FACTORS ASSOCIATED WITH INFANT MORTALITY IN THE METROPOLITAN REGION OF CARIRI, CEARÁ, BRAZIL

Autores

  • Andréa Couto Feitosa Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC/ Docente da Faculdade Leão Sampaio. Juazeiro do Norte,CE, Brasi
  • Edige Felipe de Sousa Santos Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC/ Docente da Faculdade Leão Sampaio. Juazeiro do Norte,CE, Brasi
  • José Lucas Souza Ramos Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC
  • Italla Maria Pinheiro Bezerra Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC
  • Viviane Gabriela Nascimento Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC
  • Cícero Cruz Macedo Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC./Docente da Faculdade Leão Sampaio. Juazeiro do Norte,CE, Brasil./ Docente do Departamento de pediatria da Universidade Federal do Cariri- UFCA. Barbalha, CE, Brasil
  • Hugo Macedo Jr Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC
  • Luiz Carlos de Abreu Laboratório de Delineamento e Escrita Científica. Departamento de Ciências Básicas. Faculdade de Medicina do ABC

DOI:

https://doi.org/10.7322/jhgd.103019

Palavras-chave:

risk factors, low birth weight Infant, Maternal Age, perinatal assistance.

Resumo

Introduction: The identification of factors related to children’s deaths is very important in planning public health actions for restructure and improve the mother and child assistance, aimed in reducing child mortality. Objective: Analyze the factors associated with infant mortality in the metropolitan area of Cariri, Ceará, Brazil. Method: This is a cross-sectional study. All deaths occurring in children under one year old of the metropolitan region of Cariri, Ceará, Brazil, contained in the mortality information system and in live births’s information system, from January 2009 to December 2013. Newborn variables (sex, race/color, weight, age); maternal variables (maternal age and education and type of gestation); assistance variables (labor type) were extracted from the SUS (Sistema Único de Saúde/Unified Health System) Informatics Department and presented in chart and tables in absolute and percentage frequency form. Results: In the five-year period, 816 infant deaths in 48321 births were registered associated to the following factors: 453 (55.5%) male, 471 (57.7%) drab and 514 (63%) low weight in birth, 458 (56.1%) with 20 to 34 years of age, 353 (43.2%) 8 years or more of schooling, 657 (80.5%) only pregnancy and 414 (50.7%) vaginal birth. Conclusion: Infant mortality variables in the metropolitan region of Cariri, Ceará, Brazil were associated mostly with deaths occurring in drab boys with birth weight below the normal, whose mothers were young, with good education and who had just one gestation, born of vaginal birth.

Referências

Figueiredo PP, Lunardi Filho WD, Lunardi VL, Pimpão FD. Infant mortality and prenatal care: contributions of the clinic in the light of Canguilhem and Foucault. Rev Latino-Am Enfermagem. 2012; 20(1): 201-210. DOI: http:/

/dx.doi.org/10.1590/S0104-11692012001000026

Hill K, You D, Inoue M, Oestergaard MZ. Child mortality estimation: accelerated progress in reducing global child mortality, 1990-2010. PLoS Med. 2012; 9(8):1001-1303. DOI: http://dx.doi.org/10.1371/journal.pmed.1001303

Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trendssince 2000. Lancet. 2012; 379(9832): 2151–2161. DOI: http://dx.doi.org/10.1016/S0140-6736(12)60560-1

Atrash HK. Childhood mortality: still a global priority. J Hum Growth Dev. 2013; 23(3): 257-260.

Governo do Estado do Ceará. Secretaria da Saúde Informe epidemiológico: Mortalidade Infantil. Fortaleza: 2014; p.1-14.

Barros FC, Victora CG, Barros AJ, Santos IS, Albernaz E, Matijasevich A, et al. The challenge of reducing neonatal mortality in middle-income countries: findings from three Brazilian birth cohorts in 1982, 1993, and 2004. Lancet. 2005; 365(9462): 847–854. DOI: http://dx.doi.org/ 10.1016/S0140-6736(05)71042-4

Mombelli MA, Sass A, Molena CAF, Téston EF, Marcon SS. Risk factors for child mortality in towns of Paraná State (South Brazil), from 1997 to 2008. Rev Paul Pediatr. 2012; 30(2): 187-194. DOI: http://dx.doi.org/10.1590/S0103-

