Perinatal mortality and socio-spatial inequalities.
Eunice Francisca Martins1, Edna Maria Rezende, Maria Cristina de Mattos Almeida
1Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo HorizonteMG, Brazil.
Revista Latino-Americana De Enfermagem
|October 22, 2013
Summary
Perinatal mortality rates in Belo Horizonte varied significantly across districts and risk areas, disproportionately affecting vulnerable populations. Higher maternal education correlated with lower mortality, highlighting the need for targeted interventions.
Area of Science:
- Public Health
- Epidemiology
- Social Medicine
Background:
- Perinatal mortality is a key indicator of population health and healthcare system effectiveness.
- Understanding the spatial and social determinants of perinatal mortality is crucial for targeted public health interventions.
Purpose of the Study:
- To analyze the social inequalities in the spatial distribution of perinatal mortality in Belo Horizonte, Brazil.
- To identify risk factors and vulnerable areas associated with perinatal deaths.
Main Methods:
- Study period: 2003-2007, Belo Horizonte residents.
- Data sources: Information Systems on Mortality and Newborns.
- Analysis: Spatial analysis, Health Vulnerability Index, Odds Ratio, multivariate analysis.
Main Results:
- Significant variations in perinatal mortality rates were observed across sanitary districts, coverage areas, and risk zones.
- Perinatal mortality decreased with increased maternal schooling.
- Mortality rates from asphyxia/hypoxia and unspecified fetal death increased with higher area risk.
Conclusions:
- Perinatal deaths are unevenly distributed, reflecting spatial and social vulnerabilities.
- Addressing this complex issue necessitates collaborative, multi-sectoral partnerships.
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