Aspectos étnicos da mortalidade infantil

Teixeira, Jéssica Janaina de Medeiros Bissi; Santos, Deivid Ramos dos; Rocha, Mônica Souza Filho Moura; Silva, Silvana Cristina Rodrigues da

doi:10.4322/prmj.2019.014

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…The Infant Mortality Rate (IMR) of 86.7/1000 live births estimated in this study for the three Munduruku villages is higher than the regional average for indigenous communities of 50.62/1000 lives births recorded in 2012, but is similar to the Kaiapó indigenous community (neighbor to the studied villages), which recorded an IMR of 85.3/1000 in 2018 [ 128 , 129 ]. Indeed, the research on infant mortality among indigenous children conducted by Lima et al [ 128 ] and Teixeira et al [ 129 ] found the majority of reported infant deaths amongst indigenous groups to be from Kaiapó and Munduruku ethnicities. This scenario suggests an ongoing burden on resources for maternal health within these communities [ 128 , 129 ].…”

Section: Discussionmentioning

confidence: 68%

“…Indeed, the research on infant mortality among indigenous children conducted by Lima et al [ 128 ] and Teixeira et al [ 129 ] found the majority of reported infant deaths amongst indigenous groups to be from Kaiapó and Munduruku ethnicities. This scenario suggests an ongoing burden on resources for maternal health within these communities [ 128 , 129 ]. With Brazil’s national IMR at 12/1000 live births it has become well established that indigenous communities in South America present with a higher infant mortality rate than the national average [ 130 ].…”

Section: Discussionmentioning

confidence: 99%

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An Assessment of Health Outcomes and Methylmercury Exposure in Munduruku Indigenous Women of Childbearing Age and Their Children under 2 Years Old

Kempton

Périssé

Hofer

et al. 2021

IJERPH

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In line with the 1000-day initiative and the Sustainable Development Goals (SDG) 2 and 3, we present a cross-sectional analysis of maternal health, infant nutrition, and methylmercury exposure within hard-to-reach indigenous communities in the state of Pará, Brazilian Amazon. We collected data from all women of childbearing age (i.e., 12–49) and their infants under two years old in three Munduruku communities (Sawré Muybu, Sawré Aboy, and Poxo Muybu) along the Tapajos River. We explored health outcomes through interviews, vaccine coverage and clinical assessment, and determined baseline hair methylmercury (H-Hg) levels. Hemoglobin, infant growth (Anthropometric Z scores) and neurodevelopment tests results were collected. We found that 62% of women of childbearing age exceeded the reference limit of 6.0 μg/g H-Hg (median = 7.115, IQR = 4.678), with the worst affected community (Sawré Aboy) registering an average H-Hg concentration of 12.67 μg/g. Half of infants aged under 24 months presented with anemia. Three of 16 (18.8%) infants presented H-Hg levels above 6.0 µg/g (median: 3.88; IQR = 3.05). Four of the 16 infants were found to be stunted and 38% of women overweight, evidencing possible nutritional transition. No infant presented with appropriate vaccination coverage for their age. These communities presented with an estimated Infant Mortality Rate (IMR) of 86.7/1000 live births. The highest H-Hg level (19.6 µg/g) was recorded in an 11-month-old girl who was found to have gross motor delay and anemia. This already vulnerable indigenous Munduruku community presents with undernutrition and a high prevalence of chronic methylmercury exposure in women of childbearing age. This dual public health crisis in the context of wider health inequalities has the potential to compromise the development, health and survival of the developing fetus and infant in the first two critical years of life. We encourage culturally sensitive intervention and further research to focus efforts.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

An Assessment of Health Outcomes and Methylmercury Exposure in Munduruku Indigenous Women of Childbearing Age and Their Children under 2 Years Old

Kempton

Périssé

Hofer

et al. 2021

IJERPH

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“…In another study in Maranhão, Cacau et al detected that 10.5% of the primary causes of mortality were due to CAs 14 . In addition, a further study observed that prematurity, regional inequalities, inadequate maternal care during pregnancy, infectious diseases (e.g., congenital syphilis, congenital rubella, and cytomegalovirus), labor complications, and alcohol use during pregnancy are factors that increase infant mortality rates [28][29][30][31] . In this perspective, high infant mortality rates reflect the poor health conditions of the population 28 Recently, Reis et al concluded that estimates of the incidence of infant mortality rate due to CAs and of rates of CA at birth using time and spatial series can help the specialized team to identify local causes, appropriate conditions for interventions, as well as the cost-benefits of the interventions 30 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of fetal and neonatal mortality due to congenital anomalies in the state of Maranhão, Brazil, from 2001–2016

