Document Detail


Risk factors for infant mortality in a municipality in southern Brazil: a comparison of two cohorts using hierarchical analysis.
MedLine Citation:
PMID:  23090171     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This study compared risk factors for infant mortality in 2000-2001 and 2007-2008 in Londrina, Paraná State, Brazil. Data on live births and infant deaths were linked in a single database, and a hierarchical regression model was used. Distal risk factors for infant mortality in 2000-2001 were maternal age < 20 or ≥ 35 years and lower maternal schooling. In 2007-2008, maternal age ≥ 35 or < 20 years were risk factors, while low schooling appeared as a protective factor. The following intermediate factors were associated with increased infant mortality in 2000-2001: multiple pregnancy, history of stillbirth, and insufficient number of prenatal visits, while cesarean delivery was a protective factor. Multiple pregnancy was the only intermediate risk factor in 2007-2008. All of the proximal factors were associated with higher infant mortality in 2000-2001, but only gestational age and 5-minute Apgar in 2007-2008. The risk factors for infant mortality changed from the first to the second cohort, which may be related to the expansion of social policies and primary care and changes in the reproductive and social patterns of Brazilian women.
Authors:
Hellen Geremias Dos Santos; Selma Maffei de Andrade; Ana Maria Rigo Silva; Wladithe Organ de Carvalho; Arthur Eumann Mesas
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública     Volume:  28     ISSN:  1678-4464     ISO Abbreviation:  Cad Saude Publica     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8901573     Medline TA:  Cad Saude Publica     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  1915-26     Citation Subset:  IM    
Affiliation:
Universidade Estadual de Londrina, Londrina, Brasil.
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