ArticleRevista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo
FACTORS ASSOCIATED WITH INFANT MORTALITY IN A BRAZILIAN CITY WITH HIGH HUMAN DEVELOPMENT INDEX.
Article in Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- The spatio-temporal dynamics of infant mortality in Ecuador from 2010 to 2019.BMC public health · 2022Article
- Infant mortality in the Metropolitan Region of São Paulo: an ecological study.Einstein (Sao Paulo, Brazil) · 2021Article
- Congenital anomalies in Santa Catarina: case distribution and trends in 2010-2018.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2021Article
- Administrative Data Linkage in Brazil: Potentials for Health Technology Assessment.Frontiers in pharmacology · 2019Review
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Abstract
objectiveTo identify factors associated with infant mortality in a city with good socioeconomic development.
methodsA retrospective cohort study with 7,887 live births in the year of 2012 recorded in the Live Births Information System (SINASC) and associated by linkage with the Mortality Information System (SIM) to identify the deaths in the first year of life. The risk factors were ranked in three levels of determination: distal, intermediate and proximal. The logistic binomial regression models and the multivariate model quantified the impact of the individual variables tested and adjusted the effect of confounding variables. The magnitude of the effect of the explanatory variables was estimated by calculating the crude and adjusted Odds Ratio (OR) and their respective 95% confidence intervals (95%CI), being significant p<0.05.
resultsThere were 61 deaths in the cohort and the infant mortality rate was 7.7 per thousand live births. Teenage mother (adjOR 3.75; 95%CI 1.40-10.02), gestational age <32 weeks (adjOR 12.08; 95%CI 2.30-63.38), weight at birth <1500g (adjOR 8.20; 95%CI 1.52-44.23), Apgar score at 1 and 5 minutes of life <7 (adjOR 4.82; 95%CI 2.01-11.55 and adjOR 6.26; 95%CI 1,93-20,30, respectively) and the presence of congenital malformation (adjOR 21.49; 95%CI 7.72-59.82) were risk factors for infant mortality.
conclusionsThe lower relevance of socioeconomic and health care variables and the greater importance of biological factors in determining infant mortality may reflect the protective effect of high economic and social development of the locality.
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