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. 2012 Jul;97(4):F285-90.
doi: 10.1136/archdischild-2011-300412. Epub 2012 Jan 12.

Geographical disparities of infant mortality in rural China

Yanping Wang  1 , Jun Zhu, Chunhua He, Xiaohong Li, Lei Miao, Juan Liang
Affiliations
Free PMC article

Geographical disparities of infant mortality in rural China

Yanping Wang et al. Arch Dis Child Fetal Neonatal Ed. 2012 Jul.
Free PMC article

Abstract

Objective: The purpose of the study was to investigate the trends and causes of regional disparities of infant mortality rate (IMR) in rural China from 1996 to 2008.

Design: A population-based, longitudinal study.

Setting: The national child mortality surveillance network.

Population: Population of the 79 surveillance counties.

Main outcome measure: IMR, leading causes of infant death and the RR of IMR.

Results: The IMR in coastal, inland and remote regions declined by 72.4%, 62.9% and 58.2%, respectively, from 1996 to 2008. Compared with the coastal region, the RR of IMR were 1.7 (95% CI 1.6 to 1.9), 1.9 (95% CI 1.7 to 2.0) and 1.8 (95% CI 1.6 to 2.0) for inland region and 2.6 (95% CI 2.4 to 2.7), 3.2 (95% CI 3.0 to 3.5) and 3.1 (95% CI 2.7 to 3.4) for the remote region during 1996-2000, 2001-2005 and 2006-2008, respectively. The regional disparities existed for both male and female IMRs. The postneonatal mortality showed the highest regional disparities. Pneumonia, birth asphyxia, prematurity/low birth weight, injuries and diarrhoea were the main contributors to the regional disparities. There were significantly more infants who did not seek healthcare services before death in the remote region relative to the inland and coastal regions.

Conclusion: The results indicated persistent existence of regional disparities in IMR in rural China. It is worth noting that regional disparities in IMR increased in the remote and coastal regions during 2001-2005 in rural China. These disparities remained unchanged during 2006-2008. The results indicate that strategies to reduce mortality caused by pneumonia, birth asphyxia and diarrhoea are keys to reducing IMR.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
Geographical distribution of coastal, inland and remote regions in China.
Figure 2
Figure 2
Trend of infant mortality in rural China during 1996–2008.
Figure 3
Figure 3
The proportion of reasons behind the lack of healthcare-seeking behaviour before infant death in the three regions during the period of 2003–2005 and 2006–2008.
See this image and copyright information in PMC

References

    1. World Health Organization The world health report 2000; health systems: improving performance. Geneva: WHO, 2000
    1. Evans T, Whitehead M, Diderichsen F, et al. Challenging Inequities in Health: From Ethics to Action. Oxford: Oxford University Press; 2001
    1. National Working Committee for Children and Women under the State Council. National Program of Action for Child Development in China (2001–2010) [(accessed Feburary 2011)]. http://www.nwccw.gov.cn/html/49/n-140649.html
    1. Reidpath DD, Allotey P. Infant mortality rate as an indicator of population health. J Epidemiol Community Health 2003;57:344–6 - PMC - PubMed
    1. Ministry of Health of China Mortality Rate of Children Under 5-year in Surveillance Region (In Chinese). http://www.moh.gov.cn/publicfiles/business/htmlfiles/zwgkzt/ptjty/digest... (accessed October 2010)

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