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International infant mortality rates: bias from reporting differences

E M Howell1, B Blondel

  • 1Mathematica Policy Research, Washington, DC 20024.

American Journal of Public Health
|May 1, 1994
PubMed
Summary

US infant mortality rates appear lower than reported due to inconsistent international reporting standards for very-low-birthweight infants and perinatal deaths. Standardizing these calculations is crucial for accurate global comparisons.

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Area of Science:

  • Public Health
  • Demography
  • Perinatal Medicine

Background:

  • The United States' international infant mortality ranking has declined post-WWII, raising national concern.
  • Existing international comparisons may be skewed by varying data collection methodologies.

Purpose of the Study:

  • To investigate potential biases in international infant and perinatal mortality rate comparisons.
  • To highlight the need for standardized reporting conventions in vital statistics.

Main Methods:

  • Comparative analysis of international infant mortality reporting practices.
  • Examination of definitions and inclusion criteria for very-low-birthweight infants and perinatal deaths.

Main Results:

  • Significant international variations exist in the reporting of very-low-birthweight infants.

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  • Discrepancies in the inclusion of perinatal deaths likely bias comparative mortality rates.

    • Conclusions:

    • International differences in reporting practices create a bias in infant and perinatal mortality statistics.
    • Adoption of uniform reporting standards is essential for accurate global health assessments.