Literature DB >> 25014285

[Impact variables on the decline in infant mortality in the state of São Paulo, Brazil: 1998-2008].

Eloisio do Carmo Lourenço1, Luciane Miranda Guerra1, Rogerio Antonio Tuon1, Sandra Maria Cunha Vidal e Silva1, Glaucia Maria Bovi Ambrosano1, José Eduardo Corrente2, Karine Laura Cortellazzi1, Fabiana de Lima Vazquez1, Marcelo de Castro Meneghim1, Antonio Carlos Pereira1.   

Abstract

This is an ecological, analytical and retrospective study comprising the 645 municipalities in the State of São Paulo, the scope of which was to determine the relationship between socioeconomic, demographic variables and the model of care in relation to infant mortality rates in the period from 1998 to 2008. The ratio of average annual change for each indicator per stratum coverage was calculated. Infant mortality was analyzed according to the model for repeated measures over time, adjusted for the following correction variables: the city's population, proportion of Family Health Programs (PSFs) deployed, proportion of Growth Acceleration Programs (PACs) deployed, per capita GDP and SPSRI (São Paulo social responsibility index). The analysis was performed by generalized linear models, considering the gamma distribution. Multiple comparisons were performed with the likelihood ratio with chi-square approximate distribution, considering a significance level of 5%. There was a decrease in infant mortality over the years (p < 0.05), with no significant difference from 2004 to 2008 (p > 0.05). The proportion of PSFs deployed (p < 0.0001) and per capita GDP (p < 0.0001) were significant in the model. The decline of infant mortality in this period was influenced by the growth of per capita GDP and PSFs.

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Year:  2014        PMID: 25014285     DOI: 10.1590/1413-81232014197.18822013

Source DB:  PubMed          Journal:  Cien Saude Colet        ISSN: 1413-8123


  1 in total

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

Authors:  Renata Alves da Silva Carvalho; Victor Santana Santos; Cláudia Moura de Melo; Ricardo Queiroz Gurgel; Cristiane Costa da Cunha Oliveira
Journal:  Rev Saude Publica       Date:  2015-02-27       Impact factor: 2.106

  1 in total

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