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BMJ 2003;327:1169 (15 November), doi:10.1136/bmj.327.7424.1169-a
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EDITORSex differences in infant mortality have been the subject of previous international comparison and discussion, and the results presented by Khanna et al provide confirmation.1 2 I examined whether similar sex differences exist in England and Wales.
I used unpublished data on births and infant deaths by mother's country of birth from the Office for National Statistics. In the absence of national data by ethnic origin, the data for children born to first generation migrants provide the closest proxy to outcomes for minority populations in England and Wales.
For the 19 663 births registered between 1996 and 1998 to mothers born in India, infant mortality for both sexes was 5.49 per 1000 births, an odds ratio of 1.00, which is not significantly different from the overall England and Wales ratio of 0.80 (table).
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Ian Dawson, independent researcher
Birchington, Kent CT7 9HX tismollett@aol.com
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