Social inequalities in neonatal mortality and living condition

Gonçalves, Annelise de Carvalho; Costa, Maria da Conceição Nascimento; Paim, Jairnilson Silva; Vieira-da-Silva, Lígia Maria; Braga, José Ueleres; Barreto, Maurício Lima

doi:10.1590/s1415-790x2013000300012

Cited by 8 publications

(6 citation statements)

References 35 publications

(48 reference statements)

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“…2). Although it is proposed that postneonatal mortality is preventable, this study showed that the postneonatal death rates exceeded the neonatal death rates across Japan, which is not consistent with an earlier study [24–26]. One possible factor for this increase is GEJET and its associated events.…”

Section: Discussioncontrasting

confidence: 97%

Infant, neonatal, and postneonatal mortality trends in a disaster region and in Japan, 2002–2012: a multi-attribute compositional study

2019

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Background The reductions achieved in infant mortality in Japan are globally regarded as remarkable. However, no studies in Japan have classified infant mortality trends into neonatal and postneonatal or considered regional issues. This study aimed to explore trends in neonatal and postneonatal deaths, both overall for Japan and in a region affected by a natural disaster. Methods Drawing on national infant death data, we used a multi-attribute compositional study design to examine all infant deaths occurring in a region affected by a disaster (Tohoku, which consists of Iwate, Miyagi, and Fukushima) between 2002 and 2012. We used conjoint analysis to clarify the associations between infant and maternal characteristics and age of infant death. Results We obtained data of a total of 31,012 infant deaths between 2002 and 2012, which included 1450 from Tohoku. Infant mortality rates in Japan overall declined over the period but increased in 2011. There were more postneonatal (29–364 days post-birth) than neonatal (0–28 days post-birth) deaths. Infant deaths in Tohoku declined slightly overall, with a fluctuation in 2011. In Tohoku, the trends in postneonatal death rates were similar; the overall rates for males increased, but those for females decreased in 2011. We found that the cause and place of infant death differed by gender for neonatal and postneonatal deaths in both Japan in general and Tohoku. The conjoint analysis showed that most variables affected the age of postneonatal death. The factor with the largest influence on the variation in infant death age was gestational week (55.5%). A maternal gestational week ≤36 was linked to an average age at death of 43.4 days, and > 37 was linked to an average of 83.7 days. Conclusions In Japan, infant death rates have declined steadily over the past 10 years. The recent trends indicated that postneonatal death rates were higher than neonatal rates, especially in Tohoku. However, not much attention has been focused on postneonatal deaths in Japan. Our findings may help health planners to prioritise work on the factors that are linked to infant deaths in the neonatal and postneonatal periods. Trial registration Not applicable.

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Section: Discussioncontrasting

confidence: 97%

Infant, neonatal, and postneonatal mortality trends in a disaster region and in Japan, 2002–2012: a multi-attribute compositional study

2019

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“…(3,9,15,16) Despite significant advances, however, iniquities in access and quality of care among population groups and the country's territories remain. (7,16) In addition to cross-sector public policies and healthcare actions and programs, new strategies for the reduction of infant mortality have been proposed, (17) such as infant death surveillance. This initiative has favored the understanding of circumstances where the event occurred.…”

Section: Discussionmentioning

confidence: 99%

“…(5) There were significant advances in Brazil, with the infant mortality rate (IMR) decreasing from 26.1 per 1,000 live births in 2000 to 14.0 per 1,000 live births in 2011, with a total reduction of 41.5% within this period. (6,7) Nonetheless, problems remain to be overcome, such as regional, state, and municipal differences because of social inequalities that exclude significant population contingents from access to basic goods and services, (3) with more death risks in populations in the North and Northeast regions. The Northeast region reached the highest reduction in IMR, changing from 35.9 deaths per 1,000 live births in 2000 to 20.3 in 2010.…”

