Mortalidade infantil: comparação entre duas coortes de nascimentos do Sudeste e Nordeste do Brasil

• Autor(a) principal: Ribeiro, Valdinar S
• Data de Publicação: 2004
• Outros Autores: Silva, Antônio A M, Barbieri, Marco A, Bettiol, Heloisa, Aragão, Vânia M F, Coimbra, Liberata C, Alves, Maria T S S B
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/31813
• topic: Mortalidade infantil; Coeficiente de mortalidade; Mortalidade neonatal^i2^ssaúde públ; Mortalidade pós-neonatal; Fatores socioeconômicos; Fatores de risco; Recém-nascido de baixo peso; Infant mortality; Mortality rate; Neonatal mortality^i1^spublic hea; Post-neonatal mortality; Socioeconomic factors; Risk factors; Infant; low birth weight

OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age