Evidence map›Paper›PMID 37971178›Full record

ArticleRevista de saude publica2023

Infant mortality in the municipality of São Paulo: trend and social inequality (2006-2019).

Katia Cristina Bassichetto, Margarida Maria de Azevedo Tenório Lira, Edige Felipe de Sousa Santos, Ivan Arroyave, Samantha Hasegawa Farias, Marilisa Berti de Azevedo Barros

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Article in Revista de saude publica, 2023. 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Katia Cristina BassichettoFaculdade de Ciências Médicas da Santa Casa de São Paulo . Departamento de Saúde Coletiva . São Paulo , SP , Brazil .ORCID http://orcid.org/0000-0003-3645-025X
Margarida Maria de Azevedo Tenório LiraIndependent researcher . São Paulo , SP , Brazil .ORCID http://orcid.org/0000-0001-9040-5121
Edige Felipe de Sousa SantosUniversidade de São Paulo . Faculdade de Saúde Pública da USP. Departamento de Epidemiologia . São Paulo , SP , Brazil .ORCID http://orcid.org/0000-0001-5859-337X
Ivan ArroyaveUniversidad de Antioquia . Facultad Nacional de Salud Pública . Medellín , Colombia .ORCID http://orcid.org/0000-0001-9989-5833
Samantha Hasegawa FariasUniversidade Estadual de Campinas . Faculdade de Ciências Médicas . Departamento de Saúde Coletiva , Campinas , SP , Brazil .ORCID http://orcid.org/0000-0003-4975-4324
Marilisa Berti de Azevedo BarrosUniversidade Estadual de Campinas . Faculdade de Ciências Médicas . Departamento de Saúde Coletiva , Campinas , SP , Brazil .ORCID http://orcid.org/0000-0003-3974-195X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveConsidering the published evidence on the impact of recent economic crises and the implementation of fiscal austerity policies in Brazil on various health indicators, this study aims to analyze how the trend and socio-spatial inequality of infant mortality behaved in the municipality of São Paulo from 2006 to 2019.

methodsThis is an ecological study with a temporal trend analysis that was developed in municipality of São Paulo, using three residence area strata differentiated according to their social vulnerability following the 2010 São Paulo Social Vulnerability Index. Infant mortality rate, as well as neonatal, and post-neonatal mortality rates, were calculated for each social vulnerability stratum, each year in the period, and for the first and last three triennia. Temporal trends were analyzed by the Prais-Winsten regression model and inequality magnitude, by rate ratios.

resultsWe found a decline in infant mortality rate and its components from 2006 to 2015, greater in the stratum with low social vulnerability and in the post-neonatal period when compared to the neonatal one. This decline ended in 2015, stagnating in the next period (2016-2019). Our analysis of infant mortality inequality across social vulnerability stratum showed a significant increase from the initial to the final triennia in the analyzed period; rate ratios increased from 1.36 to 1.48 in the high stratum (compared to the low social vulnerability stratum), and from 1.19 to 1.32 between the medium and low social vulnerability strata.

conclusionsThe observed stagnation of infant mortality rate decline in 2015 and the increase in socio-spatial inequality point to the urgent need to reformulate current public policies to reverse this situation and reduce inequalities in the risk of infant death.

Indexed as

Infant MortalityBrazilHumansInfantInfant, NewbornSocioeconomic Factors

Identifiers

PMID37971178
PMCPMC10631751

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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.