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[Differences in perinatal mortality between districts of Amsterdam]
Anita C J Ravelli1, Eric A P Steegers, Greta C Rijninks-van Driel
1Academisch Medisch Centrum, Afd. Klinische Informatiekunde, Amsterdam, the Netherlands. a.c.ravelli@amc.uva.nl
Nederlands Tijdschrift Voor Geneeskunde
|April 21, 2011
Summary
Perinatal mortality rates in Amsterdam varied significantly by district, with some areas showing much higher risks. These disparities were linked to factors like ethnicity and socioeconomic status, necessitating district-specific interventions.
Area of Science:
- Public Health
- Epidemiology
- Perinatal Medicine
Background:
- Perinatal mortality rates can vary within urban areas.
- Understanding district-level disparities is crucial for targeted public health interventions.
Purpose of the Study:
- To investigate the impact of geographical districts on perinatal mortality in Amsterdam.
- To analyze the influence of risk factors such as ethnicity and socioeconomic status (SES) on these district-level variations.
Main Methods:
- A cohort study analyzing 73,661 singleton births in Amsterdam between 2000-2006.
- Logistic regression was employed to assess perinatal mortality differences across districts, adjusting for covariates.
Main Results:
- Perinatal mortality in Amsterdam was 10.8 per 1,000 births, higher than the national average.
- Districts like Zuidoost (21‰) and Slotervaart (14‰) exhibited significantly higher rates, while others like ZuiderAmstel (5‰) showed lower rates.
- Higher risk in Zuidoost was attributed to ethnicity, low SES, and preterm birth; effects of parity and ethnicity varied by district.
Conclusions:
- Amsterdam presents a dual picture of perinatal mortality, with highly elevated and reduced rates across different districts.
- Risk factor prevalence and their impact on perinatal mortality, particularly concerning ethnicity and parity, are not uniform across districts.
- Tailored public health policies and further research are essential for each district to address these disparities effectively.
