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Arch Dis Child. 2001 Mar; 84(3): 222–226.
PMCID: PMC1718695

Influences of ethnicity on perinatal and child mortality in the Netherlands


AIMS—To investigate the differences in perinatal death and child mortality between different ethnic groups in the Netherlands.
METHODS—Retrospective analysis of data collected between 1990 and 1993 in the national obstetric registry comprising 569 743 births. Retrospective analysis of all death certificates of 0 to 15 year old children routinely collected between 1979 and 1993, comprising 20 211 deaths.
RESULTS—Black mothers had the highest perinatal death rate compared with indigenous Dutch mothers (odds ratio 2.2). Hindustanis (West Indian Asians) had an odds ratio of 1.4 and Mediterraneans 1.3.The increased rate for black and Hindustani women could be fully explained by preterm birth. In the Mediterranean group the differences were explained by teenage pregnancy, grand multiparity, and socioeconomic status rather than prematurity. The death rate of Turkish and Moroccan children was twice as high as that of native Dutch children. For the different diagnostic categories this was: infectious diseases, relative risk (RR) 2.2; hereditary (metabolic) disorders, RR 2.0; accidents and drowning, RR 1.9. One quarter of the Turkish and Moroccan children died while on holiday in their country of origin. Sudden infant death syndrome was twice as high for Turkish infants as for Dutch children and four times higher than for Moroccan infants.
CONCLUSION—Ethnic minorities in the Netherlands have a higher perinatal and child mortality rate than the indigenous Dutch. Apart from socioeconomic differences, sociocultural and lifestyle factors play an important role.

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Selected References

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  • van Enk A, Buitendijk SE, van der Pal KM, van Enk WJ, Schulpen TW. Perinatal death in ethnic minorities in The Netherlands. J Epidemiol Community Health. 1998 Nov;52(11):735–739. [PMC free article] [PubMed]
  • van der Wal MF, van Weert-Waltman ML, Reijneveld SA. Doodsoorzaken van in het buitenland overleden Amsterdamse kinderen, 1982-1993; mogelijkheden voor preventie. Ned Tijdschr Geneeskd. 1996 Apr 6;140(14):777–781. [PubMed]
  • Blackmore CA, Savitz DA, Edwards LJ, Harlow SD, Bowes WA., Jr Racial differences in the patterns of preterm delivery in central North Carolina, USA. Paediatr Perinat Epidemiol. 1995 Jul;9(3):281–295. [PubMed]
  • Shiono PH, Klebanoff MA. Ethnic differences in preterm and very preterm delivery. Am J Public Health. 1986 Nov;76(11):1317–1321. [PMC free article] [PubMed]
  • Parker JD, Schoendorf KC, Kiely JL. Associations between measures of socioeconomic status and low birth weight, small for gestational age, and premature delivery in the United States. Ann Epidemiol. 1994 Jul;4(4):271–278. [PubMed]
  • Goldenberg RL, Klebanoff MA, Nugent R, Krohn MA, Hillier S, Andrews WW. Bacterial colonization of the vagina during pregnancy in four ethnic groups. Vaginal Infections and Prematurity Study Group. Am J Obstet Gynecol. 1996 May;174(5):1618–1621. [PubMed]
  • Hillier SL, Nugent RP, Eschenbach DA, Krohn MA, Gibbs RS, Martin DH, Cotch MF, Edelman R, Pastorek JG, 2nd, Rao AV, et al. Association between bacterial vaginosis and preterm delivery of a low-birth-weight infant. The Vaginal Infections and Prematurity Study Group. N Engl J Med. 1995 Dec 28;333(26):1737–1742. [PubMed]
  • Fiscella K. Racial disparities in preterm births. The role of urogenital infections. Public Health Rep. 1996 Mar-Apr;111(2):104–113. [PMC free article] [PubMed]
  • Moran JS, Aral SO, Jenkins WC, Peterman TA, Alexander ER. The impact of sexually transmitted diseases on minority populations. Public Health Rep. 1989 Nov-Dec;104(6):560–565. [PMC free article] [PubMed]
  • Aral SO, Mosher WD, Cates W., Jr Vaginal douching among women of reproductive age in the United States: 1988. Am J Public Health. 1992 Feb;82(2):210–214. [PMC free article] [PubMed]
  • Llahi-Camp JM, Rai R, Ison C, Regan L, Taylor-Robinson D. Association of bacterial vaginosis with a history of second trimester miscarriage. Hum Reprod. 1996 Jul;11(7):1575–1578. [PubMed]
  • Balarajan R, Soni Raleigh V, Botting B. Mortality from congenital malformations in England and Wales: variations by mother's country of birth. Arch Dis Child. 1989 Oct;64(10):1457–1462. [PMC free article] [PubMed]
  • Bundey S, Alam H, Kaur A, Mir S, Lancashire R. Why do UK-born Pakistani babies have high perinatal and neonatal mortality rates? Paediatr Perinat Epidemiol. 1991 Jan;5(1):101–114. [PubMed]
  • Tunçbílek E, Koc I. Consanguineous marriage in Turkey and its impact on fertility and mortality. Ann Hum Genet. 1994 Oct;58(Pt 4):321–329. [PubMed]
  • Ozalp I, Coskun T, Tokol S, Demircin G, Mönch E. Inherited metabolic disorders in Turkey. J Inherit Metab Dis. 1990;13(5):732–738. [PubMed]
  • Singh GK, Yu SM. US childhood mortality, 1950 through 1993: Trends and socioeconomic diffferentials. Am J Public Health. 1996 Apr;86(4):505–512. [PMC free article] [PubMed]

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