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Use este identificador para citar ou linkar para este item: https://repositorio.ufba.br/handle/ri/14930
Tipo: Artigo de Periódico
Título: Social inequalities in neonatal mortality and living condition
Título(s) alternativo(s): Revista Brasileira de Epidemiologia
Autor(es): Gonçalves, Annelise C.
Costa, Maria da Conceição Nascimento
Paim, Jairnilson Silva
Silva, Ligia Maria Vieira da
Braga, José Ueleres
Barreto, Mauricio Lima
Autor(es): 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.
Palavras-chave: Infant mortality
Social conditions
Health inequalities
Mortality
Risk factors
País: Brasil
Tipo de Acesso: Acesso Aberto
URI: http://repositorio.ufba.br/ri/handle/ri/14930
Data do documento: 2013
Aparece nas coleções:Artigo Publicado em Periódico Nacional (ISC)

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