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Inequalities in health: living conditions and infant mortality in Northeastern Brazil
OBJECTIVE: To analyze the variation of infant mortality as per condition of life in the urban setting. METHODS: Ecological study performed with data regarding registered deaths of children under the age of one who resided in Aracaju, SE, Northeastern Brazil, from 2001 to 2010. Infant mortality inequ...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386558/ https://www.ncbi.nlm.nih.gov/pubmed/25741650 http://dx.doi.org/10.1590/S0034-8910.2015049004794 |
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author | Carvalho, Renata Alves da Silva Santos, Victor Santana de Melo, Cláudia Moura Gurgel, Ricardo Queiroz Oliveira, Cristiane Costa da Cunha |
author_facet | Carvalho, Renata Alves da Silva Santos, Victor Santana de Melo, Cláudia Moura Gurgel, Ricardo Queiroz Oliveira, Cristiane Costa da Cunha |
author_sort | Carvalho, Renata Alves da Silva |
collection | PubMed |
description | OBJECTIVE: To analyze the variation of infant mortality as per condition of life in the urban setting. METHODS: Ecological study performed with data regarding registered deaths of children under the age of one who resided in Aracaju, SE, Northeastern Brazil, from 2001 to 2010. Infant mortality inequalities were assessed based on the spatial distribution of the Living Conditions Index for each neighborhood, classified into four strata. The average mortality rates of 2001-2005 and 2006-2010 were compared using the Student’s t-test. RESULTS: Average infant mortality rates decreased from 25.3 during 2001-2005 to 17.7 deaths per 1,000 live births in 2006-2010. Despite the decrease in the rates in all the strata during that decade, inequality of infant mortality risks increased in neighborhoods with worse living conditions compared with that in areas with better living conditions. CONCLUSIONS: Infant mortality rates in Aracaju showed a decline, but with important differences among neighborhoods. The assessment based on a living condition perspective can explain the differences in the risks of infant mortality rates in urban areas, highlighting health inequalities in infant mortality as a multidimensional issue. |
format | Online Article Text |
id | pubmed-4386558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Faculdade de Saúde Pública da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-43865582015-04-08 Inequalities in health: living conditions and infant mortality in Northeastern Brazil Carvalho, Renata Alves da Silva Santos, Victor Santana de Melo, Cláudia Moura Gurgel, Ricardo Queiroz Oliveira, Cristiane Costa da Cunha Rev Saude Publica Original Articles OBJECTIVE: To analyze the variation of infant mortality as per condition of life in the urban setting. METHODS: Ecological study performed with data regarding registered deaths of children under the age of one who resided in Aracaju, SE, Northeastern Brazil, from 2001 to 2010. Infant mortality inequalities were assessed based on the spatial distribution of the Living Conditions Index for each neighborhood, classified into four strata. The average mortality rates of 2001-2005 and 2006-2010 were compared using the Student’s t-test. RESULTS: Average infant mortality rates decreased from 25.3 during 2001-2005 to 17.7 deaths per 1,000 live births in 2006-2010. Despite the decrease in the rates in all the strata during that decade, inequality of infant mortality risks increased in neighborhoods with worse living conditions compared with that in areas with better living conditions. CONCLUSIONS: Infant mortality rates in Aracaju showed a decline, but with important differences among neighborhoods. The assessment based on a living condition perspective can explain the differences in the risks of infant mortality rates in urban areas, highlighting health inequalities in infant mortality as a multidimensional issue. Faculdade de Saúde Pública da Universidade de São Paulo 2015-02-19 2015 /pmc/articles/PMC4386558/ /pubmed/25741650 http://dx.doi.org/10.1590/S0034-8910.2015049004794 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Carvalho, Renata Alves da Silva Santos, Victor Santana de Melo, Cláudia Moura Gurgel, Ricardo Queiroz Oliveira, Cristiane Costa da Cunha Inequalities in health: living conditions and infant mortality in Northeastern Brazil |
title | Inequalities in health: living conditions and infant mortality in Northeastern Brazil |
title_full | Inequalities in health: living conditions and infant mortality in Northeastern Brazil |
title_fullStr | Inequalities in health: living conditions and infant mortality in Northeastern Brazil |
title_full_unstemmed | Inequalities in health: living conditions and infant mortality in Northeastern Brazil |
title_short | Inequalities in health: living conditions and infant mortality in Northeastern Brazil |
title_sort | inequalities in health: living conditions and infant mortality in northeastern brazil |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386558/ https://www.ncbi.nlm.nih.gov/pubmed/25741650 http://dx.doi.org/10.1590/S0034-8910.2015049004794 |
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