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适度的进步,持续的不平等:2010年至2022年巴西儿童死亡率
Antonio Fernando Boing1, Alexandra Crispim Boing1
1Universidade Federal de Santa Catarina. Programa de Pós-graduação em Saúde Coletiva. Florianópolis, SC, Brasil.
Revista de saude publica
|July 30, 2025
概括
巴西的儿童死亡率略有下降,但在五岁以下儿童死亡率方面,社会经济和区域差异仍然存在. 这些不平等,特别是婴儿死亡率 (IMR),突出了当前的公共卫生挑战.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 儿童死亡率在全球范围内仍然是一个关键的公共卫生问题.
- 社会经济和地区差异显著影响儿童存活率.
研究的目的:
- 分析2010年至2022年巴西五岁以下儿童死亡率中社会经济和区域不平等的演变.
- 量化人类发展指数对巴西各市镇儿童死亡率的影响.
主要方法:
- 在2010-2022年间对3760万活产婴儿和563711例儿童死亡 (年龄在5岁以下) 的分析.
- 婴儿死亡率 (IMR) 和1-4岁儿童死亡率的计算.
- 按城市人力发展指数 (M-HDI) 的分数进行分层,并按小区域进行空间分析.
主要成果:
- 婴儿死亡率 (IMR) 略有下降,从13.0降至12.7/1000活产;1至4岁儿童的死亡率保持稳定.
- 显著的不平等仍然存在:2022年,M-HDI较低的市镇的IMR高49.0%,1-4岁死亡率高93.0%.
- 超过76,832例儿童死亡归因于不平等;北方地区受到了不成比例的影响.
结论:
- 尽管儿童死亡率略有下降,但巴西社会经济和地区差异仍然很大.
- 有针对性的干预措施对于解决儿童生存率持续不平等的问题至关重要.
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