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INFANTMORTALITYTHE.PDF

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INFANTMORTALITYTHE.PDF

Annu.Rev. Publ. Health 12:177-93 Copyright? 1991 byAnnual Reviews 1nc. All rights reserved INFANTMORTALITY: THE SWEDISHEXPERIENCE LennartKohler TheNordic School ofPublic Health, Goteborg, Sweden KEY WORDS:child health, healthservices, socialsecurity, family INTRODUCTION Althoughperinatal andinfant mortality haveprogressively declinedinmost industrializedcountriesduring the first 90years ofthis century, thereare still substantialdifferencesbetween these countries withrespect tothese important healthparameters. TheSwedish experien ce,which has been well studied, providesrelevant information ondeclines inmortality. Dueto the multiple factorsaffecting theseparameters, thisarticle willnot only show trends in thesehealth measures inSweden, butdiscuss relevant familycharacteristics andsummarize thesocial support system, including healthcare services, whichtogether formthe Swedish model ofthe welfare state.The article concludeswitha discussion ofthe most important factorsfor successful Access provided by 46 on 04/23/17. For personal use only. pregnancyoutcomes-from theperspective ofa Swedish, pediatrically orientedpublichealth professional. Annu. Rev. Public Health 1991.12:177-193. Downloaded from FACTSAND FIGURES Systematic,nationwide dataonInfant Mortality Rates(lMR) available are for Swedenfrom the mid-eighteenth century.The IMR has shown a steady downwardtrendsince then; formany decades, ithas been among th