Evidence map›Paper›PMID 33060193›Full record

ArticleJournal of epidemiology and community health2021

Characterising variability and predictors of infant mortality in urban settings: findings from 286 Latin American cities.

Ana F Ortigoza, José A Tapia Granados, J Jaime Miranda, Marcio Alazraqui, Diana Higuera, Georgina Villamonte, Amélia Augusta de Lima Friche, Tonatiuh Barrientos Gutierrez, Ana V Diez Roux

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Avoidable mortality in childhood in Colombia: A type of violenceBiomedica : revista del Instituto Nacional de Salud · 2026
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  9. Urban Environments, Health, and Environmental Sustainability: Findings From the SALURBAL Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Review
  10. Article
  11. Association of birth and periodontal disease in Bolivia, Chile and ColombiaBiomedica : revista del Instituto Nacional de Salud · 2024
    Article
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  18. Spatial Inequities in Life Expectancy in Small Areas of Buenos Aires, Argentina 2015-2017.Journal of urban health : bulletin of the New York Academy of Medicine · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ana F OrtigozaUrban Health Collaborative, Drexel University, Philadelphia, Pennsylvania, USA afo25@drexel.edu.ORCID 0000-0001-8100-422X
José A Tapia GranadosHistory and Political Science, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-4101-1024
J Jaime MirandaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID 0000-0002-4738-5468
Marcio AlazraquiInstituto de Salud Colectiva, Universidad Nacional de Lanus, Lanus, Argentina.
Diana HigueraEscuela de Medicina, Universidad de Los Andes, Bogota, Colombia.
Georgina VillamonteCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Amélia Augusta de Lima FricheSchool of Medicine, Universidade Federal de Minas Gerais Faculdade de Medicina, Belo Horizonte, Brazil.
Tonatiuh Barrientos GutierrezInstituto Nacional de Salud Publica, Mexico DF, Mexico.
Ana V Diez RouxUrban Health Collaborative, Drexel University, Philadelphia, Pennsylvania, USA.

Funding

Wellcome Trust 205177/Z/16/Z
6 · The paper itself

Abstract

backgroundUrbanisation in Latin America (LA) is heterogeneous and could have varying implications for infant mortality (IM). Identifying city factors related to IM can help design policies that promote infant health in cities.

methodsWe quantified variability in infant mortality rates (IMR) across cities and examined associations between urban characteristics and IMR in a cross-sectional design. We estimated IMR for the period 2014-2016 using vital registration for 286 cities above 100 000 people in eight countries. Using national censuses, we calculated population size, growth and three socioeconomic scores reflecting living conditions, service provision and population educational attainment. We included mass transit availability of bus rapid transit and subway. Using Poisson multilevel regression, we estimated the per cent difference in IMR for a one SD (1SD) difference in city-level predictors.

resultsOf the 286 cities, 130 had <250 000 inhabitants and 5 had >5 million. Overall IMR was 11.2 deaths/1000 live births. 57% of the total IMR variability across cities was within countries. Higher population growth, better living conditions, better service provision and mass transit availability were associated with 6.0% (95% CI -8.3 to 3.7%), 14.1% (95% CI -18.6 to -9.2), 11.4% (95% CI -16.1 to -6.4) and 6.6% (95% CI -9.2 to -3.9) lower IMR, respectively. Greater population size was associated with higher IMR. No association was observed for population-level educational attainment in the overall sample.

conclusionImproving living conditions, service provision and public transportation in cities may have a positive impact on reducing IMR in LA cities.

Indexed as

Infant MortalityCitiesCross-Sectional StudiesHumansInfantLatin AmericaSocioeconomic FactorsInfant mortalityPublic health policySocial inequalitiesUrbanisation

Identifiers

PMID33060193
PMCPMC7892385

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.