Lourenço Eloisio do Carmo, Guerra Luciane Miranda, Tuon Rogerio Antonio, Vidal e Silva Sandra Maria Cunha, Ambrosano Glaucia Maria Bovi, Corrente José Eduardo, Cortellazzi Karine Laura, Vazquez Fabiana de Lima, Meneghim Marcelo de Castro, Pereira Antonio Carlos
Departamento de Odontologia Social, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brasil,
Instituto de Biociência, UNESP Campus Botucatu.
Cien Saude Colet. 2014 Jul;19(7):2055-62. doi: 10.1590/1413-81232014197.18822013.
This is an ecological, analytical and retrospective study comprising the 645 municipalities in the State of São Paulo, the scope of which was to determine the relationship between socioeconomic, demographic variables and the model of care in relation to infant mortality rates in the period from 1998 to 2008. The ratio of average annual change for each indicator per stratum coverage was calculated. Infant mortality was analyzed according to the model for repeated measures over time, adjusted for the following correction variables: the city's population, proportion of Family Health Programs (PSFs) deployed, proportion of Growth Acceleration Programs (PACs) deployed, per capita GDP and SPSRI (São Paulo social responsibility index). The analysis was performed by generalized linear models, considering the gamma distribution. Multiple comparisons were performed with the likelihood ratio with chi-square approximate distribution, considering a significance level of 5%. There was a decrease in infant mortality over the years (p < 0.05), with no significant difference from 2004 to 2008 (p > 0.05). The proportion of PSFs deployed (p < 0.0001) and per capita GDP (p < 0.0001) were significant in the model. The decline of infant mortality in this period was influenced by the growth of per capita GDP and PSFs.
这是一项生态学、分析性和回顾性研究，涵盖圣保罗州的645个市，其目的是确定1998年至2008年期间社会经济、人口统计学变量与护理模式与婴儿死亡率之间的关系。计算了每个指标在各阶层覆盖范围内的年均变化率。根据随时间重复测量的模型分析婴儿死亡率，并针对以下校正变量进行调整：城市人口、家庭健康计划（PSF）的部署比例、加速增长计划（PAC）的部署比例、人均国内生产总值和圣保罗社会责任指数（SPSRI）。分析采用广义线性模型，考虑伽马分布。采用似然比和卡方近似分布进行多重比较，显著性水平为5%。多年来婴儿死亡率有所下降（p<0.05），2004年至2008年无显著差异（p>0.05）。模型中PSF的部署比例（p<0.0001）和人均国内生产总值（p<0.0001）具有显著性。这一时期婴儿死亡率的下降受到人均国内生产总值和PSF增长的影响。
