Socioeconomic determinants of early neonatal losses in the Russian Federation


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Objective. To investigate the impact of socioeconomic determinants on the rate of early neonatal mortality (ENM). Material and method. The level of ENM was stimulated in relation to socioeconomic factors in the investigation. The data from 83 subjects of the Russian Federation were analyzed. Correlation and regression analyses of 9 predictors and ENM were made. Results. There was a direct correlation between ENM rates and the levels of poverty (r = 0.35; p < 0.0001) and unemployment (r = 0.35 and r = 0.56, p < 0.0001, respectively). Factors, such as an average per capita income to minimum wage ratio, Gini coefficient, and gross regional product per capita, were inversely correlated (r = -0.41, r = -0.33, and r = -0.27;p < 0. 0001, respectively). The obtained regression model described as high as 26% variations in ENM rates. Factors, such as unemployment levels, Gini coefficient, and expenditure of regional budgets on social support, have the greatest impact. Conclusion. The socioeconomic factors not only affect the level of early neonatal losses, but also account for existing regional differences.

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作者简介

Marina Shuvalova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: m_shuvalova@oparina4.ru
MD, PhD, Head of the Department of Medical and Social Researches of the Scientific and Organizational Support Service

Tatiana Pismenskaya

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: t_pismenskaya@oparina4.ru
MD, Junior Researcher Associate in the Department of Medical and Social Researches of the Scientific and Organizational Support Service

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