over 1990–2014. We also investigated how the changes in health expenditures and Gross Domestic Product (GDP) contributed to the changes in mortality. Results: The reduction of fetal, neonatal and infant mortality in the Baltic countries led to convergence with the EU. In Estonia this process was the fastest, and then the rates tended to diverge. The strongest effect in reduction of neonatal mortality was related to the annual increase in health expenditure and GDP which had occurred in the same year, and a decrease in fetal mortality associated with an increase in health expenditure and GDP in the 4th and 5th year, respectively, following the initial change. Conclusions: These findings outlined convergences and divergences in mortality under 1 year of age in the Baltic States compared with the patterns of the EU. Our data highlighted a need to define health policy directions aimed at the implementation of effective intervention modalities addressing reduction of risks in prenatal and early life.en
dc.description.statusPeer reviewed
dc.format.extent10
dc.format.extent995372
dc.identifier.citationGenowska, A, Strukcinskiene, B, Villerusa, A & Konstantynowicz, J 2021, 'Converging or diverging trajectories of mortality under one year of age in the Baltic States : a comparison with the European Union', Archives of Public Health, vol. 79, no. 1, 76. https://doi.org/10.1186/s13690-021-00598-0
dc.identifier.doi10.1186/s13690-021-00598-0
dc.identifier.issn0778-7367
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/5966
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85105876750&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofArchives of Public Health
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHealth inequalities
dc.subjectInfant mortality
dc.subjectMacroeconomic factors
dc.subjectNeonatal mortality
dc.subjectStillbirth
dc.subject3.3 Health sciences
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleConverging or diverging trajectories of mortality under one year of age in the Baltic States : a comparison with the European Unionen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Converging_or_diverging_trajectories.pdf
Size:
972.04 KB
Format:
Adobe Portable Document Format
Download

Collections

Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure