Смертность младенцев в России: успехи и нерешенные проблемы
Regional variation of all features of mortality is quite significant. Being noted for many decades The North-Ost gradient of increased mortality rate continues its trend. In a time despite essential regional variation of mortality the difference in the orientation of its dynamic is not significant at all. An important condition for development of measures to ensure a decrease of mortality rate is information on social and demographic factors.
The book «Population development and population policy» (series «Population studies») is dedicated to the famous Russian demographer, Dr. Sc. (Economics), MSU emeritus professor A.Y. Kvasha. The authors are colleagues and students of A.Y. Kvasha. The first part includes biography of A.Y. Kvasha, list of his main scientific papers and PhD theses carried out under his supervision. The second part is devoted to reminiscences of his disciples and colleagues. The third part contains articles – their themes are associated with A.Y. Kvasha: demographic analysis and projections, population policy, economic, social and military demography. For researchers, post-doctoral fellows, students and anyone interested in population problems
BACKGROUND The long-term historical decline in infant mortality has been accompanied by increasing concentration of infant deaths at the earliest stages of infancy. In the mid-1960s Coale and Demeny developed formulas describing the dependency of the average age of death in infancy on the level of infant mortality, based on data obtained up to that time. OBJECTIVE In the more developed countries a steady rise in average age of infant death began in the mid-1960s. This paper documents this phenomenon and offers alternative formulas for calculation of the average age of death, taking into account the new mortality trends. METHODS Standard statistical methodologies and a specially developed method are applied to the linked individual birth and infant death datasets available from the US National Center for Health Statistics and the initial (raw) numbers of deaths from the Human Mortality Database. RESULTS It is demonstrated that the trend of decline in the average age of infant death becomes interrupted when the infant mortality rate attains a level around 10 per 1000, and modifications of the Coale-Demeny formulas for practical application to contemporary low levels of mortality are offered.
vCONCLUSIONS The average age of death in infancy is an important characteristic of infant mortality, although it does not influence the magnitude of life expectancy. That the increase in average age of death in infancy is connected with medical advances is proposed as a possible explanation.