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Research article
Carolina Ribeiro Anele
Universidade Federal do Rio Grande do Sul Faculdade de Medicina
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3706-7845
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Infant mortality is considered an important and sensitive health indicator in several countries, especially in underdeveloped and developing countries. Most of the factors influencing infant mortality are interrelated and are the result of social issues. Thus, this study investigated the influence of the Municipal Human Development Index (MHDI) of the residence macro-region compared to maternal education on infant mortality in a capital city in the extreme south of Brazil.
Methods: It is a retrospective cohort study with data on births and deaths for the period of 2000-2017. The association between the independent variables and the outcome was done by bivariate analysis through simple Poisson regression. Those with significant association (p<0.001) were used in a multiple Poisson regression for robust variances - adjusted model.
Results: The study included 311361 children, of whom 2271 died. Maternal education, individually and jointly analyzed with the MHDI, showed association with the outcome of infant death in the first year of life, particularly for children of mothers with lower maternal education (p<0.001). In relation to other related factors, maternal age; number of Prenatal Care Consultations; gestational age, weight, gender and Apgar Index (5th minute) of the newborn showed association with IM (p<0.001).
Conclusions: The lower the HDI classification of the macro-region, the worse were the socioeconomic and demographic conditions, but the results presumably indicated that an individual maternal characteristic supplants the environment in which the family resides as a factor of protection to infant mortality, reinforcing the relevance of maternal education as a social determinant in health.
Keywords
Infant mortality, Live Birth, Vital Statistics, Human Development, Education
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CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Editorial decision: Accept
On 11 Jan, 2021
Editor assigned
On 10 Jan, 2021
Submission checks complete
On 10 Jan, 2021
Editor invited
On 10 Jan, 2021
No comments provided
Editorial decision: Minor revision
On 04 Jan, 2021
Review #1 received
Received 14 Dec, 2020
Reviewers invited
Invitations sent on 08 Dec, 2020
Reviewer #1 agreed
On 08 Dec, 2020
Editor assigned
On 01 Dec, 2020
Submission checks complete
On 01 Dec, 2020
Editor invited
On 01 Dec, 2020
No comments provided
Editorial decision: Major revision
On 02 Nov, 2020
Review #2 received
Received 28 Oct, 2020
Reviewer #2 agreed
On 27 Oct, 2020
Review #1 received
Received 14 Sep, 2020
Reviewers invited
Invitations sent on 07 Sep, 2020
Reviewer #1 agreed
On 07 Sep, 2020
Editor assigned
On 03 Sep, 2020
Submission checks complete
On 02 Sep, 2020
Editor invited
On 02 Sep, 2020
Version 1
Posted 19 May, 2020
No comments provided
Editorial decision: Major revision
On 30 Jul, 2020
Review #2 received
Received 21 Jul, 2020
Reviewer #2 agreed
On 14 Jul, 2020
Review #1 received
Received 20 Jun, 2020
Reviewers invited
Invitations sent on 28 May, 2020
Reviewer #1 agreed
On 28 May, 2020
Editor assigned
On 26 May, 2020
Submission checks complete
On 16 May, 2020
Editor invited
On 15 May, 2020
First submitted
On 11 May, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
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See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Carolina Ribeiro Anele
Universidade Federal do Rio Grande do Sul Faculdade de Medicina
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3706-7845
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
No community comments so far
Editorial decision: Accept
On 11 Jan, 2021
Editor assigned
On 10 Jan, 2021
Submission checks complete
On 10 Jan, 2021
Editor invited
On 10 Jan, 2021
No comments provided
Editorial decision: Minor revision
On 04 Jan, 2021
Review #1 received
Received 14 Dec, 2020
Reviewers invited
Invitations sent on 08 Dec, 2020
Reviewer #1 agreed
On 08 Dec, 2020
Editor assigned
On 01 Dec, 2020
Submission checks complete
On 01 Dec, 2020
Editor invited
On 01 Dec, 2020
No comments provided
Editorial decision: Major revision
On 02 Nov, 2020
Review #2 received
Received 28 Oct, 2020
Reviewer #2 agreed
On 27 Oct, 2020
Review #1 received
Received 14 Sep, 2020
Reviewers invited
Invitations sent on 07 Sep, 2020
Reviewer #1 agreed
On 07 Sep, 2020
Editor assigned
On 03 Sep, 2020
Submission checks complete
On 02 Sep, 2020
Editor invited
On 02 Sep, 2020
Version 1
Posted 19 May, 2020
No comments provided
Editorial decision: Major revision
On 30 Jul, 2020
Review #2 received
Received 21 Jul, 2020
Reviewer #2 agreed
On 14 Jul, 2020
Review #1 received
Received 20 Jun, 2020
Reviewers invited
Invitations sent on 28 May, 2020
Reviewer #1 agreed
On 28 May, 2020
Editor assigned
On 26 May, 2020
Submission checks complete
On 16 May, 2020
Editor invited
On 15 May, 2020
First submitted
On 11 May, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background: Infant mortality is considered an important and sensitive health indicator in several countries, especially in underdeveloped and developing countries. Most of the factors influencing infant mortality are interrelated and are the result of social issues. Thus, this study investigated the influence of the Municipal Human Development Index (MHDI) of the residence macro-region compared to maternal education on infant mortality in a capital city in the extreme south of Brazil.
Methods: It is a retrospective cohort study with data on births and deaths for the period of 2000-2017. The association between the independent variables and the outcome was done by bivariate analysis through simple Poisson regression. Those with significant association (p<0.001) were used in a multiple Poisson regression for robust variances - adjusted model.
Results: The study included 311361 children, of whom 2271 died. Maternal education, individually and jointly analyzed with the MHDI, showed association with the outcome of infant death in the first year of life, particularly for children of mothers with lower maternal education (p<0.001). In relation to other related factors, maternal age; number of Prenatal Care Consultations; gestational age, weight, gender and Apgar Index (5th minute) of the newborn showed association with IM (p<0.001).
Conclusions: The lower the HDI classification of the macro-region, the worse were the socioeconomic and demographic conditions, but the results presumably indicated that an individual maternal characteristic supplants the environment in which the family resides as a factor of protection to infant mortality, reinforcing the relevance of maternal education as a social determinant in health.
Figure 1
Figure 2
Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
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