Mortalidade no primeiro ano de vida e a distribuição de renda e de recursos públicos de saúde, São Paulo (Brasil)

Monteiro, Carlos Augusto; Benício, Maria Helena D’Aquino; Baldijão, Márcia F. A.

doi:10.1590/s0034-89101980000400009

Cited by 21 publications

(19 citation statements)

References 2 publications

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“…16 The significant trend towards a decrease in infant mortality rates according to geoeconomic classification confirms that income plays an important role as a health determinant in urban areas in Brazil. 13,16,17 The results also support the hypothesis that the variations of the post-neonatal component can discriminate social inequalities with more accuracy, presumably because they are more related to the disparities in access to goods, social services, adequate environment and adequate nutritional levels than the neonatal component. 3,15 Population mortality rates, including infant mortality, are strongly related to persistent low income and income uncertainty as well as the extent of income inequality in a population.…”

Section: Discussionsupporting

confidence: 63%

Infant mortality rates according to socioeconomic status in a Brazilian city

Goldani

Barbieri²,

Bettiol³

et al. 2001

Rev. Saúde Pública

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OBJECTIVE: Data from municipal databases can be used to plan interventions aimed at reducing inequities in health care. The objective of the study was to determine the distribution of infant mortality according to an urban geoeconomic classification using routinely collected municipal data. METHODS: All live births (total of 42,381) and infant deaths (total of 731) that occurred between 1994 and 1998 in Ribeirão Preto, Brazil, were considered. Four different geoeconomic areas were defined according to the family head's income in each administrative urban zone. RESULTS: The trends for infant mortality rate and its different components, neonatal mortality rate and post-neonatal mortality rate, decreased in Ribeirão Preto from 1994 to 1998 (chi-square for trend, p<0.05). These rates were inversely correlated with the distribution of lower salaries in the geoeconomic areas (less than 5 minimum wages per family head), in particular the post-neonatal mortality rate (chi-square for trend, p<0.05). Finally, the poor area showed a steady increase in excess infant mortality. CONCLUSIONS: The results indicate that infant mortality rates are associated with social inequality and can be monitored using municipal databases. The findings also suggest an increase in the impact of social inequality on infant health in Ribeirão Preto, especially in the poor area. The monitoring of health inequalities using municipal databases may be an increasingly more useful tool given the continuous decentralization of health management at the municipal level in Brazil.

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Section: Discussionsupporting

confidence: 63%

Infant mortality rates according to socioeconomic status in a Brazilian city

Goldani

Barbieri²,

Bettiol³

et al. 2001

Rev. Saúde Pública

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“…A relationship between poverty and deficient health has been observed throughout history, children being especially vulnerable to the deleterious effects of poverty and ignorance. When compared to children from privileged families, poor children present higher mortality 10,13,24 , are more frequently ill 11,15,24 , are born with a lower weight 4,25 and are more frequently malnourished 1,9,24 . The mechanisms by which poverty affects the health status are diverse and not fully understood.…”

Section: Introductionmentioning

confidence: 99%

Poverty levels and children's health status: study of risk factors in an urban population of low socioeconomic level

et al. 1996

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To test the hypothesis that the low socioeconomic population living is shanty towns in Porto Alegre presents different levels of poverty which are reflected on its health status, a cross-sectional study was designed involving 477 families living in Vila Grande Cruzeiro, Porto Alegre, Brazil. The poverty level of the families was measured by using an instrument specifically designed for poor urban populations. Children from families living in extreme poverty (poorest quartile) were found to have higher infant mortality rate, lower birth weights, more hospitalizations, and higher malnutrition rates, in addition to belonging to more numerous families. Thus, the shanty town population of Porto Alegre is not homogeneous, and priority should be given to the more vulnerable subgroups. Diagnosis

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“…ex.) e os coeficientes de mortalidade, igualmente tomadas como causais, embora pudessem ser contingenciais, como de fato outras pesquisas indicam 27 . Já foi citado que a estratificação econômica, quando considerada na análise, eliminou a importância da idade e da paridade materna na distribuição do peso e da idade gestacional de recém--nascidos 41 .…”

Section: As Investigações E Os Programas Oficiaisunclassified

Saúde materno-infantil: visão crítica dos determinantes e dos programas assistenciais

1983

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RESUMO: Discute-se a determinação social da saúde materno-infantil nas Américas, a partir de inúmeras publicações e recomendações oficiais. Observou-se que nem todos os estudos valorizam apropriadamente as variá-veis sociais e que muitos deles as consideram no mesmo nível de importância das variáveis biológicas. Como conseqüência, a compreensão final dos achados fica prejudicada e as conclusões e recomendações extraídas ficam longe de tocar a raiz dos problemas. Diferentes variáveis sociais (como escolaridade materna ou assistência médica) encontram-se freqüentemente associadas com variáveis biológicas (como peso ao nascer ou estado nutricional). Esta associação, no entanto, pode não representar uma relação causai, mas tão somente a ocorrência simultânea de características pertencentes a uma única classe social. Reitera-se a necessidade de estudos que reconheçam as classes sociais e analisem os resultados sobre saúde materno-infantil em relação às mesmas. Estes estudos provavelmente evidenciarão a importância social da saúde materno-infantil e evitarão as habituais diretrizes e recomendações restritas ao plano puramente técnico. UNITERMOS:Saúde materno-infantil, aspectos sociais. Serviços de saú-de materno-infantil. Programas de saúde, avaliação. A CRIANÇA EM TRÊS MOMENTOS DA SOCIEDADE INDUSTRIAL Inglaterra, 1840"A divisão dos ricos e pobres não era nova. Mas com a chegada das máquinas e do sistema fabril a linha divisória se tornou mais acentuada ainda. Os ricos ficaram mais ricos e os pobres, desligados dos meios de produção, mais pobres. Particularmente ruim era o sistema dos artesãos, que ganhavam antes o bastante para uma vida decente e que, agora, devido a competição das mercadorias feitas pela máquina, viram-se na miséria. Temos uma idéia de como era desesperadora a sua situação pelo testemunho de um deles, Thomas Heath, tecelão manual:

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Mortalidade no primeiro ano de vida e a distribuição de renda e de recursos públicos de saúde, São Paulo (Brasil)

Cited by 21 publications

References 2 publications

Infant mortality rates according to socioeconomic status in a Brazilian city

Infant mortality rates according to socioeconomic status in a Brazilian city

Poverty levels and children's health status: study of risk factors in an urban population of low socioeconomic level

Saúde materno-infantil: visão crítica dos determinantes e dos programas assistenciais

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