Infant mortality: surveillance, epidemiological characteristics and spatial distribution pattern in Recife, Brazil

Acta Scientiarum. Health Sciences

Conceição Maria de Oliveira¹  Heitor Victor Veiga da Costa²  Paulo Germano de Frias³  Cristine Vieira do Bonfim⁴  Indianara Maria de Barros Canuto⁵  Vilma Costa de Macêdo⁶ 

[1] Centro Universitário Maurício de Nassau /Secretaria de Saúde do Recife;Fundação Joaquim Nabuco;Instituto de Medicina Integral Professor Fernando Figueira;Universidade Federal de Pernambuco / Fundação Joaquim Nabuco;Universidade Federal de Pernambuco.;Universidade Federal de Pernambuco;

关键词: infant mortality;    vital statistics;    health information systems;    spatial analysis;    healthcare disparities.;   

DOI  :  10.4025/actascihealthsci.v41i1.43997

来源: DOAJ

【 摘 要 】

To describe the occurrence and spatial distribution of infant deaths investigated by surveillance in Recife, state of Pernambuco, Brazil, in 2014. This is an exploratory ecological study investigating 183 infant deaths. Data from the confidential records of surveillance investigation of the infant death and the Mortality Information System were used. In order to detect spatial distribution patterns, the kernel estimation of infant, neonatal and post-neonatal mortality was used. Deaths were mainly of the neonatal type (n = 144; 78.69%), with gestational age below 37 weeks (n = 147; 80.3%) and birth weight lower than 2500 g (n = 143; 78.1%). The main causes of infant deaths were the disorders originating in the perinatal period, with emphasis on maternal hypertensive disorders (n = 31; 16.9%). The kernel map showed a higher density in 12 neighborhoods of the North (4), Northwest (2), West (3) and South (3) regions of the municipality. It was found a heterogeneous pattern in the occurrence and distribution of deaths in the territory; spatial clusters were observed in several areas of Recife with similar geographic spaces between types of death.

【 授权许可】

Unknown