Section: Introductionmentioning

confidence: 99%

Mortalidade infantil: tendência temporal e contribuição da vigilância do óbito

et al. 2016

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Objective: To analyze the temporal trend in infant mortality in the city of Recife, state of Pernambuco, Brazil and evaluate the contribution of death surveillance as an instrument for improving vital statistics and action planning. Methods: Infant, neonatal, and post-neonatal mortality rates were calculated from 1980 to 2012. An exponential regression model was used for trend analysis. A study on the variables, the basic and associated causes of death certificates, and avoidability was conducted to evaluate the contribution of infant death surveillance. Results: The trend in infant mortality rate and its age components was shown to be decreasing. After research on infant death surveillance, no death certificate variable remained incomplete, and the underlying cause of death was better determined in 52% of deaths. Almost 80% of deaths were classified as preventable, and 51.3% were classified as reducible by appropriate care provided to women during their pregnancy. Conclusion: Infant mortality presented a decreasing trend, and infant death surveillance contributed to improve vital statistics, which are essential for maternal-infant health planning actions. ResumoObjetivo: Analisar a tendência temporal da mortalidade infantil na cidade de Recife, Pernambuco, Brasil e avaliar a contribuição da vigilância do óbito como instrumento para aprimoramento das estatísticas vitais e planejamento de ações. Métodos: Foram calculados os coeficientes de mortalidade infantil, neonatal e pós-neonatal para o período de 1980 a 2012. Utilizou-se o modelo de regressão exponencial para análise da tendência. Para avaliar a contribuição da vigilância do óbito infantil foi realizado um estudo sobre as variáveis, causas básicas e associadas da Declaração de Óbito, e da evitabilidade. Resultados: A tendência do coeficiente de mortalidade infantil e seus componentes etários foram decrescentes. Após a investigação da vigilância do óbito infantil nenhuma variável da Declaração de Óbito ficou incompleta e, em 52% dos óbitos, a causa básica foi melhor definida. Quase 80% dos óbitos foram classificados como evitáveis e 51,3% reduzíveis por adequada atenção à mulher na gestação. Conclusão: A mortalidade infantil apresentou tendência decrescente e a vigilância do óbito infantil contribuiu para aprimorar as estatísticas vitais, fundamental para o planejamento das ações de saúde materno-infantil.

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“…Los países más analizados fueron Brasil e India (18 y 11 artículos) (Figura 2). Las investigaciones analizaron poblaciones de Argentina (9-12), Bangladesh (13)(14)(15)(16), Bélgica (17), Brasil (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), Camboya (36), Canadá (37), Chile (38)(39)(40), China (41,42), Colombia (43)(44)(45), Corea del Sur (46,47) (110). Otros estudios analizaron países africanos (111)(112)(113)(114)(115); y países agrupados en organizaciones, nivel de ingresos o ubicación, como BRICS (116), EMRO (117), miembros de la ONU (118), OCDE (119), el mundo rico (120), países en vías de desarrollo (121), países de ingresos bajos y medios (122,…”

Section: Año De Publicación Población De Estudio Y País Del Investigador Principalunclassified

Desigualdades sociales en la mortalidad de niños menores de cinco años: revisión sistemática

Rojas-Botero¹,

Borrero-Ramírez²,

Manrique³

2020

Rev. salud pública

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Objetivo Identificar las características de los estudios sobre desigualdades sociales, en la mortalidad de niños menores de cinco años; sus perspectivas teóricas, ejes de desigualdad, métodos y resultados.Método Revisión sistemática de la literatura. Se consultaron cuatro bases de datos electrónicas y Google Scholar; se incluyeron estudios entre 2010 y 2018.Resultados Se analizaron 126 artículos. En el 62,7%, se estudió el territorio como eje de desigualdad, seguido por los determinantes socioeconómicos (27,8%). La mortalidad neonatal, infantil y en la niñez fue analizada en el 19,0%, 49,2% y 32,3%, respectivamente. Predominaron los estudios ecológicos (62,7%) y longitudinales (50,0%). Se encontró una disminución considerable en las tasas de mortalidad; sin embargo, el descenso no fue homogéneo entre subpoblaciones.Conclusiones La literatura reporta una marcada disminución de la mortalidad en niños menores de cinco años; no obstante, las brechas entre distintos ejes de desigualdad continúan y en algunos lugares se han incrementado. Las brechas entre los estratificadores variaron de acuerdo con el tiempo, lugar, eje de desigualdad y tipode mortalidad analizada.

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Social inequalities in neonatal mortality and living condition

Cited by 8 publications

References 35 publications

Infant, neonatal, and postneonatal mortality trends in a disaster region and in Japan, 2002–2012: a multi-attribute compositional study

Infant, neonatal, and postneonatal mortality trends in a disaster region and in Japan, 2002–2012: a multi-attribute compositional study

Mortalidade infantil: tendência temporal e contribuição da vigilância do óbito

Desigualdades sociales en la mortalidad de niños menores de cinco años: revisión sistemática

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