Proposal for a hierarchical framework applied to investigation of risk factors for neonatal mortality

Cadernos de saúde pública
Sheylla de LimaAna Glória Godoi Vasconcelos

Abstract

Theoretical-conceptual models aim to integrate social, biological, behavioral, and other factors and to explain their interrelations in the determination of health outcomes. In the case of determination of neonatal death in Brazil, few studies have analyzed the mechanisms by which numerous variables and constructs interrelate. This article offers a theoretical discussion of the possible components of a hierarchical framework for studying neonatal mortality. The proposed model sought to include factors that have traditionally been identified as relevant to the occurrence of neonatal death and others that have been studied more recently (like race, social support, and violence during pregnancy). The components were distributed in 11 dimensions allocated to four hierarchical levels (one distal, two intermediary, and one proximal). The proposed framework should be adjusted to the Brazilian reality for neonatal death in large cities and raises various aspects for discussion that have not been explored previously in Brazil.

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Citations

Jun 29, 2011·Cadernos de saúde pública·Maura Calixto Cecherelli de RodriguesMárcia Lazaro de Carvalho
Jul 23, 2015·Cadernos de saúde pública·Vanessa Moraes BezerraWaleska Teixeira Caiaffa
Mar 12, 2020·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Paulino José de Albuquerque Vasconcelos NetoAna Bernarda Ludermir
Jan 16, 2015·Revista latino-americana de enfermagem·Sonia Regina da Costa LapischiesLuciane Prado Kantorski
Mar 15, 2012·Cadernos de saúde pública·Renata Mota do NascimentoCristiana Ferreira da Silva
Mar 15, 2014·Cadernos de saúde pública·Cristiana Ferreira da SilvaUNKNOWN Rede Norte-Nordeste de Saúde Perinatal
Aug 29, 2014·Cadernos de saúde pública·Sônia LanskyAntonio José Ledo Alves da Cunha
Aug 24, 2018·Ciência & saúde coletiva·Fernanda Cristina Manzini SleutjesMilena Jamas Temer
Jun 10, 2015·Public Health Nutrition·Cláudia SaundersArthur Orlando Corrêa Schilithz
Aug 24, 2018·Ciência & saúde coletiva·Gabriella Pinto BelfortCláudia Saunders
Apr 15, 2016·Ciência & saúde coletiva·Marivanda Julia Furtado GoudardIan Favero Nathasje
Dec 18, 2020·Revista paulista de pediatria : orgão oficial da Sociedade de Pediatria de São Paulo·Maria Marcia Farias Trajano FonteneleAna Valeska Siebra E Silva
May 6, 2021·Cadernos de saúde pública·Celia Landmann SzwarcwaldMaria de Fátima de Pina
Jun 17, 2021·Cadernos de saúde pública·Cyndielle Barcelos da RochaClóvis Botelho

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