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metadata.dc.type: | Artigo de Periódico |
Title: | Social inequalities in neonatal mortality and living condition |
Other Titles: | Revista Brasileira de Epidemiologia |
Authors: | Gonçalves, Annelise C. Costa, Maria da Conceição Nascimento Paim, Jairnilson Silva Silva, Ligia Maria Vieira da Braga, José Ueleres Barreto, Mauricio Lima |
metadata.dc.creator: | Gonçalves, Annelise C. Costa, Maria da Conceição Nascimento Paim, Jairnilson Silva Silva, Ligia Maria Vieira da Braga, José Ueleres Barreto, Mauricio Lima |
Abstract: | Objective: To evaluate the association between the spatial distribution of neonatal mortality and living conditions, and to analyze trends in the social inequalities, related to this mortality, in Salvador, Bahia, Brazil, 2000 - 2006. Methods: The city's Information Zones, the unit of analysis used in this study, were grouped into strata reflecting high, intermediate, low and very low living conditions, based on a living conditions index (LCI). Neonatal mortality rates were calculated for each stratum. Spearman's correlation, linear regression and relative risks were used in the data analysis. Results: Neonatal mortality in Salvador was found to be associated with living conditions, with risks of 53, 56 and 59% greater, respectively, in the intermediate, low and very low strata, when compared to the high living conditions stratum. Only the intermediate living conditions stratum shows a significant decline in neonatal mortality (β = -0.93; p = 0.039). In the stratum of high living conditions, it was observed a stagnation of this mortality. Conclusions: Poorer living conditions were associated to higher risks of neonatal mortality. The slight decline in social inequalities, found in neonatal mortality, was due to a decline in the intermediate living conditions stratum. Although dependent on the access to quality healthcare services and life support technologies, a more consistent reduction in the neonatal mortality and its associated inequalities will only be achieved when broader-reaching public policies are implemented, improving the living conditions, and mainly focusing on priority groups. |
Keywords: | Infant mortality Social conditions Health inequalities Mortality Risk factors |
metadata.dc.publisher.country: | Brasil |
metadata.dc.rights: | Acesso Aberto |
URI: | http://repositorio.ufba.br/ri/handle/ri/14930 |
Issue Date: | 2013 |
Appears in Collections: | Artigo Publicado em Periódico Nacional (ISC) |
Files in This Item:
File | Description | Size | Format | |
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1415-790X-rbepid-16-03-00682.pdf | 171,91 kB | Adobe PDF | View/Open |
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