The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005
OBJECTIVES: To investigate the associations between changes in indicators of health-related resources and coverage, and variations in infant mortality rates (IMR) in Brazil's 27 states in 2000 and 2005. METHODS: Data were obtained from the Ministry of Health's online database, DATASUS. Ste...
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Pan American Health Organization
2009
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ftdoajarticles:oai:doaj.org/article:1292173c841848948dded5d0caf48052 2023-05-15T15:19:15+02:00 The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005 Fernando M. Volpe Marcelo M. Abrantes Flavio D. Capanema Josiano G. Chaves 2009-12-01T00:00:00Z https://doaj.org/article/1292173c841848948dded5d0caf48052 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009001200002 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/1292173c841848948dded5d0caf48052 Revista Panamericana de Salud Pública, Vol 26, Iss 6, Pp 478-484 (2009) Mortalidad infantil indicadores de salud inversiones en salud política de salud salud del niño Brasil Infant mortality health status indicators health investments health policy child health Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2009 ftdoajarticles 2022-12-31T14:25:45Z OBJECTIVES: To investigate the associations between changes in indicators of health-related resources and coverage, and variations in infant mortality rates (IMR) in Brazil's 27 states in 2000 and 2005. METHODS: Data were obtained from the Ministry of Health's online database, DATASUS. Stepwise multiple regressions were performed to model changes in IMR and its components (early, late, and post-neonatal mortality), using changes in the selected health indicators as predictors. RESULTS: Regression analysis showed that improving access to prenatal care (B = -0.89 per 1 000; P < 0.001), increasing public expenditure on health as a proportion of gross domestic product (GDP) (B = -0.72 per 1 000; P = 0.031), and increasing access to the water supply (B = -0.22 per 1 000; P = 0.033) were associated with significant reductions in IMR. Declining early neonatal mortality rates were associated with prenatal care (B = -0.14 per 1 000; P = 0.026) and access to sanitation services (B = -0.05 per 1 000; P = 0.026). Reductions in late neonatal mortality rates were associated with prenatal care (B = -0.12 per 1 000; P = 0.003) and inversely correlated to the rate of cesarean deliveries (B = 0.13 per 1 000; P = 0.005). Post-neonatal mortality rate reductions were associated with prenatal care (B = -0.64 per 1 000; P < 0.001), increasing public expenditure on health as a proportion of GDP (B = -0.76 per 1 000; P = 0.005), and access to the water supply (B = -0.17 per 1 000; P = 0.037). CONCLUSIONS: Improving access to prenatal care, increasing public expenditure on health, and access to sanitation and water supply were all independently correlated to declining IMR; however, higher rates of cesarean deliveries were associated with higher late neonatal mortality rates. Continuous collection and analysis of relevant health indicators is recommended for developing evidence-based health policies and accurate predictions of how specific public health interventions might impact IMR. OBJETIVOS: Investigar las asociaciones entre los ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
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English Spanish Portuguese |
topic |
Mortalidad infantil indicadores de salud inversiones en salud política de salud salud del niño Brasil Infant mortality health status indicators health investments health policy child health Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Mortalidad infantil indicadores de salud inversiones en salud política de salud salud del niño Brasil Infant mortality health status indicators health investments health policy child health Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Fernando M. Volpe Marcelo M. Abrantes Flavio D. Capanema Josiano G. Chaves The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005 |
topic_facet |
Mortalidad infantil indicadores de salud inversiones en salud política de salud salud del niño Brasil Infant mortality health status indicators health investments health policy child health Brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: To investigate the associations between changes in indicators of health-related resources and coverage, and variations in infant mortality rates (IMR) in Brazil's 27 states in 2000 and 2005. METHODS: Data were obtained from the Ministry of Health's online database, DATASUS. Stepwise multiple regressions were performed to model changes in IMR and its components (early, late, and post-neonatal mortality), using changes in the selected health indicators as predictors. RESULTS: Regression analysis showed that improving access to prenatal care (B = -0.89 per 1 000; P < 0.001), increasing public expenditure on health as a proportion of gross domestic product (GDP) (B = -0.72 per 1 000; P = 0.031), and increasing access to the water supply (B = -0.22 per 1 000; P = 0.033) were associated with significant reductions in IMR. Declining early neonatal mortality rates were associated with prenatal care (B = -0.14 per 1 000; P = 0.026) and access to sanitation services (B = -0.05 per 1 000; P = 0.026). Reductions in late neonatal mortality rates were associated with prenatal care (B = -0.12 per 1 000; P = 0.003) and inversely correlated to the rate of cesarean deliveries (B = 0.13 per 1 000; P = 0.005). Post-neonatal mortality rate reductions were associated with prenatal care (B = -0.64 per 1 000; P < 0.001), increasing public expenditure on health as a proportion of GDP (B = -0.76 per 1 000; P = 0.005), and access to the water supply (B = -0.17 per 1 000; P = 0.037). CONCLUSIONS: Improving access to prenatal care, increasing public expenditure on health, and access to sanitation and water supply were all independently correlated to declining IMR; however, higher rates of cesarean deliveries were associated with higher late neonatal mortality rates. Continuous collection and analysis of relevant health indicators is recommended for developing evidence-based health policies and accurate predictions of how specific public health interventions might impact IMR. OBJETIVOS: Investigar las asociaciones entre los ... |
format |
Article in Journal/Newspaper |
author |
Fernando M. Volpe Marcelo M. Abrantes Flavio D. Capanema Josiano G. Chaves |
author_facet |
Fernando M. Volpe Marcelo M. Abrantes Flavio D. Capanema Josiano G. Chaves |
author_sort |
Fernando M. Volpe |
title |
The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005 |
title_short |
The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005 |
title_full |
The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005 |
title_fullStr |
The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005 |
title_full_unstemmed |
The impact of changing health indicators on infant mortality rates in Brazil, 2000 and 2005 Impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en Brasil, 2000 y 2005 |
title_sort |
impact of changing health indicators on infant mortality rates in brazil, 2000 and 2005 impacto de los cambios en los indicadores de salud sobre las tasas de mortalidad infantil en brasil, 2000 y 2005 |
publisher |
Pan American Health Organization |
publishDate |
2009 |
url |
https://doaj.org/article/1292173c841848948dded5d0caf48052 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 26, Iss 6, Pp 478-484 (2009) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009001200002 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/1292173c841848948dded5d0caf48052 |
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1766349438684495872 |