Medina-Gómez Oswaldo Sinoe, López-Arellano Oliva
Instituto Mexicano del Seguro Social, DF, México.
Cad Saude Publica. 2011 Aug;27(8):1603-10. doi: 10.1590/s0102-311x2011000800015.
The aim of this study was to assess the association between different types of economic and social deprivation and infant mortality rates reported in 2008 in Mexico. We conducted an ecological study analyzing the correlation and relative risk between the human development index and levels of social and economic differences in State and national infant mortality rates. There was a strong correlation between higher human development and lower infant mortality. Low schooling and poor housing and crowding were associated with higher infant mortality. Although infant mortality has declined dramatically in Mexico over the last 28 years, the decrease has not been homogeneous, and there are persistent inequalities that determine mortality rates in relation to different poverty levels. Programs with a multidisciplinary approach are needed to decrease infant mortality rates through comprehensive individual and family development.
本研究的目的是评估2008年墨西哥报告的不同类型的经济和社会剥夺与婴儿死亡率之间的关联。我们进行了一项生态研究，分析了人类发展指数与州和国家婴儿死亡率的社会经济差异水平之间的相关性和相对风险。较高的人类发展水平与较低的婴儿死亡率之间存在很强的相关性。低教育水平、恶劣的住房条件和拥挤状况与较高的婴儿死亡率相关。尽管在过去28年里墨西哥的婴儿死亡率大幅下降，但下降并不均匀，并且存在持续的不平等现象，这些不平等现象决定了与不同贫困水平相关的死亡率。需要采取多学科方法的项目，通过全面的个人和家庭发展来降低婴儿死亡率。
