Evidence map›Paper›PMID 33985577›Full record

ArticleArchives of public health = Archives belges de sante publique2021

Converging or diverging trajectories of mortality under one year of age in the Baltic States: a comparison with the European Union.

Agnieszka Genowska, Birute Strukcinskiene, Anita Villerusa, Jerzy Konstantynowicz

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Agnieszka GenowskaDepartment of Public Health, Medical University of Bialystok, Bialystok, Poland.ORCID https://orcid.org/0000-0002-1432-1062
Birute StrukcinskieneFaculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania.ORCID https://orcid.org/0000-0002-6075-220X
Anita VillerusaDepartment of Public Health and Epidemiology, Institute of Public Health, Rīga Stradinš University, Rīga, Latvia.ORCID https://orcid.org/0000-0003-2090-4982
Jerzy KonstantynowiczDepartment of Pediatrics, Rheumatology, Immunology and Metabolic Bone Diseases, Medical University of Bialystok, University Children's Hospital, Bialystok, Poland. jurekonstant@o2.pl.ORCID http://orcid.org/0000-0002-1230-332X

Funding

Uniwersytet Medyczny w Bialymstoku Grant No. N/ST/ZB/18/002/3303).
6 · The paper itself

Abstract

backgroundInformation about trends in perinatal and child health inequalities is scarce, especially in the Eastern Europe. We analyzed how mortality under 1 year of age has been changing in the Baltic States and the European Union (EU) over 25 years, and what associations occurred between changes in macroeconomic factors and mortality.

methodsData on fetal, neonatal, infant mortality, and macroeconomic factors were extracted from WHO database. Joinpoint regression analysis was performed to analyze time trajectories of mortality over 1990-2014. We also investigated how the changes in health expenditures and Gross Domestic Product (GDP) contributed to the changes in mortality.

resultsThe reduction of fetal, neonatal and infant mortality in the Baltic countries led to convergence with the EU. In Estonia this process was the fastest, and then the rates tended to diverge. The strongest effect in reduction of neonatal mortality was related to the annual increase in health expenditure and GDP which had occurred in the same year, and a decrease in fetal mortality associated with an increase in health expenditure and GDP in the 4th and 5th year, respectively, following the initial change.

conclusionsThese findings outlined convergences and divergences in mortality under 1 year of age in the Baltic States compared with the patterns of the EU. Our data highlighted a need to define health policy directions aimed at the implementation of effective intervention modalities addressing reduction of risks in prenatal and early life.

Indexed as

Health inequalitiesInfant mortalityMacroeconomic factorsNeonatal mortalityStillbirth

Identifiers

PMID33985577
PMCPMC8117592

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.