ArticleEinstein (Sao Paulo, Brazil)2021
Infant mortality in the Metropolitan Region of São Paulo: an ecological study.
Article in Einstein (Sao Paulo, Brazil), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo determine the impact of risk factors on infant mortality in the Metropolitan Region of São Paulo according to maternal and neonate characteristics, as well as mode of delivery.
methodsAn ecological, quantitative study based on secondary data retrieved from infant mortality and live birth data systems. Data from 39 municipalities located in the Metropolitan Region of São Paulo were analyzed. Newborn and maternal variables were extracted from the Information Technology Department of the Unified Health System. Absolute and relative frequencies were presented, as well as linear regression and Pearson´s correlation coefficient.
resultsThe following maternal profile prevailed from 2006 to 2016: 8 to 11 years of education (β=73.58; p=0.023), age between 30 and 34 years (β=19.04; p=0.015) and delivery by cesarean section (β=39.59; p=0.009) after full-term pregnancy (β=-14.20; p=0.324). Mortality rates decreased in neonates compared to other age groups (β=-25.30; p<0.001). Infant mortality rates tended to be higher among women experiencing pre-term (r=0.86; p<0.001) or post-term (r=0.95; p<0.001) gestation.
conclusionMaternal age and level of education increased among women giving birth in the Metropolitan Region of São Paulo from 2006 to 2016. These were relevant factors for infant mortality rate reduction.
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