Variations in infant mortality rates among municipalities in the state of Ceará, Northeast brazil : an ecological analysis.
Background Infant mortality rates vary substantially among municipalities in the State of Ceará, from 14 to 193 per 1000 live births, Identification of the determinants of these differences can be of particular importance to infant health policy and programmes in Brazil where local governments play a pivotal role in providing primary health care.
Methods Ecological study across 140 municipalities in the State of Ceará, Brazil.
Results To determine the interrelationships between potential predictors of infant mortality, we classified 11 variables into proximate determinants (adequate weight gain and exclusively breastfeeding), health services variables (prenatal care up-to-date, participation in growth monitoring, immunization up-to-date, and decentralization of health services), and socioeconomic factors (female literacy rate, household income, adequate water supply, adequate sanitation, and per capita gross municipality product), and included the variables in each group simultaneously in linear regression models.
In these analyses, only one of the proximate determinants (exclusively breastfeeding (inversely), R2=9.3) and one of the health services variables (prenatal care up-to-date (inversely), R2=22.8) remained significantly associated with infant mortality. (...)
Mots-clés Pascal : Mortalité, Variation géographique, Allaitement, Soin, Prénatal, Statut socioéconomique, Pauvreté, Epidémiologie, Facteur risque, Nourrisson, Homme, Brésil, Amérique du Sud, Amérique
Mots-clés Pascal anglais : Mortality, Geographical variation, Breast feeding, Care, Prenatal, Socioeconomic status, Poverty, Epidemiology, Risk factor, Infant, Human, Brazil, South America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0223017
Code Inist : 002B30A01A2. Création : 16/11/1999.