Titre :
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Nature of socioeconomic inequalities in neonatal mortality : population based study. : Une étude en population sur la nature des inégalités socioéconomiques dans la mortalité néonatale. (2010)
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Auteurs :
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L.K. Smith ;
E.M. DRAPER ;
B.N. MANKTELOW
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Type de document :
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Article
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Dans :
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BMJ British medical journal (vol. 341, 2010)
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Pagination :
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1-7
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Langues:
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Anglais
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Mots-clés :
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Mortalité néonatale
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Inégalité sociale
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Facteur socioéconomique
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Facteur risque
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Prématurité
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PCS
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Malformation
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Prévention santé
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Politique santé
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Enquête cohorte
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Stratégie
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Royaume Uni
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Résumé :
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[BDSP. Notice produite par IRDES 99R0xInl. Diffusion soumise à autorisation]. Socioeconomic inequalities in infant mortality exist in many developed countries despite improvements in overall mortality. Countries have varying strategies to reduce these inequalities. The UK government has made major attempts to tackle socioeconomic inequalities in infant mortality by setting a public service agreement target in 2003 to reduce the relative deprivation gap in England and Wales by 10% by 2010. However, recent evidence indicates that this target is unlikely to be achieved and the relative deprivation gap may be widening. Public health interventions targeting major potentially modifiable risk factors for mortality are essential. Design of such interventions requires an understanding of current trends in cause specific mortality, as specific causes of death are likely to have different effects on the widening relative deprivation gap in all cause mortality. Recent UK evidence on inequalities in cause specific mortality is contradictory and predominantly cross sectional, preventing the investigation of trends over time. Premature birth is the major component of neonatal and infant mortality, accounting for two thirds of neonatal deaths in England. Most of these deaths result from very preterm birth (
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