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dc.creatorZilidis C., Hadjichristodoulou C.en
dc.date.accessioned2023-01-31T11:38:37Z
dc.date.available2023-01-31T11:38:37Z
dc.date.issued2020
dc.identifier10.3390/ijerph17186606
dc.identifier.issn16617827
dc.identifier.urihttp://hdl.handle.net/11615/81004
dc.description.abstract(1) Background: To explore the effects of the 2008 economic crisis on maternal, perinatal and infant mortality in Greece and the socio-economic determinants associated with them; (2) Methods: The annual rates of stillbirth (SBR), perinatal mortality (PMR), infant mortality (IMR), neonatal mortality (NNMR), post-neonatal mortality (PNMR), low birth weight (LBW), and maternal mortality (MMR) were calculated for the years 2000–2016. Average Annual Percent Changes (AAPC) were calculated by the period before and after 2008. The expected rates of 2009–2016 and the observed-to-expected rate ratios (RR) were calculated. Correlation and multiple linear regression analyses were used to test the impact of socio-economic variables on health outcomes; (3) Results: A reverse in downwards trends of PNM, IMR, and NNMR is observed since 2009. All observed values of 2009–2016 were found significantly higher than the expected ones by 12–34%. All indicators except SBR were found negatively correlated with GDP and DHI. A positive correlation was found between IMR, NNMR, and LBW and long-term unemployment, and no association with public health expenditure; (4) Conclusions: Economic crisis was associated with remarkable adverse effects on perinatal outcomes and infant mortality, mainly determined by long-term unemployment and income reduction. The findings stress a need for interventions to protect maternity and child health during crises. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.en
dc.language.isoenen
dc.sourceInternational Journal of Environmental Research and Public Healthen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85090950960&doi=10.3390%2fijerph17186606&partnerID=40&md5=4887e92bddf798eb569371f65d93daff
dc.subjectcorrelationen
dc.subjectfinancial crisisen
dc.subjecthealth impacten
dc.subjectincome distributionen
dc.subjectinfant mortalityen
dc.subjectmaternal mortalityen
dc.subjectmultiple regressionen
dc.subjectsocioeconomic statusen
dc.subjectunemploymenten
dc.subjectadolescenten
dc.subjectadulten
dc.subjectArticleen
dc.subjectfemaleen
dc.subjectfinancial deficiten
dc.subjectGreeceen
dc.subjectgross national producten
dc.subjecthospital running costen
dc.subjecthumanen
dc.subjectinfanten
dc.subjectinfant mortalityen
dc.subjectlongitudinal studyen
dc.subjectlow birth weighten
dc.subjectmajor clinical studyen
dc.subjectmaternal deathen
dc.subjectmaternal mortalityen
dc.subjectnewborn mortalityen
dc.subjectoutcome assessmenten
dc.subjectperinatal careen
dc.subjectsocial determinants of healthen
dc.subjectstillbirthen
dc.subjecttrend studyen
dc.subjectunemploymenten
dc.subjecteconomic recessionen
dc.subjectepidemiologyen
dc.subjectnewbornen
dc.subjectperinatal mortalityen
dc.subjectpregnancyen
dc.subjectGreeceen
dc.subjectEconomic Recessionen
dc.subjectFemaleen
dc.subjectGreeceen
dc.subjectHumansen
dc.subjectInfanten
dc.subjectInfant Mortalityen
dc.subjectInfant, Newbornen
dc.subjectPerinatal Mortalityen
dc.subjectPregnancyen
dc.subjectSocial Determinants of Healthen
dc.subjectMDPI AGen
dc.titleEconomic crisis impact and social determinants of perinatal outcomes and infant mortality in Greeceen
dc.typejournalArticleen


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