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Inequalities in Infant Survival: An Analysis of Czech Linked Records

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Listed:
  • Jitka Rychtaříková

    (Department of Demography and Geodemography, Faculty of Science)

  • George J. Demko

    (Dartmouth College)

Abstract

This research analysed individual linked infantbirth and death records for the Czech Republicfor the years from 1986 to 1992. The studyfocused on differences in the risk of infantdeath in a former socialist country whereconditions were relatively egalitarian andhealth care was free. The key variablesanalysed included birthweight, gestational age,education level and age of mother, birth order,marital status and age of infant at the time ofdeath. Despite an expectation of low levels ofinequality in infant mortality, significantdifferences were found that were related to thelevel of mothers' education. In addition,infant mortality increased with birth order ofthe child in the postneonatal period and fornormal birthweight infants (even whencontrolling for other variables). Theseanomalies, we believe, have a significantsocio-economic root and not a biologicalrelationship. The inverted pattern in infantmortality for low birthweight babies foundamong Afro-American women in the U.S was alsofound for women with low levels of educationwithin the ethnically homogeneous Czechpopulation. Similar patterns were replicated atregional levels in the Czech Republic.Surprisingly, two very contrasting regions (interms of socio-economic development andfunctions) – Prague and Ceske Budejovice –were found to have the highest risk of infantdeath, characterized primarily by increasedrisk for infants in the ``normal'' or usually lowrisk categories.

Suggested Citation

  • Jitka Rychtaříková & George J. Demko, 2001. "Inequalities in Infant Survival: An Analysis of Czech Linked Records," European Journal of Population, Springer;European Association for Population Studies, vol. 17(4), pages 323-342, December.
    • Handle: RePEc:spr:eurpop:v:17:y:2001:i:4:d:10.1023_a:1012559028756
    DOI: 10.1023/A:1012559028756
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    References listed on IDEAS

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    1. James Cramer, 1987. "Social factors and infant mortality: Identifying high-risk groups and proximate causes," Demography, Springer;Population Association of America (PAA), vol. 24(3), pages 299-322, August.
    2. Jeffrey Kallan, 1993. "Race, intervening variables, and two components of low birth weight," Demography, Springer;Population Association of America (PAA), vol. 30(3), pages 489-506, August.
    3. W. Frisbie & Douglas Forbes & Starling Pullum, 1996. "Compromised birth outcomes and infant mortality among racial and ethnic groups," Demography, Springer;Population Association of America (PAA), vol. 33(4), pages 469-481, November.
    4. Sastry, Narayan, 1997. "What explains rural-urban differentials in child mortality in Brazil?," Social Science & Medicine, Elsevier, vol. 44(7), pages 989-1002, April.
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    Cited by:

    1. Martina Štípková, 2013. "Declining health disadvantage of non-marital children," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(25), pages 663-706.

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