PMID: 16536930Mar 16, 2006Paper

Infant mortality in Pelotas, Brazil: a comparison of risk factors in two birth cohorts

Revista Panamericana De Salud Pública = Pan American Journal of Public Health
Ana Maria Baptista MenezesF C Barros

Abstract

To compare two population-based birth cohorts to assess trends in infant mortality rates and the distribution of relevant risk factors, and how these changed after an 11-year period. Data from two population-based prospective birth cohorts (1982 and 1993) were analyzed. Both studies included all children born in a hospital (> 99% of all births) in the city of Pelotas, Southern Brazil. Infant mortality was monitored through surveillance of all maternity hospitals, mortality registries and cemeteries. There were 5,914 live-born children in 1982 and 5,249 in 1993. The infant mortality rate decreased by 41%, from 36.0 per 1,000 live births in 1982 to 21.1 per 1,000 in 1993. Socioeconomic and maternal factors tended to become more favorable during the study period, but there were unfavorable changes in birthweight and gestational age. Poverty, high parity, low birthweight, preterm delivery, and intrauterine growth restriction were the main risk factors for infant mortality in both cohorts. The 41% reduction in infant mortality between 1982 and 1993 would have been even greater had the prevalence of risk factors remained constant during the period studied here. There were impressive declines in infant mortality which were not due to ...Continue Reading

Citations

Oct 2, 2012·International Journal of Hygiene and Environmental Health·Patricia de Moraes Mello BoccoliniGesiele Veríssimo
Nov 30, 2010·Pediatric Clinics of North America·Yasir Khan, Zulfiqar A Bhutta
Dec 25, 2008·American Journal of Human Biology : the Official Journal of the Human Biology Council·Christiaan W S Monden, Jeroen Smits
Jun 5, 2013·Tropical Medicine & International Health : TM & IH·Linda VeselBetty R Kirkwood
Oct 24, 2012·Cadernos de saúde pública·Hellen Geremias dos SantosArthur Eumann Mesas
Sep 12, 2007·International Journal of Epidemiology·Cesar G VictoraFernando C Barros
Aug 31, 2011·Cadernos de saúde pública·Oswaldo Sinoe Medina-Gómez, Oliva López-Arellano
Jan 30, 2009·Revista de saúde pública·Bernardo L HortaCesar G Victora

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