ArticleRevista de saude publica2017
Maternal education and age: inequalities in neonatal death.
Article in Revista de saude publica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Article
- Development and validation of an epidemiological risk score for neonatal death in a middle-income country.Frontiers in public health · 2025Article
- [Prenatal care: a temporal analysis using data from the 2013 and 2019 Brazilian National Health Survey].Cadernos de saude publica · 2025Article
- A study of association between maternal tetanus toxoid immunization and neonatal mortality in the context of Bangladesh.PloS one · 2025Article
- Trend in neonatal mortality and preventable neonatal deaths: a time series analysis, Bahia, 2010-2020.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Trends and inequalities in neonatal mortality rate in Bangladesh: Evidence from cross-sectional surveys.Health science reports · 2024Article
- Adolescent pregnancy persists in Nigeria: Does household heads' age matter?PLOS global public health · 2024Article
- Perinatal Health in Amazon Triple Border Region: Cross-Sectional Analysis Comparing Outcomes in the Brazilian, Peruvian and Colombian Population.Maternal and child health journal · 2023Article
- Caregivers perception of common neonatal illnesses and their management among rural dwellers in Enugu state, Nigeria: a qualitative study.BMC public health · 2023Article
- Epidemiology of neonatal mortality: a spatial and multilevel analysis of the 2019 mini-Ethiopian demographic and health survey data.BMC pediatrics · 2023Article
- Survival patterns of neonates born to adolescent mothers and the effect of pregnancy intentions and marital status on newborn survival in Kenya, Uganda, and Tanzania, 2014-2016.Global health action · 2022Article
- Neonatal Mortality and Education Related Inequality in Cesarean Births in Sub-Saharan Africa: Multi-Country Propensity Score Matching and Meta-Analysis.Children (Basel, Switzerland) · 2022Article
- Risk of recurrent stillbirth and neonatal mortality: mother-specific random effects analysis using longitudinal panel data from Indonesia (2000 - 2014).BMC pregnancy and childbirth · 2022Article
- Article
- Rede Cegonha: maternal characteristics and perinatal outcomes related to prenatal consultations at intermediate risk.Revista da Escola de Enfermagem da U S P · 2022Article
- Self-Esteem, Attitudes toward Love, and Sexual Assertiveness among Pregnant Adolescents.International journal of environmental research and public health · 2021Article
- Annual trend of neonatal mortality and its underlying causes: population-based study - São Paulo State, Brazil, 2004-2013.BMC pediatrics · 2021Article
- The influence of the municipal human development index and maternal education on infant mortality: an investigation in a retrospective cohort study in the extreme south of Brazil.BMC public health · 2021Article
- Determinants of Neonatal Mortality in Kenya: Evidence from the Kenya Demographic and Health Survey 2014.International journal of MCH and AIDS · 2021Article
- Article
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5 authors.
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Abstract
objectiveEvaluate the interaction between maternal age and education level in neonatal mortality, as well as investigate the temporal evolution of neonatal mortality in each stratum formed by the combination of these two risk factors.
methodsA nonconcurrent cohort study, resulting from a probabilistic relationship between the Mortality Information System and the Live Birth Information System. To investigate the risk of neonatal death we performed a logistic regression, with an odds ratio estimate for the combined variable of maternal education and age, as well as the evaluation of additive and multiplicative interaction. The neonatal mortality rate time series, according to maternal education and age, was estimated by the Joinpoint Regression program.
resultsThe neonatal mortality rate in the period was 8.09‰ and it was higher in newborns of mothers with low education levels: 12.7‰ (adolescent mothers) and 12.4‰ (mother 35 years old or older). Low level of education, without the age effect, increased the chance of neonatal death by 25% (OR = 1.25, 95%CI 1.14-1.36). The isolated effect of age on neonatal death was higher for adolescent mothers (OR = 1.39, 95%CI 1.33-1.46) than for mothers aged ≥ 35 years (OR = 1.16, 95%CI 1.09-1.23). In the time-trend analysis, no age group of women with low education levels presented a reduction in the neonatal mortality rate for the period, as opposed to women with intermediate or high levels of education, where the reduction was significant, around 4% annually.
conclusionsTwo more vulnerable groups - adolescents with low levels of education and older women with low levels of education - were identified in relation to the risk of neonatal death and inequality in reducing the mortality rate.
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