Infant mortality in the Metropolitan Region of São Paulo: an ecological study

Detalhes bibliográficos
Autor(a) principal: Nunes,Michele Ribeiro Alexandre
Data de Publicação: 2021
Outros Autores: Sousa,Luiz Vinicius de Alcantara, Nascimento,Vânia Barbosa do
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Einstein (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100221
Resumo: 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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spelling Infant mortality in the Metropolitan Region of São Paulo: an ecological studyInfant mortalityPregnancyRisk factorsEducational statusMaternal ageABSTRACT 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.Instituto Israelita de Ensino e Pesquisa Albert Einstein2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100221einstein (São Paulo) v.19 2021reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2021ao5663info:eu-repo/semantics/openAccessNunes,Michele Ribeiro AlexandreSousa,Luiz Vinicius de AlcantaraNascimento,Vânia Barbosa doeng2021-08-10T00:00:00Zoai:scielo:S1679-45082021000100221Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2021-08-10T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false
dc.title.none.fl_str_mv Infant mortality in the Metropolitan Region of São Paulo: an ecological study
title Infant mortality in the Metropolitan Region of São Paulo: an ecological study
spellingShingle Infant mortality in the Metropolitan Region of São Paulo: an ecological study
Nunes,Michele Ribeiro Alexandre
Infant mortality
Pregnancy
Risk factors
Educational status
Maternal age
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
title_fullStr Infant mortality in the Metropolitan Region of São Paulo: an ecological study
title_full_unstemmed Infant mortality in the Metropolitan Region of São Paulo: an ecological study
title_sort Infant mortality in the Metropolitan Region of São Paulo: an ecological study
author Nunes,Michele Ribeiro Alexandre
author_facet Nunes,Michele Ribeiro Alexandre
Sousa,Luiz Vinicius de Alcantara
Nascimento,Vânia Barbosa do
author_role author
author2 Sousa,Luiz Vinicius de Alcantara
Nascimento,Vânia Barbosa do
author2_role author
author
dc.contributor.author.fl_str_mv Nunes,Michele Ribeiro Alexandre
Sousa,Luiz Vinicius de Alcantara
Nascimento,Vânia Barbosa do
dc.subject.por.fl_str_mv Infant mortality
Pregnancy
Risk factors
Educational status
Maternal age
topic Infant mortality
Pregnancy
Risk factors
Educational status
Maternal age
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.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082021000100221
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.31744/einstein_journal/2021ao5663
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dc.publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.source.none.fl_str_mv einstein (São Paulo) v.19 2021
reponame:Einstein (São Paulo)
instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
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collection Einstein (São Paulo)
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