Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015

Detalhes bibliográficos
Autor(a) principal: Szwarcwald, Celia Landmann
Data de Publicação: 2020
Outros Autores: Almeida, Wanessa da Silva de, Teixeira, Renato Azeredo, França, Elisabeth Barboza, Miranda, Marina Jorge de, Malta, Deborah Carvalho
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/60162
Resumo: Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
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spelling Szwarcwald, Celia LandmannAlmeida, Wanessa da Silva deTeixeira, Renato AzeredoFrança, Elisabeth BarbozaMiranda, Marina Jorge deMalta, Deborah Carvalho2023-08-18T16:20:00Z2023-08-18T16:20:00Z2020SZWARCWALD, Célia Landmann et al. Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015. Population Health Metrics, v. 18, p. 1-9, 2020.1478-7954https://www.arca.fiocruz.br/handle/icict/6016210.1186/s12963-020-00208-1engPopul Health MetrInequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Federal University of Minas Gerais. Faculty of Medicine. Belo Horizonte, MG, Brazil.Federal University of Minas Gerais. Faculty of Medicine. Belo Horizonte, MG, Brazil.Ministry of Health. Secretariat of Health Surveillance. Brasília, DF, Brazil.Federal University of Minas Gerais. School of Nursing. Belo Horizonte, MG, Brazil.Background: In this study, infant mortality rate (IMR) inequalities are analyzed from 1990 to 2015 in different geographic scales. Methods: The Ministry of Health (MoH) IMR estimates by Federative Units (FU) were compared to those obtained by the Global Burden of Disease (GBD) group. In order to measure the inequalities of the IMR by FU, the ratios from highest to lowest from 1990 to 2015 were calculated. Maps were elaborated in 2000, 2010, and 2015 at the municipality level. To analyze the effect of income, IMR inequalities by GDP per capita were analyzed, comparing Brazil and the FU to other same-income level countries in 2015, and the IMR municipal estimates were analyzed by income deciles, in 2000 and 2010. Results: IMR decreased from 47.1 to 13.4 per 1000 live births (LB) from 1990 to 2015, with an annual decrease rate of 4.9%. The decline was less pronounced for the early neonatal annual rate (3.5%). The Northeast region showed the most significant annual decline (6.2%). The IMR estimates carried out by the GBD were about 20% higher than those obtained by the MoH, but in terms of their inequalities, the ratio from the highest to the lowest IMR among the 27 FU decreased from 4 to 2, for both methods. The percentage of municipalities with IMR higher than 40 per 1000 LB decreased from 23% to 2%, between 2000 and 2015. Comparing the IMR distribution by income deciles, all inequality measures of the IMR decreased markedly from 2000 to 2010. Conclusion: The results showed a marked decrease in the IMR inequalities in Brazil, regardless of the geographic breakdown and the calculation method. Despite clear signs of progress in curbing infant mortality, there are still challenges in reducing its level, such as the concentration of deaths in the early neonatal period, and the specific increases of post neonatal mortality in 2016, after the recent cuts in social investments.Infant mortality rateGBDGeographic inequalitiesIncomeBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/60162/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALjcm-10-03428.pdfjcm-10-03428.pdfArtigoapplication/pdf704946https://www.arca.fiocruz.br/bitstream/icict/60162/2/jcm-10-03428.pdfcaa2f6f52872961e4d0d1419daa9aa64MD52icict/601622023-10-27 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dc.title.en_US.fl_str_mv Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
title Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
spellingShingle Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
Szwarcwald, Celia Landmann
Infant mortality rate
GBD
Geographic inequalities
Income
Brazil
title_short Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
title_full Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
title_fullStr Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
title_full_unstemmed Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
title_sort Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015
author Szwarcwald, Celia Landmann
author_facet Szwarcwald, Celia Landmann
Almeida, Wanessa da Silva de
Teixeira, Renato Azeredo
França, Elisabeth Barboza
Miranda, Marina Jorge de
Malta, Deborah Carvalho
author_role author
author2 Almeida, Wanessa da Silva de
Teixeira, Renato Azeredo
França, Elisabeth Barboza
Miranda, Marina Jorge de
Malta, Deborah Carvalho
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Szwarcwald, Celia Landmann
Almeida, Wanessa da Silva de
Teixeira, Renato Azeredo
França, Elisabeth Barboza
Miranda, Marina Jorge de
Malta, Deborah Carvalho
dc.subject.en.en_US.fl_str_mv Infant mortality rate
GBD
Geographic inequalities
Income
Brazil
topic Infant mortality rate
GBD
Geographic inequalities
Income
Brazil
description Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2023-08-18T16:20:00Z
dc.date.available.fl_str_mv 2023-08-18T16:20:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SZWARCWALD, Célia Landmann et al. Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015. Population Health Metrics, v. 18, p. 1-9, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/60162
dc.identifier.issn.en_US.fl_str_mv 1478-7954
dc.identifier.doi.none.fl_str_mv 10.1186/s12963-020-00208-1
identifier_str_mv SZWARCWALD, Célia Landmann et al. Inequalities in infant mortality in Brazil at subnational levels in Brazil, 1990 to 2015. Population Health Metrics, v. 18, p. 1-9, 2020.
1478-7954
10.1186/s12963-020-00208-1
url https://www.arca.fiocruz.br/handle/icict/60162
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Popul Health Metr
publisher.none.fl_str_mv Popul Health Metr
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/60162/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/60162/2/jcm-10-03428.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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