Queiroz IS. The Metropolitan Region of Cariri. Mercator. 2014;13(3): 93-104. http://dx.doi.org/10.4215/RM2014.1303.0007

Frias PG, Szwarcwald CL, Lira PIC. Estimating infant mortality in a decentralized National Health System. Rev Bras Saúde Matern Infant. 2011; 11(4): 463-470. DOI: http://dx.doi.org/10.1590/S1519-38292011000400013

Silva CMCD, Gomes KRO, Rocha OAMS, Almeida IMLM, Moita Neto JM. Validity and reliability of data and avoidability of the underlying cause of neonatal deaths in the intensive care unit of the North-Northeast Perinatal Care Network. Cad Saúde Pública. 2013; 29(3):547-556. DOI: http://dx.doi.org/10.1590/S0102-311X2013000300012

Ribeiro AM, Guimarães MJ, Lima MC, Sarinho SW, Coutinho SB. Risk factors for neonatal mortality among children with low birth weight. Rev Saúde Pública. 2009; 43(2):246-255. DOI: http://dx.doi.org/10.1590/S0034-89102009005000004

Soares ES, Menezes GMS. Factors Associated with Neonatal Mortality: Situation Analysis at the Local Level. Epidemiol Serv Saúde. 2010;19(1):51-60. DOI: http://dx.doi.org/10.5123/S1679-49742010000100007

Jobim R, Aerts D. Avoidable infant mortality and associated factors in Porto Alegre, Southern Brazil, 2000-2003. Cad Saúde Pública. 2008; 24(1): 178-187. DOI: http://dx.doi.org/10.1590/S0102-311X2008000100018

Moreira KFA, Oliveira TS, Gonçalves TA, Moura CO, Maluf SN, Tavares RSA, et al. Child mortality in the last five-year periods in the city of Porto Velho, RO, Brazil. J Hum Growth Dev. 2014; 24(1): 86-92.

Maia RRP, Souza JMP. Factors associated with the low birth weight in municipality in northern Brazil. Rev Bras Crescimento Desenvolvimento Hum. 2010; 20(3): 735-744.

Borba GG, Neves ET, Arrué AM, Silveira A, Zamberlan KC. Fatores associados à morbimortalidade neonatal: um estudo de revisão. Rev Saúde. 2014; 40(1): p.9-14. DOI: http://dx.doi.org/10.5902/223658347774

He X, Akil L, Aker WG, Hwang HM, Ahmad HA. Trends in Infant Mortality in United States: a Brief Study of the Southeastern States from 2005–2009. Int J Environ Res Public Health. 2015; 12(5): 4908–4920. DOI: http://dx.doi.org/10.3390/ijerph120504908

Atrash HK. Parents’ death and its implications for child survival. Rev Bras Crescimento Desenvolvimento Hum. 2011; 21(3): 759-770.

Hernandez AR, Silva CH, Agranonik M, Quadros FM, Goldani MZ. Analysis of infant mortality trends and risk factors in Porto Alegre, Rio Grande do Sul State, Brazil, 1996-2008. Cad Saúde Pública. 2011; 27(11): 2188-2196. DOI: http://dx.doi.org/10.1590/S0102-311X2011001100012

Barbosa DRM, Almeida MG. Clinical and epidemiological characteristics and spatial distribution of infant mortality in northeastern brazil, in the period 2008-2011. Rev Eletr Gestão Saúde. 2014; 5(2):569-581.

Silva ZP, Almeida MF, Ortiz LP, Alencar GP, Alencar AP, Schoeps D, et al. Maternal and neonatal characteristics and early neonatal mortality in Greater Metropolitan São Paulo, Brazil. Cad Saúde Pública. 2009; 25(9):1981-1989. DOI: http://dx.doi.org/10.1590/S0102-311X2009000900012

Silva AL, Mathias TAF. Independent risk factors associated with infant deaths. Acta Paul Enferm. 2014; 27(1): 48-56. DOI: http://dx.doi.org/10.1590/1982-0194201400011

Suzuki CM, Ceccon MEJ, Falcão MC, Vaz FAC. Comparative analysis of prematurity and low birth weight between newborns of adolescent and adult mothers. Rev Bras Crescimento Desenvolvimento Hum. 2007; 17(3): 95-103.

Publicado

2015-10-20

Edição

Seção

Pesquisa Original