Determinants of infant mortality in cities of the Jequitinhonha Valley, Minas Gerais, Brazil

Authors

  • Thania Aparecida Gomes da Silva Barbosa Belo HorizonteMG, Universidade Federal de Minas Gerais, Hospital das Clínicas , Brasil
  • Kellen Rosa Coelho Belo HorizonteMG, UFMG, Escola de Enfermagem , Programa de Pós-Graduação, Brasil
  • Gisele Nepomuceno de Andrade Belo HorizonteMG, UFMG, Escola de Enfermagem , Programa de Pós-Graduação, Brasil
  • Sonia Duarte de Azevedo Bittencourt Rio de JaneiroRJ, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública , Brasil
  • Maria do Carmo Leal Rio de JaneiroRJ, FIOCRUZ, Escola Nacional de Saúde Pública , Brasil
  • Andréa Gazzinelli Belo HorizonteMG, UFMG, Escola de Enfermagem , Brasil

DOI:

https://doi.org/10.5935/1415-2762.20140067

Keywords:

Infant Mortality, Epidemiologic Factors, Case-control Studies, Risk Factors, Child Health

Abstract

OBJECTIVE: To analyze the determinants of infant mortality in Araçuaí, Joaíma, Jordânia, and Novo Cruzeiro, cities located in the Jequitinhonha Valley, Minas Gerais State, Brazil. METHODS: This was a case-control study including 36 infant deaths that occurred in 2008 and 72 live births, which did not evolve to death, randomly selected in the same period as controls. Demographic and socioeconomic data, maternal obstetric history, prenatal and childbirth care, and biological conditions of mothers and newborns were obtained using a structured questionnaire. Multivariate analyses of hierarchical logistic regression were conducted to evaluate the association of infant death and the study variables. RESULTS: Deaths in the neonatal period (55%) were predominant. Children from mothers with a history of stillbirth (p<0.001) and children who were born preterm (p=0.01), or with some type of malformation (p<0.001) remained independently associated with mortality. Children whose families did not receive government aid and resided in households with less favorable conditions had a higher chance to die in the first year of life. CONCLUSIONS: perinatal causes were important determinants of infant mortality in this study, although poor socioeconomic conditions also interfered significantly in the occurrence of deaths, indicating social problems and poor access to health services. The challenge of reducing infant deaths in the studied cities include the need for improvements in access and quality of maternal and child health care and demand for public policies that aimed at reducing socioeconomic inequalities.

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Published

2014-12-01

Issue

Vol. 18 No. 4 (2014)

Section

Research

License

Copyright (c) 2014 Reme: Revista Mineira de Enfermagem

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This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Determinants of infant mortality in cities of the Jequitinhonha Valley, Minas Gerais, Brazil. REME Rev Min Enferm. [Internet]. 2014 Dec. 1 [cited 2025 Dec. 24];18(4). Available from: https://periodicos.ufmg.br/index.php/reme/article/view/50125

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