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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Post neonatal mortality rates--Scotland.

R R Gordon

    Scottish Medical Journal
    |February 1, 1989
    PubMed
    Summary

    Post neonatal mortality rates in Scotland now match England, indicating health equity. However, social class disparities persist, with higher rates for Social Class V and illegitimate births, highlighting ongoing infant deprivation.

    Area of Science:

    • Public Health
    • Sociology
    • Demography

    Background:

    • Post neonatal mortality rates in Scotland have converged with those in North and South England since 1975.
    • Health inequalities persist across socioeconomic strata and marital status.

    Purpose of the Study:

    • To analyze trends in post neonatal mortality rates in Scotland.
    • To examine the relationship between socioeconomic status, legitimacy of birth, and mortality rates.

    Main Methods:

    • Analysis of historical mortality data in Scotland.
    • Comparison of rates across different social classes and legitimacy status.

    Main Results:

    • Scotland's post neonatal mortality rates are now comparable to England's.

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  • Social Class V exhibits higher mortality than Social Class I.
  • Illegitimacy correlates with higher mortality, mirroring Social Class V rates.
  • The increasing prevalence of illegitimate births (18%) now better reflects infant deprivation than Social Class V (5%).

    • Conclusions:

    • While national health inequality has reduced, socioeconomic and legitimacy-based disparities in infant mortality persist.
    • Illegitimate births are a significant indicator of social deprivation, surpassing traditional social class markers.