Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012

Abstract Objective: To describe trends and composition of infant mortality rate in the State of São Paulo, from 1996 to 2012. Methods: An ecological study was conducted, based on official secondary data of births and infant deaths of residents in São Paulo, from 1996 to 2012. The infant mortality...

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Main Authors: Kelsy Catherina Nema Areco, Tulio Konstantyner, José Augusto de Aguiar Carrazedo Taddei
Format: Article
Language:English
Published: Sociedade de Pediatria de São Paulo
Series:Revista Paulista de Pediatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000300263&lng=en&tlng=en
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author Kelsy Catherina Nema Areco
Tulio Konstantyner
José Augusto de Aguiar Carrazedo Taddei
author_facet Kelsy Catherina Nema Areco
Tulio Konstantyner
José Augusto de Aguiar Carrazedo Taddei
author_sort Kelsy Catherina Nema Areco
collection DOAJ
description Abstract Objective: To describe trends and composition of infant mortality rate in the State of São Paulo, from 1996 to 2012. Methods: An ecological study was conducted, based on official secondary data of births and infant deaths of residents in São Paulo, from 1996 to 2012. The infant mortality rate was calculated by the direct method and was analyzed by graphs and polynomial regression models for age groups (early neonatal, late neonatal and post-neonatal) and for groups of avoidable causes of death. Results: The mortality rate in the State of São Paulo tended to fall, ranging from 22.5 to 11.5 per thousand live births. Half of the infant deaths occurred in the early neonatal group. The proportion of avoidable infant deaths varied from 76.0 to 68.7%. The deaths which were avoidable by adequate attention to women during pregnancy and childbirth and newborn care accounted for 54% of infant deaths throughout the period. Conclusions: The mortality rate levels are still far from those in developed countries, which highlight the need to prioritize access and quality of healthcare services during pregnancy, childbirth and newborn care, especially in the first week of life, aiming at achieving standards of infant mortality similar to those of developed societies.
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spelling doaj.art-8c6328a282304db89df5f9bc40d634ee2022-12-22T03:14:28ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-046234326327010.1016/j.rppede.2016.03.009S0103-05822016000300263Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012Kelsy Catherina Nema ArecoTulio KonstantynerJosé Augusto de Aguiar Carrazedo TaddeiAbstract Objective: To describe trends and composition of infant mortality rate in the State of São Paulo, from 1996 to 2012. Methods: An ecological study was conducted, based on official secondary data of births and infant deaths of residents in São Paulo, from 1996 to 2012. The infant mortality rate was calculated by the direct method and was analyzed by graphs and polynomial regression models for age groups (early neonatal, late neonatal and post-neonatal) and for groups of avoidable causes of death. Results: The mortality rate in the State of São Paulo tended to fall, ranging from 22.5 to 11.5 per thousand live births. Half of the infant deaths occurred in the early neonatal group. The proportion of avoidable infant deaths varied from 76.0 to 68.7%. The deaths which were avoidable by adequate attention to women during pregnancy and childbirth and newborn care accounted for 54% of infant deaths throughout the period. Conclusions: The mortality rate levels are still far from those in developed countries, which highlight the need to prioritize access and quality of healthcare services during pregnancy, childbirth and newborn care, especially in the first week of life, aiming at achieving standards of infant mortality similar to those of developed societies.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000300263&lng=en&tlng=enInfant mortalityHealth care (public health)Ecological studiesTime series studies
spellingShingle Kelsy Catherina Nema Areco
Tulio Konstantyner
José Augusto de Aguiar Carrazedo Taddei
Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012
Revista Paulista de Pediatria
Infant mortality
Health care (public health)
Ecological studies
Time series studies
title Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012
title_full Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012
title_fullStr Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012
title_full_unstemmed Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012
title_short Secular trends in infant mortality by age-group and avoidable components in the State of São Paulo, 1996–2012
title_sort secular trends in infant mortality by age group and avoidable components in the state of sao paulo 1996 2012
topic Infant mortality
Health care (public health)
Ecological studies
Time series studies
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822016000300263&lng=en&tlng=en
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