Inequalities in health: living conditions and infant mortality in Northeastern Brazil.

Abstract:

:OBJECTIVE To analyze the variation of infant mortality as per condition of life in the urban setting. METHODS Ecological study performed with data regarding registered deaths of children under the age of one who resided in Aracaju, SE, Northeastern Brazil, from 2001 to 2010. Infant mortality inequalities were assessed based on the spatial distribution of the Living Conditions Index for each neighborhood, classified into four strata. The average mortality rates of 2001-2005 and 2006-2010 were compared using the Student's t-test. RESULTS Average infant mortality rates decreased from 25.3 during 2001-2005 to 17.7 deaths per 1,000 live births in 2006-2010. Despite the decrease in the rates in all the strata during that decade, inequality of infant mortality risks increased in neighborhoods with worse living conditions compared with that in areas with better living conditions. CONCLUSIONS Infant mortality rates in Aracaju showed a decline, but with important differences among neighborhoods. The assessment based on a living condition perspective can explain the differences in the risks of infant mortality rates in urban areas, highlighting health inequalities in infant mortality as a multidimensional issue.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Carvalho RA,Santos VS,Melo CM,Gurgel RQ,Oliveira CC

doi

10.1590/s0034-8910.2015049004794

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

5

eissn

0034-8910

issn

1518-8787

pii

S0034-89102015000100202

journal_volume

49

pub_type

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