Reis¹,

Kaizer²,

Schüler‐Faccini³

2021

CBR

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Introduction:The infant mortality rate (IMR) is an important health indicator directly associated with living conditions, prenatal care coverage, social development conditions, and parental education, among others. Worldwide, the infant mortality rate was 29/1000 live births in 2017. Therefore, this study aimed to evaluate the fetal and infant mortality rates due to congenital anomalies (CA) in Maranhão from 2001 to 2016. Methods: Data were obtained from the SINASC, and SIM databases. We used simple linear regression, Poisson distribution, and ANOVA (Bonferroni's post hoc test). We analyzed the public data (2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016) of 1934858 births and determined the fetal, neonatal, perinatal, and post-neonatal mortality rates associated with CA by mesoregions. Results:The IMR in Maranhão was 17.01/1000 live births (95%CI, 13.30-20.72) and CA was the cause of death in 13.3% of these deaths. Mortality due to CA (per 1000 live births) was 0.76 (95%CI, 0.74-0.85) for fetal mortality rate and 2.27 (95%CI, 1.45-3.10) for infant mortality rate. Geographic and temporal variations were observed with a slight increase in recent years for deaths attributable to CA, and in the northern part of Maranhão. Conclusions:Mortality rates due to CA in Maranhão increased over the period 2001-2016 possibly as a result of improved maternal-infant health conditions eliminating other causes of death. Therefore, efforts to improve early diagnosis and better treatment of congenital anomalies should be considered to reduce its impact on child mortality.

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“…Apesar dos avanços para a redução da mortalidade infantil no Estado, tais achados caracterizam má qualidade da assistência hospitalar, pois são óbitos que podem e devem ser evitados ou reduzidas através de medidas básicas de atenção a saúde, como lavagem das mãos, manuseio mínimo do recém-nascido ao nascer, educação continuada da equipe e melhora da assistência à mãe seu filho [15][16][17] .…”

Section: Discussionunclassified

Mortalidade infantil por doenças infecciosas e parasitárias no estado do Pará

Sousa¹,

Santos²,

Santos³

et al. 2019

PRMJ

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PEDIATRIACopyright Souza et al. Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado.Resumo Objetivo: Analisar a ocorrência da mortalidade infantil por doenças infecciosas e parasitárias no estado do Pará.Métodos: Estudo com abordagem quantitativa, analítica, retrospectiva, abrangendo uma série histórica do ano de 2008 até 2017. Para análise dos resultados, utilizou-se testes estatísticos não-paramétricos, Qui-quadrado e teste G, capazes de expressar associação estatística. Resultados: Foram notificados 1530 óbitos infantis no estado do Pará, com uma queda em 47,8% entre o período estudado. A população indígena teve a maior taxa de mortalidade. 92,5% (n = 1415) dos óbitos ocorreram no período pós-natal e 51,7% (n = 791) com escolaridade materna entre 4-11 anos. Conclusão: A mortalidade infantil ainda pode e deve ser reduzida, pois em sua grande maioria atinge indivíduos no período pós-natal e possui maior incidência quanto menor a escolaridade materna e menor acesso à saúde. Descritores: mortalidade infantil; doenças transmissíveis; vigilância em saúde pública.Abstract Purpose: To analyze the occurrence of infant mortality due to infectious and parasitic diseases in the state of Pará.Methods: Study with a quantitative, analytical, retrospective approach, covering a historical series from 2008 to 2017. For the analysis of the results, we used non-parametric statistical tests, Chi-square and G test. Results: 1530 infant deaths were reported in the state of Pará, with a fall of 47.8% between the study period. The indigenous population had the highest mortality rate. 92.5% (n = 1415) of deaths occurred in the postnatal period and 51.7% (n = 791) with maternal education between 4-11 years. Conclusion: Infant mortality still can and should be reduced because its great majority affects individuals in the postnatal period and has a higher incidence when lower maternal schooling and lower access to health. PEDIATRIARelação entre mortalidade infantil e doenças infecciosas e parasitárias PEDIATRIA Relação entre mortalidade infantil e doenças infecciosas e parasitárias Autor correspondenteDeivid Ramos dos Santos Passagem Maciel, 120, Bengui CEP 66630-210,

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Aspectos étnicos da mortalidade infantil

Abstract: Copyright Teixeira et al. Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado.

Cited by 5 publications

References 17 publications

An Assessment of Health Outcomes and Methylmercury Exposure in Munduruku Indigenous Women of Childbearing Age and Their Children under 2 Years Old

An Assessment of Health Outcomes and Methylmercury Exposure in Munduruku Indigenous Women of Childbearing Age and Their Children under 2 Years Old

Prevalence of fetal and neonatal mortality due to congenital anomalies in the state of Maranhão, Brazil, from 2001–2016

Mortalidade infantil por doenças infecciosas e parasitárias no estado do Pará

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