Caldas Aline Diniz Rodrigues, Santos Ricardo Ventura, Borges Gabriel Mendes, Valente Joaquim Gonçalves, Portela Margareth Crisóstomo, Marinho Gerson Luiz
Núcleo Estadual do Ministério da Saúde no Rio de Janeiro, Ministério da Saúde, Rio de Janeiro, Brasil.
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2017 Aug 7;33(7):e00046516. doi: 10.1590/0102-311X00046516.
The aim of this study was to investigate infant mortality data according to color or race in Brazil with a focus on indigenous individuals, based on data from the 2010 Population Census and the Brazilian Mortality Information System (SIM) and Brazilian Information System on Live Births (SINASC). In both sources, the infant mortality rate (IMR) for indigenous individuals was the highest of all the various population segments. Although the census data indicate inequalities by color or race, the infant mortality rates for indigenous and black individuals were lower than those based on data from SIM/SINASC. Methodological specificities in the data collection in the two sources should be considered. The reduction in IMR in Brazil in recent decades is largely attributed to the priority of infant health on the policy agenda. The study's findings indicate that the impact of public policies failed to reach indigenous peoples on the same scale as in the rest of the population. New sources of nationwide data on deaths in households, as in the case of the 2010 Census, can contribute to a better understanding of inequalities by color or race in Brazil.
本研究旨在根据2010年人口普查数据、巴西死亡率信息系统(SIM)和巴西活产信息系统(SINASC)的数据,以巴西原住民为重点,调查巴西按肤色或种族划分的婴儿死亡率数据。在这两个数据源中,原住民的婴儿死亡率在所有不同人口群体中都是最高的。尽管人口普查数据显示了按肤色或种族存在的不平等,但原住民和黑人的婴儿死亡率低于基于SIM/SINASC数据的死亡率。应考虑这两个数据源数据收集方法上的特殊性。近几十年来巴西婴儿死亡率的下降主要归因于婴儿健康在政策议程上的优先地位。该研究结果表明,公共政策的影响未能以与其他人口相同的规模惠及原住民。新的全国性家庭死亡数据来源,如2010年人口普查的数据,有助于更好地了解巴西按肤色或种族存在的不平等。