Risk factors for infant mortality in a municipality in southern Brazil

A Comparison of Two Cohorts Using Hierarchical Analysis

Dados Bibliográficos

ID5223720
AutoresHelamã Gabriel Dos Santos (0000-0001-7039-8585, Universidade Estadual de Londrina), Hellen G G Santos (0000-0002-6446-8660, Universidade Estadual de Londrina), Hellen Geremias Dos Santos, Selma Maffei De Andrade (0000-0001-6843-8330, Universidade Estadual de Londrina), Ana Maria Rigo Silva (0000-0002-9527-4914, Universidade Estadual de Londrina), Wladithe Organ De Carvalho (0000-0003-1950-2505, Universidade Estadual de Londrina), Arthur Eumann Mesas (0000-0002-0088-8607, Universidade Estadual de Londrina)
Ano2012
Volume28
Fascículo10
Páginas1915-1926
Data de publicação2012-10-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCadernos de Saude Publica (JOURNAL)
Identificadores do periódicoISSN: 0102-311X • E-ISSN: 1678-4464
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0102-311x2012001000010
PMID23090171
OpenAlexW2132969620
SCIELO_PIDS0102-311X2012001000010
IdiomaEN
Citações recebidas5
Referências citadas31

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

Cohort · Cohort study · Environmental health · Gestational age · Infant mortality · Population · Pregnancy · Prenatal care · Protective factor · Risk factor · Demography · Global Maternal and Child Health · Injury Epidemiology and Prevention · Maternal and Neonatal Healthcare · Medicine