Infant mortality in the Metropolitan Region of São Paulo: an ecological study
ABSTRACT Objective To determine the impact of risk factors on infant mortality in the Metropolitan Region of São Paulo according to maternal and neonate characteristics, as well as mode of delivery. Methods An ecological, quantitative study based on secondary data retrieved from infant mortality and live birth data systems. Data from 39 municipalities located in the Metropolitan Region of São Paulo were analyzed. Newborn and maternal variables were extracted from the Information Technology Department of the Unified Health System. Absolute and relative frequencies were presented, as well as linear regression and Pearson´s correlation coefficient. Results The following maternal profile prevailed from 2006 to 2016: 8 to 11 years of education (β=73.58; p=0.023), age between 30 and 34 years (β=19.04; p=0.015) and delivery by cesarean section (β=39.59; p=0.009) after full-term pregnancy (β=-14.20; p=0.324). Mortality rates decreased in neonates compared to other age groups (β=-25.30; p<0.001). Infant mortality rates tended to be higher among women experiencing pre-term (r=0.86; p<0.001) or post-term (r=0.95; p<0.001) gestation. Conclusion Maternal age and level of education increased among women giving birth in the Metropolitan Region of São Paulo from 2006 to 2016. These were relevant factors for infant mortality rate reduction.
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2021
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oai:scielo:S1679-450820210001002212021-08-10Infant mortality in the Metropolitan Region of São Paulo: an ecological studyNunes,Michele Ribeiro AlexandreSousa,Luiz Vinicius de AlcantaraNascimento,Vânia Barbosa do Infant mortality Pregnancy Risk factors Educational status Maternal age ABSTRACT Objective To determine the impact of risk factors on infant mortality in the Metropolitan Region of São Paulo according to maternal and neonate characteristics, as well as mode of delivery. Methods An ecological, quantitative study based on secondary data retrieved from infant mortality and live birth data systems. Data from 39 municipalities located in the Metropolitan Region of São Paulo were analyzed. Newborn and maternal variables were extracted from the Information Technology Department of the Unified Health System. Absolute and relative frequencies were presented, as well as linear regression and Pearson´s correlation coefficient. Results The following maternal profile prevailed from 2006 to 2016: 8 to 11 years of education (β=73.58; p=0.023), age between 30 and 34 years (β=19.04; p=0.015) and delivery by cesarean section (β=39.59; p=0.009) after full-term pregnancy (β=-14.20; p=0.324). Mortality rates decreased in neonates compared to other age groups (β=-25.30; p<0.001). Infant mortality rates tended to be higher among women experiencing pre-term (r=0.86; p<0.001) or post-term (r=0.95; p<0.001) gestation. Conclusion Maternal age and level of education increased among women giving birth in the Metropolitan Region of São Paulo from 2006 to 2016. These were relevant factors for infant mortality rate reduction.info:eu-repo/semantics/openAccessInstituto Israelita de Ensino e Pesquisa Albert Einsteineinstein (São Paulo) v.19 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100221en10.31744/einstein_journal/2021ao5663 |
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Nunes,Michele Ribeiro Alexandre Sousa,Luiz Vinicius de Alcantara Nascimento,Vânia Barbosa do |
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Nunes,Michele Ribeiro Alexandre Sousa,Luiz Vinicius de Alcantara Nascimento,Vânia Barbosa do Infant mortality in the Metropolitan Region of São Paulo: an ecological study |
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Nunes,Michele Ribeiro Alexandre Sousa,Luiz Vinicius de Alcantara Nascimento,Vânia Barbosa do |
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Nunes,Michele Ribeiro Alexandre |
title |
Infant mortality in the Metropolitan Region of São Paulo: an ecological study |
title_short |
Infant mortality in the Metropolitan Region of São Paulo: an ecological study |
title_full |
Infant mortality in the Metropolitan Region of São Paulo: an ecological study |
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Infant mortality in the Metropolitan Region of São Paulo: an ecological study |
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Infant mortality in the Metropolitan Region of São Paulo: an ecological study |
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infant mortality in the metropolitan region of são paulo: an ecological study |
description |
ABSTRACT Objective To determine the impact of risk factors on infant mortality in the Metropolitan Region of São Paulo according to maternal and neonate characteristics, as well as mode of delivery. Methods An ecological, quantitative study based on secondary data retrieved from infant mortality and live birth data systems. Data from 39 municipalities located in the Metropolitan Region of São Paulo were analyzed. Newborn and maternal variables were extracted from the Information Technology Department of the Unified Health System. Absolute and relative frequencies were presented, as well as linear regression and Pearson´s correlation coefficient. Results The following maternal profile prevailed from 2006 to 2016: 8 to 11 years of education (β=73.58; p=0.023), age between 30 and 34 years (β=19.04; p=0.015) and delivery by cesarean section (β=39.59; p=0.009) after full-term pregnancy (β=-14.20; p=0.324). Mortality rates decreased in neonates compared to other age groups (β=-25.30; p<0.001). Infant mortality rates tended to be higher among women experiencing pre-term (r=0.86; p<0.001) or post-term (r=0.95; p<0.001) gestation. Conclusion Maternal age and level of education increased among women giving birth in the Metropolitan Region of São Paulo from 2006 to 2016. These were relevant factors for infant mortality rate reduction. |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein |
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2021 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100221 |
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