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Beyond birth outcomes: Interpregnancy interval and injury-related infant mortality
- Source :
- Paediatr Perinat Epidemiol
- Publication Year :
- 2019
-
Abstract
- BACKGROUND: Several studies have examined the association between IPI and birth outcomes, but few have explored the association between interpregnancy interval (IPI) and postnatal outcomes. OBJECTIVE: We examined the association between IPI and injury-related infant mortality, a leading cause of postneonatal mortality. METHODS: We used 2011-2015 US period-linked birth-infant death vital statistics data to generate a multiyear birth cohort of non-first-born singleton births (N = 9 782 029). IPI was defined as the number of months between a live birth and the start of the pregnancy leading to the next live birth. Causes of death in the first year of life were identified using ICD-10 codes. Hazard ratios (HR) for IPI categories were estimated using Cox proportional hazards models adjusted for birth order, county poverty level, and maternal characteristics (marital status, race/ethnicity, education, age at previous birth). RESULTS: After adjustment, overall infant mortality (48.1 per 10 000 births) was higher for short and long IPIs compared with IPI 18-23 months (reference)
- Subjects :
- Child abuse
Adult
Male
Epidemiology
Article
Death Certificates
Depression, Postpartum
03 medical and health sciences
0302 clinical medicine
Birth Intervals
Pregnancy
030225 pediatrics
Injury prevention
Infant Mortality
Medicine
Humans
Sibling Relations
Child Abuse
Proportional Hazards Models
Retrospective Studies
030219 obstetrics & reproductive medicine
business.industry
Proportional hazards model
Hazard ratio
Pregnancy Outcome
Infant, Newborn
Infant
medicine.disease
Infant mortality
United States
Birth order
Socioeconomic Factors
Birth Certificates
Pediatrics, Perinatology and Child Health
Wounds and Injuries
Female
business
Live birth
Demography
Maternal Age
Subjects
Details
- ISSN :
- 13653016
- Volume :
- 33
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Paediatric and perinatal epidemiology
- Accession number :
- edsair.doi.dedup.....e1c45324f45d181397352bf65bf7d189