Abstract：
AIM:The aim of this study is to review the epidemiological literature from the past 27 years on social inequality in fetal and perinatal mortality in the Nordic countries in order to examine whether social inequalities in fetal and perinatal mortality exist, and whether there are differences between the countries. METHODS:The databases MEDLINE and EMBASE were searched for Nordic epidemiological studies published between January 1980 and August 2007 about the association between social indicators and the outcomes spontaneous abortion, stillbirth or perinatal mortality. Thirty-five studies that fulfilled the inclusion criteria were identified for this review. RESULTS:Social differences in stillbirth and perinatal mortality were found in all of the identified Finnish and Norwegian studies and in the majority of studies from Denmark, whereas in the Swedish studies the findings were less consistent. As only a small number of studies on spontaneous abortion were identified (n=3), no conclusions were drawn with regard to this outcome. CONCLUSIONS:There seems to be a reasonable body of evidence that social inequality in stillbirth and perinatal mortality exists in Norway, Finland and Denmark, whereas the conclusions regarding Sweden are more uncertain. A number of methodological problems complicate the comparison of the findings. Nordic collaborative analyses of social gradients in spontaneous abortion, stillbirth and perinatal mortality, which take these methodological concerns into account, are needed in order to draw inferences across countries.
journal_name
Scand J Public Healthjournal_title
Scandinavian journal of public healthauthors
Jørgensen T,Mortensen LH,Andersen AMdoi
10.1177/1403494808089653subject
Has Abstractpub_date
2008-08-01 00:00:00pages
635-49issue
6eissn
1403-4948issn
1651-1905pii
36/6/635journal_volume
36pub_type
杂志文章,评审abstract：AIMS:Social-epidemiological explanations of health inequalities usually take the existence of social inequality as a given and ignore the fundamental questions of why social inequality exists in the first place and why it is so persistent. I review here theories of the explanation of social inequality to identify the p...
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