Narrowing inequalities in infant mortality in Southern Brazil

OBJECTIVE: To determine the trends of infant mortality from 1995 to 1999 according to a geographic area-based measure of maternal education in Porto Alegre, Brazil. METHODS: A registry-based study was carried out and a municipal database created in 1994 was used. All live births (n=119,170) and infa...

Full description

Saved in:
Bibliographic Details
Published in:Revista de saúde pública 2002-08, Vol.36 (4), p.478-483
Main Authors: Marcelo Zubaran Goldani, Rosange Benatti, Antônio Augusto Moura da Silva, Heloisa Bettiol, Joel Cristiano Westphal Correa, Marcos Tietzmann, Marco Antonio Barbieri
Format: Article
Language:English
Subjects:
Coeficiente de mortalidade
Iniqüidade na saúde
Mortalidade infantil
Mortalidade neonatal (saúde pública)
Taxas de escolaridade feminina
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 483
container_issue 4
container_start_page 478
container_title Revista de saúde pública
container_volume 36
creator Marcelo Zubaran Goldani
Rosange Benatti
Antônio Augusto Moura da Silva
Heloisa Bettiol
Joel Cristiano Westphal Correa
Marcos Tietzmann
Marco Antonio Barbieri
description OBJECTIVE: To determine the trends of infant mortality from 1995 to 1999 according to a geographic area-based measure of maternal education in Porto Alegre, Brazil. METHODS: A registry-based study was carried out and a municipal database created in 1994 was used. All live births (n=119,170) and infant deaths (n=1,934) were considered. Five different geographic areas were defined according to quintiles of the percentage of low maternal educational level (
doi_str_mv 10.1590/s0034-89102002000400014
format article
fullrecord <record><control><sourceid>doaj</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_b6c5547928f14d429d909053ee9080db</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_b6c5547928f14d429d909053ee9080db</doaj_id><sourcerecordid>oai_doaj_org_article_b6c5547928f14d429d909053ee9080db</sourcerecordid><originalsourceid>FETCH-doaj_primary_oai_doaj_org_article_b6c5547928f14d429d909053ee9080db3</originalsourceid><addsrcrecordid>eNqtjEFuwjAURL2gEinlDOQCge_YbuxFN0VUsOmm3Vsf4qRGIYZvowpO36TqESrNaDRvpGFswWHJlYFVBBCy0IZDCaNADuZywjKuuC50paspe4zxOKyiFDpjL-9IFL593-a-d5crdj55F4cyqME-5adAaaS3kX2Ea_py1OevhHffPbGHBrvo5n85Y7u3zed6W9QBj_ZM_oR0swG9_QWBWouU_KFzdv98UEpWptQNl7UsTW3AgBLOGdBQ78V_fv0AP-ZXeg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Narrowing inequalities in infant mortality in Southern Brazil</title><source>SciELO Brazil</source><creator>Marcelo Zubaran Goldani ; Rosange Benatti ; Antônio Augusto Moura da Silva ; Heloisa Bettiol ; Joel Cristiano Westphal Correa ; Marcos Tietzmann ; Marco Antonio Barbieri</creator><creatorcontrib>Marcelo Zubaran Goldani ; Rosange Benatti ; Antônio Augusto Moura da Silva ; Heloisa Bettiol ; Joel Cristiano Westphal Correa ; Marcos Tietzmann ; Marco Antonio Barbieri</creatorcontrib><description>OBJECTIVE: To determine the trends of infant mortality from 1995 to 1999 according to a geographic area-based measure of maternal education in Porto Alegre, Brazil. METHODS: A registry-based study was carried out and a municipal database created in 1994 was used. All live births (n=119,170) and infant deaths (n=1,934) were considered. Five different geographic areas were defined according to quintiles of the percentage of low maternal educational level (&lt;6 years of schooling): high, medium high, medium, medium low, and low. The chi-square test for trend was used to compare rates between years. Incidence rate ratio was calculated using Poisson regression to identify excess infant mortality in poorer areas compared to higher schooling areas. RESULTS: The infant mortality rate (IMR) decreased steadily from 18.38 deaths per 1,000 live births in 1995 to 12.21 in 1999 (chi-square for trend p&lt;0.001). Both neonatal and post-neonatal mortality rates decreased although the drop seemed to be steeper for the post-neonatal component. The higher decline was seen in poorer areas. CONCLUSION: Inequalities in IMR seem to have decreased due to a steeper reduction in both neonatal and post-neonatal components of infant mortality in lower maternal schooling area.