Inequalities in health: living conditions and infant mortality in Northeastern Brazil

Carvalho, Renata Alves da Silva; Santos, Victor Santana; Melo, Cláudia Moura de; Gurgel, Ricardo Queiróz; Oliveira, Cristiane Costa da Cunha

doi:10.1590/s0034-8910.2015049004794

Cited by 22 publications

(21 citation statements)

References 22 publications

(69 reference statements)

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“…These social inequalities may affect people’s health status directly [1, 2] and also indirectly, by limiting their access to and utilization of health services [3–6]. Health inequalities found nationwide may therefore be considered a product of the poor living conditions experienced by a considerable fraction of the Brazilian population [7, 8]. …”

Section: Introductionmentioning

confidence: 99%

Inequalities in healthy life expectancy by Brazilian geographic regions: findings from the National Health Survey, 2013

Szwarcwald

Júnior

Marques

et al. 2016

Int J Equity Health

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BackgroundThe demographic shift and epidemiologic transition in Brazil have drawn attention to ways of measuring population health that complement studies of mortality. In this paper, we investigate regional differences in healthy life expectancy based on information from the National Health Survey (PNS), 2013.MethodsIn the survey, a three-stage cluster sampling (census tracts, households and individuals) with stratification of the primary sampling units and random selection in all stages was used to select 60,202 Brazilian adults (18 years and over). Healthy life expectancies (HLE) were estimated by Sullivan’s method according to sex, age and geographic region, using poor self-rated health for defining unhealthy status. Logistic regression models were used to investigate socioeconomic and regional inequalities in poor self-rated health, after controlling by sex and age.ResultsWide disparities by geographic region were found with the worst indicators in the North and Northeast regions, whether considering educational attainment, material deprivation, or health care utilization. Life expectancy at birth for women and men living in the richest regions was 5 years longer than for those living in the less wealthy regions. Modeling the variation across regions for poor self-rated health, statistically significant effects (p < 0.001) were found for the North and Northeast when compared to the Southeast, even after controlling for age, sex, diagnosis of at least one non-communicable chronic disease, and schooling or socioeconomic class. Marked regional inequalities in HLE were found, with the loss of healthy life much higher among residents of the poorest regions, especially among the elderly.ConclusionsBy combining data on self-rated health status and mortality in a single indicator, Healthy Life Expectancy, this study demonstrated the excess burden of poor health experienced by populations in the less wealthy regions of Brazil. To mitigate the effects of social exclusion, the development of strategies at the regional level is essential to provide health care to all persons in need, reduce risk exposures, support prevention policies for adoption of healthy behaviors. Such strategies should prioritize population groups that will experience the greatest impact from such interventions.

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Section: Introductionmentioning

confidence: 99%

Inequalities in healthy life expectancy by Brazilian geographic regions: findings from the National Health Survey, 2013

Szwarcwald

Júnior

Marques

et al. 2016

Int J Equity Health

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“…A redução do CMI registrada corrobora com estudos realizados em outras capitais brasileiras (4,2,6) . A queda da MI brasileira é relacionada às diversas melhorias nas condições de vida e de atenção à saúde da criança (como alimentação e nutrição, saneamento básico, vacinação e modelo de atenção à saúde) (3) .…”

Section: Discussionunclassified

Mortalidade Infantil Em Uma Capital Do Nordeste Brasileiro

Filho

Araújo

Almeida

et al. 2017

revenf

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Objetivo: descrever a ocorrência da mortalidade infantil em Teresina (PI). Metodologia: estudo epidemiológico, descritivo, com dados secundários extraídos do Datasus, em que a população foi composta por todos os óbitos infantis, cujas mães são residentes em Teresina, no período de 2005 a 2014. Resultados: apesar das flutuações, houve declínio dos coeficientes de mortalidade neonatal, pós-neonatal e infantil. Houve predomínio de óbitos infantis em mães com idade entre 20 e 29 anos, e com escolaridade entre oito e 11 de estudo. Conclusão: existe a necessidade de melhorar políticas públicas e a assistência, embora tenha havido a redução da mortalidade infantil. Descritores:Mortalidade infantil, Epidemiologia, Enfermagem. INFANT MORTALITY IN A NORTHEAST BRAZILIAN CAPITAL LA MORTALIDAD INFANTIL EN UNA CAPITAL DEL NORDESTE DE BRASILObjetivo: Describir la incidencia de la mortalidad infantil en Teresina (PI). Metodología: Estudio epidemiológico descriptivo con datos secundarios extraídos de DATASUS, en el que la población se compone de todas las muertes infantiles de las madres que residen en Teresina, en el período de 2005 a 2014. Resultados: A pesar de las fluctuaciones, neonatales, coeficientes de mortalidad post-neonatal e infantil se redujo. Hubo un predominio de las muertes infantiles en las madres de edades comprendidas entre los 20 y los 29 años, y con la educación entre ocho y 11 del estudio. Conclusión: Existe la necesidad de mejorar las políticas públicas y de asistencia, aunque se ha producido una reducción de la mortalidad infantil.Descriptores: Mortalidad Infantil, Epidemiología, Enfermería.

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“…Finally, a medical report was used to refer to the Neonatal Intensive Care Unit of Hospital Juvêncio Mattos, in São Luís city, so that the baby, when arrives, has the chance to immediately dispose of the existing technological arsenal, since its clinical history of childbirth and puerperium are recorded and referenced; the WEP of infant mortality was approved as an official tool of Maranhão State in the fight against neonatal infant mortality (8) ; and five allegations of malpractice and negligence were presented by the health teams of the hospitals visited, which resulted in administrative inquiries.…”

Section: Use Of Social Technology To Decrease Infant Mortality Ratementioning

confidence: 99%

Caring for the future: decrease in infant mortality in Maranhão State

2018

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Objective: To report on the experience and care provided by the "Caring for the future" program to decrease infant mortality in 17 municipalities of Maranhão, in a proposal work of the Secretariat of Basic Care, in partnership with the Non-Governmental Organization called Centro Popular de Cultura e Desenvolvimento (Popular Center for Culture and Development/PCCD) from 2009 to 2015. Method: Experience Report of community care that made it possible to create and strengthen solidary relationships among community members. Results: The program decreased infant mortality rate and created in the supported communities a platform of health support, uniting information and care in Primary Care. The program trained 34 "Guardian Angels" and 170 "Supportive Caregivers", mapped seven thousand "luminous spots" and trained more than 7,000 caregivers in health. It served 17 municipalities, 27,191 pregnant women, 291,266 families. Final considerations: The program was a catalyst for actions: it unveiled hidden resources in the community, awakened collective responsibility, offered training and built solidary relationships.

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Inequalities in health: living conditions and infant mortality in Northeastern Brazil

Cited by 22 publications

References 22 publications

Inequalities in healthy life expectancy by Brazilian geographic regions: findings from the National Health Survey, 2013

Inequalities in healthy life expectancy by Brazilian geographic regions: findings from the National Health Survey, 2013

Mortalidade Infantil Em Uma Capital Do Nordeste Brasileiro

Caring for the future: decrease in infant mortality in Maranhão State

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