ArticleBMC public health2021
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.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed.
- Avoidable mortality in childhood in Colombia: A type of violenceBiomedica : revista del Instituto Nacional de Salud · 2026Article
- Multiple indicator cluster survey (MICS) related to early childhood health: an ecological intercontinental analysis.Open medicine (Warsaw, Poland) · 2026Article
- Maternal education and infant survival in Somaliland: a descriptive decomposition of observed survival differences across sequential adjustment models.Frontiers in public health · 2026Article
- Article
- Structure and process in primary health care for children and spatial distribution of infant mortality.Revista de saude publica · 2024Article
- The Impact of Sociodemographic, Macroeconomic, and Health Status and Resources on Infant Mortality Rates in Oman: Evidence from 1980 to 2022.European journal of investigation in health, psychology and education · 2023Article
- Performance indicators of Primary Care of the Previne Brasil Program.Revista latino-americana de enfermagem · 2023Observational
- Time to Death and Its Predictors Among Infants in Ethiopia: Multilevel Mixed-Effects Parametric Survival Analysis Using the 2019 Ethiopian Mini Demographic Health Survey.Pediatric health, medicine and therapeutics · 2023Article
- Spatial patterns of mortality in low birth weight infants at term and its determinants in the State of São Paulo, Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Infant Mortality in a Brazilian Municipality with a High Human Development Index.Turkish archives of pediatrics · 2022Article
- Community and individual level determinants of infant mortality in rural Ethiopia using data from 2016 Ethiopian demographic and health survey.Scientific reports · 2022Article
- Prevalence of Congenital Anomaly and Its Relationship with Maternal Education and Age According to Local Development in the Extreme South of Brazil.International journal of environmental research and public health · 2022Observational
- Mortality inequalities measured by socioeconomic indicators in Brazil: a scoping review.Revista de saude publica · 2022Article
- Social Determinants of Childhood Mortality: Systematic Review and Meta-Analysis With Complementary Narrative Synthesis of Cultural Factors.Sage open pediatricsReview
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Abstract
backgroundInfant mortality is considered an important and sensitive health indicator in several countries, especially in underdeveloped and developing countries. Most of the factors influencing infant mortality are interrelated and are the result of social issues. Therefore, this study performed an investigation of the influence of the MHDI and maternal education on infant mortality in a capital in the extreme south of Brazil.
methodsIt is a retrospective cohort study with data on births and deaths in the first year of life for the period of 2000-2017. The association between the independent variables and the outcome was done by bivariate analysis through simple Poisson regression. The variables that can potentially be considered confounding factors were used in a multiple Poisson regression for robust variances - adjusted model.
resultsThe study included 317,545 children, of whom 3107 died. The medium MHDI showed associated with infant death in the first year of life. Maternal education, individually and jointly analyzed with the MHDI, showed association with the outcome of infant death in the first year of life, particularly for children of mothers with lower maternal education (p < 0.001). In relation to other related factors, maternal age; number of Prenatal Care Consultations; gestational age, weight, gender and Apgar Index (5th minute) of the newborn showed association with IM (p < 0.001).
conclusionsThe HDI is considered a good predictor of infant mortality by some authors and the analyzes of the present study also confirm an association of the medium MHDI and its low MHDIE component with infant mortality. In addition, it was maternal education with less than 8 years of study that that demonstrated a higher risk of death, revealing itself to be a social determinant with a relevant impact on infant mortality. Thus, it is possible to conclude that maternal education is available information, and it is superior to the MHDI to assess the infant mortality outcome.
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