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The evolution of infant mortality and neighbourhood inequalities in four world cities: 1988–2016

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  • Daniel Weisz
  • Michael K. Gusmano
  • Caroline Laborde
  • Valerie Feron
  • Victor G. Rodwin

Abstract

Objectives To determine the level of neighbourhood inequalities in infant mortality (IM) rates in the urban core of four world cities and to examine the association between neighbourhood‐level income and IM. We compare our findings with those published in 2004 to better understand how these city health systems have evolved. Methods We compare IM rates among and within the four cities using data from four periods: 1988–1992; 1993–1997; 2003–2008 and 2012–2016. Using a maximum‐likelihood negative binomial regression model that controls for births, we predict the relationship between neighbourhood‐level income and IM. Results IM rates have declined in all four cities. Neighbourhood‐level income is statistically significant for New York and, for the two most recent periods, in Paris. In contrast, there is no significant relationship between neighbourhood income and IM in London or Tokyo. Conclusions Despite programmes to reduce IM inequalities at national and local levels, these persist in New York. Until the early part of this century, none of the other cities experienced a relationship between neighbourhood income and IM, but growing income inequalities within Paris have changed this situation. Policy implications Policy‐makers in these cities should focus on better understanding the social and economic factors associated with neighbourhood inequalities in IM.

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  • Daniel Weisz & Michael K. Gusmano & Caroline Laborde & Valerie Feron & Victor G. Rodwin, 2022. "The evolution of infant mortality and neighbourhood inequalities in four world cities: 1988–2016," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1545-1554, May.
  • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:3:p:1545-1554
    DOI: 10.1002/hpm.3423
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    References listed on IDEAS

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    1. Rodwin, V.G. & Neuberg, L.G., 2005. "Infant mortality and income in 4 world cities: New York, London, Paris, and Tokyo," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 86-90.
    2. repec:mpr:mprres:2022 is not listed on IDEAS
    3. Howell, E.M. & Blondel, B., 1994. "International infant mortality rates: Bias from reporting differences," American Journal of Public Health, American Public Health Association, vol. 84(5), pages 850-852.
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    1. Gusmano, Michael K. & Weisz, Daniel & Mercier, Grégoire & Vasile, Maria & Rodwin, Victor G., 2023. "Access to outpatient care in Manhattan and Paris: A tale of real change in two world cities," Health Policy, Elsevier, vol. 132(C).

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