Andrade Carla Lourenço Tavares de, Szwarcwald Celia Landmann, Castilho Euclides Ayres de
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2008 Nov;24(11):2564-72. doi: 10.1590/s0102-311x2008001100011.
Although the Brazilian Information System on Live Births (SINASC) has expanded its coverage and improved its data quality since the system was implemented, the live birth count in Brazil is still not complete. The current study analyzes inequalities in low birth weight in Brazil in 2005, based on geographic factors, municipality of residence, maternal schooling, and prenatal care. An analysis of all live births showed a low birth weight paradox, namely high percentages in areas with the highest socioeconomic development. The main explanation for these paradoxical findings involves shorter neonatal survival and inadequate recording of premature births in poorer municipalities. Considering at-term live births from non-multiple gestations, inequalities were found in maternal schooling. Comprehensive, quality prenatal care could have a greater impact by reducing negative outcomes of gestation and decreasing the socioeconomic inequalities of perinatal health in Brazil.
尽管巴西活产信息系统(SINASC)自实施以来扩大了覆盖范围并提高了数据质量,但巴西的活产计数仍然不完整。本研究基于地理因素、居住城市、母亲教育程度和产前护理,分析了2005年巴西低出生体重的不平等情况。对所有活产的分析显示出低出生体重悖论,即在社会经济发展水平最高的地区比例较高。这些矛盾发现的主要解释涉及新生儿存活率较低以及较贫困城市早产记录不充分。考虑到非多胎妊娠的足月活产,在母亲教育程度方面存在不平等。全面、高质量的产前护理通过减少妊娠负面结果和降低巴西围产期健康的社会经济不平等可能会产生更大影响。