</description><identifier>ISSN: 1518-8787</identifier><identifier>DOI: 10.1590/s0034-89102002000400014</identifier><language>eng</language><publisher>Universidade de São Paulo</publisher><subject>Coeficiente de mortalidade ; Iniqüidade na saúde ; Mortalidade infantil ; Mortalidade neonatal (saúde pública) ; Taxas de escolaridade feminina</subject><ispartof>Revista de saúde pública, 2002-08, Vol.36 (4), p.478-483</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids></links><search><creatorcontrib>Marcelo Zubaran Goldani</creatorcontrib><creatorcontrib>Rosange Benatti</creatorcontrib><creatorcontrib>Antônio Augusto Moura da Silva</creatorcontrib><creatorcontrib>Heloisa Bettiol</creatorcontrib><creatorcontrib>Joel Cristiano Westphal Correa</creatorcontrib><creatorcontrib>Marcos Tietzmann</creatorcontrib><creatorcontrib>Marco Antonio Barbieri</creatorcontrib><title>Narrowing inequalities in infant mortality in Southern Brazil</title><title>Revista de saúde pública</title><description>OBJECTIVE: To determine the trends of infant mortality from 1995 to 1999 according to a geographic area-based measure of maternal education in Porto Alegre, Brazil. METHODS: A registry-based study was carried out and a municipal database created in 1994 was used. All live births (n=119,170) and infant deaths (n=1,934) were considered. Five different geographic areas were defined according to quintiles of the percentage of low maternal educational level (&lt;6 years of schooling): high, medium high, medium, medium low, and low. The chi-square test for trend was used to compare rates between years. Incidence rate ratio was calculated using Poisson regression to identify excess infant mortality in poorer areas compared to higher schooling areas. RESULTS: The infant mortality rate (IMR) decreased steadily from 18.38 deaths per 1,000 live births in 1995 to 12.21 in 1999 (chi-square for trend p&lt;0.001). Both neonatal and post-neonatal mortality rates decreased although the drop seemed to be steeper for the post-neonatal component. The higher decline was seen in poorer areas. CONCLUSION: Inequalities in IMR seem to have decreased due to a steeper reduction in both neonatal and post-neonatal components of infant mortality in lower maternal schooling area.</description><subject>Coeficiente de mortalidade</subject><subject>Iniqüidade na saúde</subject><subject>Mortalidade infantil</subject><subject>Mortalidade neonatal (saúde pública)</subject><subject>Taxas de escolaridade feminina</subject><issn>1518-8787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNqtjEFuwjAURL2gEinlDOQCge_YbuxFN0VUsOmm3Vsf4qRGIYZvowpO36TqESrNaDRvpGFswWHJlYFVBBCy0IZDCaNADuZywjKuuC50paspe4zxOKyiFDpjL-9IFL593-a-d5crdj55F4cyqME-5adAaaS3kX2Ea_py1OevhHffPbGHBrvo5n85Y7u3zed6W9QBj_ZM_oR0swG9_QWBWouU_KFzdv98UEpWptQNl7UsTW3AgBLOGdBQ78V_fv0AP-ZXeg</recordid><startdate>20020801</startdate><enddate>20020801</enddate><creator>Marcelo Zubaran Goldani</creator><creator>Rosange Benatti</creator><creator>Antônio Augusto Moura da Silva</creator><creator>Heloisa Bettiol</creator><creator>Joel Cristiano Westphal Correa</creator><creator>Marcos Tietzmann</creator><creator>Marco Antonio Barbieri</creator><general>Universidade de São Paulo</general><scope>DOA</scope></search><sort><creationdate>20020801</creationdate><title>Narrowing inequalities in infant mortality in Southern Brazil</title><author>Marcelo Zubaran Goldani ; Rosange Benatti ; Antônio Augusto Moura da Silva ; Heloisa Bettiol ; Joel Cristiano Westphal Correa ; Marcos Tietzmann ; Marco Antonio