[Risk factors for neonatal and post-neonatal mortality in the Central-West region of Brazil: linkage between live birth and infant death data banks]

Cad Saude Publica. 2000 Apr-Jun;16(2):477-85. doi: 10.1590/s0102-311x2000000200018.
[Article in Portuguese]

Abstract

This article focused on risk factors for neonatal and post-neonatal mortality by linking live births and infant death records. The study was conducted in the municipality of Goiânia, in the Central-West region of Brazil. A total of 20,981 live births and 342 infant deaths constitute the retrospective cohort. Neonatal and post-neonatal mortality risks were estimated in this cohort study of live births by logistic regression. In the neonatal period, the highest ORs were for delivery in public hospitals (OR = 2.28; 95% CI 1.57-3.32), pre-term neonates (OR = 8.94; 95% CI 5.85-13.67), and low birth weight (OR = 8.92; 95% CI 5.77-13.79). Cesarean delivery appeared as a protective factor (OR = 0.58; 95% CI 0.43-0.78). For post-neonatal mortality, the highest ORs were for illiterate mothers (OR = 6.25; 95% CI 1.25-31.27), low birth weight (OR = 3.12; 95% CI 1.67-5.84), and delivery in public hospitals (OR = 2.65; 95% CI 1. 13-6.23). The linkage identified socioeconomic variables that were more important risk factors for post-neonatal than neonatal mortality.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Analysis of Variance
  • Brazil
  • Cohort Studies
  • Death Certificates
  • Female
  • Humans
  • Infant
  • Infant Mortality*
  • Infant, Low Birth Weight
  • Infant, Newborn
  • Infant, Premature
  • Logistic Models
  • Medical Record Linkage*
  • Risk Factors
  • Socioeconomic Factors