Bezerra Guimarães M J, Marques N M, Melo Filho D A
Ecole nationale de Santé publique, rua Dr Geraldo de Andrade, 101/402, 50100-070 Recife, PE, Brésil.
Sante. 2000 Mar-Apr;10(2):117-21.
We analyzed differences in infant mortality between areas of Recife, a city in the North East of Brazil, analyzing the relationship between living conditions and the risk of death. We compared infant mortality coefficients for 1995 with indicators of living conditions and collected data for the 770 infant deaths and the 27,965 live births. Neighborhoods were ranked according to the quality of living conditions and were grouped into four clusters. The infant, neonatal and postneonatal mortality coefficients were 27.53, 18.84 and 8.69 per 1,000 live births respectively. Lower quality living conditions were associated with higher coefficients. The main causes of infant deaths were perinatal disorders, the coefficient of which was 14.95 per 1,000 live births, followed by congenital malformations, gastroenteritis and bronchopneumonia. With the exception of congenital malformations, the coefficients of all these causes of death increased as living conditions worsened. These inequalities are generally obscured by the presentation of means for the city as a whole.
我们分析了巴西东北部城市累西腓不同地区的婴儿死亡率差异，研究了生活条件与死亡风险之间的关系。我们将1995年的婴儿死亡率系数与生活条件指标进行了比较，并收集了770例婴儿死亡和27,965例活产的数据。根据生活条件质量对各社区进行排名，并将其分为四类。婴儿、新生儿和新生儿后期死亡率系数分别为每1000例活产27.53、18.84和8.69例。生活条件质量较低与较高的死亡率系数相关。婴儿死亡的主要原因是围产期疾病，其系数为每1000例活产14.95例，其次是先天性畸形、肠胃炎和支气管肺炎。除先天性畸形外，所有这些死因的系数都随着生活条件的恶化而增加。这些不平等现象通常因展示整个城市的平均值而被掩盖。
