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Revista de Saúde Pública

Print version ISSN 0034-8910On-line version ISSN 1518-8787

Abstract

CARVALHO, Renata Alves da Silva et al. Inequalities in health: living conditions and infant mortality in Northeastern Brazil. Rev. Saúde Pública [online]. 2015, vol.49, 5.  Epub Feb 27, 2015. ISSN 0034-8910.  https://doi.org/10.1590/S0034-8910.2015049004794.

OBJECTIVE

To analyze the variation of infant mortality as per condition of life in the urban setting.

METHODS

Ecological study performed with data regarding registered deaths of children under the age of one who resided in Aracaju, SE, Northeastern Brazil, from 2001 to 2010. Infant mortality inequalities were assessed based on the spatial distribution of the Living Conditions Index for each neighborhood, classified into four strata. The average mortality rates of 2001-2005 and 2006-2010 were compared using the Student’s t-test.

RESULTS

Average infant mortality rates decreased from 25.3 during 2001-2005 to 17.7 deaths per 1,000 live births in 2006-2010. Despite the decrease in the rates in all the strata during that decade, inequality of infant mortality risks increased in neighborhoods with worse living conditions compared with that in areas with better living conditions.

CONCLUSIONS

Infant mortality rates in Aracaju showed a decline, but with important differences among neighborhoods. The assessment based on a living condition perspective can explain the differences in the risks of infant mortality rates in urban areas, highlighting health inequalities in infant mortality as a multidimensional issue.

Keywords : Infant Mortality, trends; Social Conditions; Health Status Disparities; Health Inequalities; Social Inequity; Child Health; Ecological Studies.

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