A Finnish nationwide register-based study shows a further 50% decline in already low child mortality
Sallinen, Riikka H.; Honkila, Minna; Pokka, Tytti; Paalanne, Niko; Halt, Kimmo; Renko, Marjo; Kajantie, Eero; Ruuska, Terhi S. (2024-08-21)
Wiley-Blackwell
21.08.2024
Sallinen RH, Honkila M, Pokka T, Paalanne N, Halt K, Renko M, et al. A Finnish nationwide register-based study shows a further 50% decline in already low child mortality. Acta Paediatr. 2024; 113: 2643–2650. https://doi.org/10.1111/apa.17390.
https://creativecommons.org/licenses/by-nc-nd/4.0/
© 2024 The Author(s). Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
https://creativecommons.org/licenses/by-nc-nd/4.0/
© 2024 The Author(s). Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
https://creativecommons.org/licenses/by-nc-nd/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202408225546
https://urn.fi/URN:NBN:fi:oulu-202408225546
Tiivistelmä
Abstract
Aim:
Child mortality declined significantly in Finland in 1969–2004. We investigated whether the already low mortality rate could still decline from 2005 to 2020.
Methods:
This was a nationwide register-based study. The subjects were children under 16 years of age who had resided in Finland between 2005 and 2020. The study population was identified from Finland's Population Information System of the Digital and Population Data Services Agency. Causes of death were obtained from Statistics Finland. Changes in annual overall and cause-specific mortality rates were evaluated.
Results:
3685 children (55% boys) under 16 years of age died in Finland in 2005–2020 from 325 causes. Overall annual child mortality declined by 50% (95% confidence interval 37 to 64%) during the study period, from 0.31/1000 in 2005 to 0.16/1000 in 2020. The mortality rate in children under one year of age declined from 3.1/1000 in 2005 to 1.8/1000 in 2020. The deaths from sudden infant death syndrome fell by 84%, congenital malformations by 62%, infectious diseases by 60%, external causes by 52%, and perinatal disorders by 41%.
Conclusion:
Finland's low child mortality further declined over the past two decades. Contributing factors likely include achievements in paediatric research, public health, and clinical practice.
Aim:
Child mortality declined significantly in Finland in 1969–2004. We investigated whether the already low mortality rate could still decline from 2005 to 2020.
Methods:
This was a nationwide register-based study. The subjects were children under 16 years of age who had resided in Finland between 2005 and 2020. The study population was identified from Finland's Population Information System of the Digital and Population Data Services Agency. Causes of death were obtained from Statistics Finland. Changes in annual overall and cause-specific mortality rates were evaluated.
Results:
3685 children (55% boys) under 16 years of age died in Finland in 2005–2020 from 325 causes. Overall annual child mortality declined by 50% (95% confidence interval 37 to 64%) during the study period, from 0.31/1000 in 2005 to 0.16/1000 in 2020. The mortality rate in children under one year of age declined from 3.1/1000 in 2005 to 1.8/1000 in 2020. The deaths from sudden infant death syndrome fell by 84%, congenital malformations by 62%, infectious diseases by 60%, external causes by 52%, and perinatal disorders by 41%.
Conclusion:
Finland's low child mortality further declined over the past two decades. Contributing factors likely include achievements in paediatric research, public health, and clinical practice.
Kokoelmat
- Avoin saatavuus [38841]
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