文章基本信息

标题：Case-control study on infant mortality in Southern Brazil
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作者：Karina Giane Mendes ; Maria Teresa Anselmo Olinto ; Juvenal Soares Dias da Costa 等
期刊名称：Revista de Saúde Pública
印刷版ISSN：0034-8910
出版年度：2006
卷号：40
期号：2
页码：240-248
语种：English
出版社：Universidade de São Paulo
摘要：OBJECTIVE : To identify risk factors associated with infant mortality and, more specifically, with neonatal mortality. METHODS : A case-control study was carried out in the municipality of Caxias do Sul, Southern Brazil. Characteristics of prenatal care and causes of mortality were assessed for all live births in the 2001-2002 period with a completed live-birth certificate and whose mothers lived in the municipality. Cases were defined as all deaths within the first year of life. As controls, there were selected the two children born immediately after each case in the same hospital, who were of the same sex, and did not die within their first year of life. Multivariate analysis was performed using conditional logistic regression. RESULTS : There was a reduction in infant mortality, the greatest reduction was observed in the post-neonatal period. The variables gestational age ( <36 weeks), birth weight (<2,500 g), and 5-minute Apgar ( <6) remained in the final model of the multivariate analysis, after adjustment. CONCLUSIONS : Perinatal conditions comprise almost the totality of neonatal deaths, and the majority of deaths occur at delivery. The challenge for reducing infant mortality rate in the city is to reduce the mortality by perinatal conditions in the neonatal period.
其他摘要：OBJECTIVE : To identify risk factors associated with infant mortality and, more specifically, with neonatal mortality. METHODS : A case-control study was carried out in the municipality of Caxias do Sul, Southern Brazil. Characteristics of prenatal care and causes of mortality were assessed for all live births in the 2001-2002 period with a completed live-birth certificate and whose mothers lived in the municipality. Cases were defined as all deaths within the first year of life. As controls, there were selected the two children born immediately after each case in the same hospital, who were of the same sex, and did not die within their first year of life. Multivariate analysis was performed using conditional logistic regression. RESULTS : There was a reduction in infant mortality, the greatest reduction was observed in the post-neonatal period. The variables gestational age ( <36 weeks), birth weight (<2,500 g), and 5-minute Apgar ( <6) remained in the final model of the multivariate analysis, after adjustment. CONCLUSIONS : Perinatal conditions comprise almost the totality of neonatal deaths, and the majority of deaths occur at delivery. The challenge for reducing infant mortality rate in the city is to reduce the mortality by perinatal conditions in the neonatal period.
关键词：Infant mortality; Neonatal mortality (public health); Prenatal care; Risk factors; Parturition; Epidemiology; descriptive.
其他关键词：Infant mortality; Neonatal mortality (public health); Prenatal care; Risk factors; Parturition; Epidemiology; descriptive.