Barbieri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-doaj_primary_oai_doaj_org_article_b6c5547928f14d429d909053ee9080db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Coeficiente de mortalidade</topic><topic>Iniqüidade na saúde</topic><topic>Mortalidade infantil</topic><topic>Mortalidade neonatal (saúde pública)</topic><topic>Taxas de escolaridade feminina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marcelo Zubaran Goldani</creatorcontrib><creatorcontrib>Rosange Benatti</creatorcontrib><creatorcontrib>Antônio Augusto Moura da Silva</creatorcontrib><creatorcontrib>Heloisa Bettiol</creatorcontrib><creatorcontrib>Joel Cristiano Westphal Correa</creatorcontrib><creatorcontrib>Marcos Tietzmann</creatorcontrib><creatorcontrib>Marco Antonio Barbieri</creatorcontrib><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista de saúde pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marcelo Zubaran Goldani</au><au>Rosange Benatti</au><au>Antônio Augusto Moura da Silva</au><au>Heloisa Bettiol</au><au>Joel Cristiano Westphal Correa</au><au>Marcos Tietzmann</au><au>Marco Antonio Barbieri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Narrowing inequalities in infant mortality in Southern Brazil</atitle><jtitle>Revista de saúde pública</jtitle><date>2002-08-01</date><risdate>2002</risdate><volume>36</volume><issue>4</issue><spage>478</spage><epage>483</epage><pages>478-483</pages><issn>1518-8787</issn><abstract>OBJECTIVE: To determine the trends of infant mortality from 1995 to 1999 according to a geographic area-based measure of maternal education in Porto Alegre, Brazil. METHODS: A registry-based study was carried out and a municipal database created in 1994 was used. All live births (n=119,170) and infant deaths (n=1,934) were considered. Five different geographic areas were defined according to quintiles of the percentage of low maternal educational level (&lt;6 years of schooling): high, medium high, medium, medium low, and low. The chi-square test for trend was used to compare rates between years. Incidence rate ratio was calculated using Poisson regression to identify excess infant mortality in poorer areas compared to higher schooling areas. RESULTS: The infant mortality rate (IMR) decreased steadily from 18.38 deaths per 1,000 live births in 1995 to 12.21 in 1999 (chi-square for trend p&lt;0.001). Both neonatal and post-neonatal mortality rates decreased although the drop seemed to be steeper for the post-neonatal component. The higher decline was seen in poorer areas. CONCLUSION: Inequalities in IMR seem to have decreased due to a steeper reduction in both neonatal and post-neonatal components of infant mortality in lower maternal schooling area.</abstract><pub>Universidade de São Paulo</pub><doi>10.1590/s0034-89102002000400014</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1518-8787
ispartof Revista de saúde pública, 2002-08, Vol.36 (4), p.478-483
issn 1518-8787
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_b6c5547928f14d429d909053ee9080db
source SciELO Brazil
subjects Coeficiente de mortalidade
Iniqüidade na saúde
Mortalidade infantil
Mortalidade neonatal (saúde pública)
Taxas de escolaridade feminina
title Narrowing inequalities in infant mortality in Southern Brazil
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T11%3A29%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-doaj&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Narrowing%20inequalities%20in%20infant%20mortality%20in%20Southern%20Brazil&rft.jtitle=Revista%20de%20sa%C3%BAde%20p%C3%BAblica&rft.au=Marcelo%20Zubaran%20Goldani&rft.date=2002-08-01&rft.volume=36&rft.issue=4&rft.spage=478&rft.epage=483&rft.pages=478-483&rft.issn=1518-8787&rft_id=info:doi/10.1590/s0034-89102002000400014&rft_dat=%3Cdoaj%3Eoai_doaj_org_article_b6c5547928f14d429d909053ee9080db%3C/doaj%3E%3Cgrp_id%3Ecdi_FETCH-doaj_primary_oai_doaj_org_article_b6c5547928f14d429d909053ee9080db3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true